@article{c70cd7488b1c43f6bfac472dba2031ba,
title = "Detection of Impending Aggressive Outbursts in Patients with Psychiatric Disorders: Violence Clues from Dogs",
abstract = "Aggression in psychiatric wards is a continuing matter of concern for both patients and medical staff. Here we have tested the hypothesis that the frequency of such incidents can be reduced with a new strategy of using trained alert dogs that warn of impending violent outbursts. Dogs were positioned among patients in psychiatric wards. Analyses show that the dogs warned of impending aggressive outbursts, responding to signals from a specific patient out of a group of unfamiliar psychotic patients. Their alerts were not a response to stress as canine cortisol levels were not significantly changed. Visual glance was the preferred method used by young dogs to respond to patient. Until a similar electronic technology is developed, trained alert dogs can help caregivers to protect both the patient and those around them from injuries that may otherwise result from aggressive outbursts in psychiatric patients.",
author = "Uriel Bakeman and Hodaya Eilam and Schild, {Clara Moray} and Dan Grinstein and Yuval Eshed and Morris Laster and Ester Fride and Sharon Anavi-Goffer",
note = "We would like to acknowledge the contribution of Professor Ester Fride for commencing, leading this novel study and supervising H.E. (M.A.). Professor Fride lost her battle with cancer in 2010. We would like to acknowledge the support of Professor Eshel Ben-Jacob, Tel-Aviv University, Israel, with independent consultancy view. Professor