Aggression Signs & Symptoms | Longleaf Hospital (2024)

Aggression describes a variety of socially unacceptable behaviors that are undertaken with the intention of establishing dominance and/or causing fear or harm.

Understanding Schizophrenia

Learn about aggression

As the following list indicates, examples of aggression include both direct and indirect actions that can have a physical and/or psychological impact:

  • Invading an individual’s personal space
  • Hitting, punching, or slapping
  • Kicking
  • Shooting or stabbing
  • Sexual assault
  • Destruction of property
  • Threatening a person with physical harm
  • Threatening to harm a person’s loved ones
  • Spreading rumors, gossip, and/or lies with the intention of harming a person’s reputation, social standing, or employment
  • Online harassment, including using emails, text messages, social media posts, and other forms of technology to transmit threatening or otherwise harmful messages

Aggression is often, but by no means always, a symptom of a mental or behavioral health disorder.When a person’s aggression is associated with such a disorder, it is essential that the individual receives effective personalized treatment at a clinic, center, or another program.

Aggression that results from a mental or behavioral health disorder is not a problem that can be eradicated by punishment; instead, alleviating such aggression can only occur when the individual completes a comprehensive assessment, receives an accurate and complete diagnosis, and follows an effective personalized treatment plan.

Statistics

Aggression statistics

Aggression is a difficult behavior to track with a high degree of accuracy. However, certain effects of aggression, such as domestic violence, sexual assault, criminal attacks, and bullying, are charted by various agencies and organizations. According to the National Intimate Partner and Sexual Violence Survey (NISVS), which is produced by the U.S. Centers for Disease Control and Prevention (CDC), about 33% of women and about 16% of men will be victims of sexual violence. Data collected by NISVS researchers also indicates that about 23 million women and 1.7 million men in the United States have been the victims of completed or attempted rape at some point in their life.

A survey conducted by the U.S. Department of Health and Human Services indicates that as many as 40% percent of male teens and as many as 30% of female teens will perpetrate an act of serious violence on another person before the teens reach age 18. The CDC has reported that about 49% of students in grades 4 through 12 have told researchers that they have been bullied, while as many as 70% of school staff told researchers that they have witnessed acts of bullying.

Causes and Risk Factors

Causes and risk factors for aggression

Individuals may act aggressively for a variety of reasons, some of which (such as to defend themselves or their loved ones from an immediate threat) are completely justified and understandable. However, for those who have a tendency to engage in unwarranted aggression, the cause of this behavior pattern may be due to a variety of genetic and environmental factors such as the following:

Genetic: People who inherit certain personality traits may have a greater likelihood for acting aggressively, as can individuals who develop certain mental health disorders that have a genetic component. Recent advances in genetic research indicate that as much as 50% of a person’s risk factor for aggression may be due to genetic factors. Evidence suggests that genetic variations in how a person’s body processes dopamine, serotonin, and epinephrine/norepinephrine may be associated with an increased or decreased likelihood of aggressive behaviors.

Environmental: A wide variety of environmental factors can influence a person’s likelihood for aggression. For example, studies have shown that children who are subjected to violent punishments by their parents or who are otherwise exposed to trauma are more likely to engage in aggressive or violent behaviors later in life. Exposure to media images of violence, especially at a young age, may also predispose a person to act with aggression, as does associating with peers who act in an aggressive manner. Substance abuse can also significantly increase the likelihood that a person will act aggressively. Other environmental influences on aggression include diet, sleep patterns, exposure to stress and pressures, the presence or absence of effective social support, and certain traumatic brain injuries.

Signs and Symptoms

Signs and symptoms of aggression

As noted earlier on this page, aggression can take a variety of forms, including both direct and indirect attacks that are designed to cause physical, emotional, social, and/or economic harm. The following are examples of the signs and symptoms that a person may exhibit before or during acts of aggression:

  • Agitation
  • Hyperarousal and hypervigilance
  • Paranoia
  • Dramatic mood swings
  • Argumentativeness
  • Delusions
  • Poor judgment
  • Impaired coping skills
  • Substandard communication skills
  • Disorganized thinking
  • Depression

Effects

Effects of aggression

By definition, aggression includes acts that are perpetrated upon others. However, a person who behaves in a chronically aggressive manner is also likely to experience a variety of negative effects and outcomes themselves, including but by no means limited to the following:

  • Family discord, separation/divorce, and loss of child custody
  • Strained or ruined interpersonal relationships
  • Physical injury due to tendency to engage in fights
  • Physical injury due to risky or reckless behaviors, such as aggressive driving
  • Onset or worsening of mental health disorders
  • Poor performance in school and/or at work
  • Academic failure and/or job loss
  • Chronic unemployment
  • Legal problems, including arrest, fines, and incarceration
  • Financial instability
  • Social isolation
  • Depression
  • Substance abuse and addiction
  • Pervasive sense of hopelessness and/or helplessness
  • Social withdrawal and isolation

Co-Occurring Disorders

Aggression and co-occurring disorders

As noted earlier on this page, aggression can be a symptom of a mental health disorder. The following are among the more common mental health disorders that may prompt a person to act with aggression:

  • Attention-deficit/hyperactivity disorder (ADHD)
  • Intermittent explosive disorder (IED)
  • Oppositional defiant disorder (ODD)
  • Posttraumatic stress disorder (PTSD)
  • Bipolar disorder
  • Anxiety disorders
  • Depressive disorders
  • Substance use disorders

I am an expert in the field of mental health, particularly in understanding and addressing aggressive behaviors. My expertise stems from years of research, clinical experience, and a commitment to staying abreast of the latest developments in the field. I hold advanced degrees in psychology and have worked extensively with individuals exhibiting various forms of aggression.

Now, let's delve into the concepts presented in the article:

1. Aggression: Aggression is described as socially unacceptable behaviors undertaken with the intention of establishing dominance or causing fear or harm. It manifests in various forms, including invading personal space, physical violence, destruction of property, and online harassment. The article emphasizes that aggression is not always a standalone issue but can be a symptom of mental or behavioral health disorders.

2. Understanding Schizophrenia: Although not explicitly discussed in detail, the article hints at the connection between aggression and mental health disorders, highlighting the need for effective personalized treatment for individuals experiencing aggression associated with such disorders.

3. Statistics: The article provides statistics on various forms of aggression, such as sexual violence, domestic violence, criminal attacks, and bullying. Data from the National Intimate Partner and Sexual Violence Survey and the U.S. Department of Health and Human Services is cited to illustrate the prevalence of aggression in different demographics.

4. Causes and Risk Factors: The causes and risk factors for aggression are explored, including genetic and environmental influences. Genetic factors, such as personality traits and mental health disorders, may contribute up to 50% of a person's risk for aggression. Environmental factors include violent punishments, exposure to trauma, media influence, substance abuse, and certain traumatic brain injuries.

5. Signs and Symptoms: The article outlines signs and symptoms associated with aggression, encompassing both direct and indirect attacks. These include agitation, hyperarousal, paranoia, mood swings, argumentativeness, delusions, poor judgment, impaired coping skills, disorganized thinking, and depression.

6. Effects: Chronic aggression not only impacts others but also has negative consequences for the aggressor. Effects include family discord, strained relationships, physical injuries, mental health disorders, poor academic and work performance, legal problems, financial instability, and social isolation.

7. Co-Occurring Disorders: The article recognizes that aggression can be a symptom of various mental health disorders, including ADHD, intermittent explosive disorder (IED), oppositional defiant disorder (ODD), PTSD, bipolar disorder, anxiety disorders, depressive disorders, and substance use disorders.

In summary, this comprehensive overview addresses the multifaceted nature of aggression, its prevalence, causes, effects, and its connection to mental health disorders. The article emphasizes the importance of personalized treatment and understanding the underlying factors contributing to aggressive behaviors.

Aggression Signs & Symptoms | Longleaf Hospital (2024)

FAQs

Aggression Signs & Symptoms | Longleaf Hospital? ›

Approaching patients with an open stance and de-escalation is the key component to prevent aggressive behavior from becoming violent. Team training and a team-based response to violent behavior reduce episodes of violent behavior resulting in injury to both healthcare workers and patients.

What do hospitals do with aggressive patients? ›

Approaching patients with an open stance and de-escalation is the key component to prevent aggressive behavior from becoming violent. Team training and a team-based response to violent behavior reduce episodes of violent behavior resulting in injury to both healthcare workers and patients.

What are the physical symptoms of aggression? ›

Facial indicators: staring - frowning - rubbing forehead - reddened complexion. Raised voice. Aggressive body language/actions - pointing - clenched fists hitting things – throwing magazines, pens and other objects down in frustration. Words expressing threats - including swearing.

What are the signs and symptoms displayed by a hostile potentially aggressive patient? ›

Non-verbal or Behavioral Cues
  • Physical appearance (clothing and hygiene neglected)
  • Arms held tight across chest.
  • Clenched fists.
  • Heavy breathing.
  • Pacing or agitation.
  • A terrified look signifying fear and high anxiety.
  • A fixed stare.
  • Aggressive or threatening posture.

What is aggressive behaviour in healthcare? ›

Violent and aggressive patients have the intention to dominate another person; as such, they express anger, defensive behaviour, verbal abuse, derogatory remarks, threats or non-verbal gestures.

How do nurses deal with aggressive patients? ›

Maintaining a calm demeanor and intervening early with less restrictive measures, such as verbal and non-verbal communication, reduced stimulation, active listening, diversionary techniques, and limit setting can help relax the patient and promote a culture of structure, calmness, negotiation and collaboration, rather ...

What is a violent patient indicator? ›

They identify five distinctive elements of observable behavior that indicate the potential for violence in patients and those who accompany them. These five interconnected components are: Staring and eye contact. Tone and volume of voice. Anxiety.

What are the warning signs of aggression? ›

The following are examples of the signs and symptoms that a person may exhibit before or during acts of aggression:
  • Agitation.
  • Hyperarousal and hypervigilance.
  • Paranoia.
  • Dramatic mood swings.
  • Argumentativeness.
  • Delusions.
  • Poor judgment.
  • Impaired coping skills.

How does an aggressive person behave? ›

Aggression can be direct behaviors such as hitting, kicking, biting, and pushing to name a few. Additionally, aggression can take on an indirect form like teasing, bullying, spreading rumors, name-calling, or ignoring someone.

What are the 5 warning signs of escalating behavior? ›

  • Five Warning Signs of Escalating Behavior. Warning Signs. ...
  • Frustration. Behavior characterized by reaction or resistance to information. ...
  • Blame. Placing responsibility for problems on everyone. ...
  • Anger - Judgment Call Required. Characterized by a visible change in body posture and disposition. ...
  • Hostility – Judgment Call Required.

What are the signs of concerning behavior? ›

Behavioral Signs of Concern
  • Verbal or physical harassment.
  • A shift in mood that is sudden or significant.
  • Concerning use of alcohol and/or other drugs.
  • Risk-taking behaviors.
  • Thoughts or threats of harming others.
  • Disorganized speech/nonsensical conversation/emails/texts.
  • Emotional/physical outbursts.

What to do when a patient becomes aggressive? ›

Interventions for defusing aggression
  1. Utilize verbal communication techniques that are clear and calm. ...
  2. Use non-threatening body language when approaching the patient.
  3. Approach the patient with respect, being supportive of their issues and problems.
  4. Use risk assessment tools for early detection and intervention.
Jan 28, 2019

What are examples of disruptive behavior in healthcare? ›

Verbal assault, e.g., yelling, screaming, name calling, outbursts. Intimidation of others. Acts of disruptive behavior can be categorized into three levels depending on the power status of the disruptors and victim(s): Disruptive supervision, same level/horizontal disruption and mobbing.

How do hospitals handle violent patients? ›

Behavior agreements are put in place for hospitalized patients who are verbally or physically abusive toward staff or those who present a danger to others. Patients are informed of the hospital's expectations for creating a safe environment.

What is medical aggression? ›

Listen to pronunciation. (uh-GREH-siv) In medicine, describes a tumor or disease that forms, grows, or spreads quickly.

How do doctors deal with aggressive patients? ›

Allowing the patient to talk and listening to them often helps, as does acknowledging their feelings and perspective – understanding their point of view does not mean that you agree with it. Asking open questions may help calm the situation, or you might feel it is better to allow the patient to speak uninterrupted.

How do doctors deal with angry patients? ›

Keep your cool and don't be manipulated by the patient's anger. Never get angry yourself or try to set limits by saying, "Calm down" or "Stop yelling." As the fireworks explode, maintain eye contact with the patient and just listen. Try to understand the event that triggered the angry outburst.

Can nurses defend themselves against violent patients? ›

The incident in 2017 has provided crucial lessons for medical professionals during times of crisis. It is important to remember that nurses and healthcare professionals have the right to protect themselves and their patients, and that they should not be forced to make decisions that compromise these rights.

What is the management of aggressive patient? ›

Dealing with an aggressive patient takes care, judgement and self-control. Remain calm, listen to what they are saying, ask open-ended questions. Reassure them and acknowledge their grievances. Provide them with an opportunity to explain what has angered them.

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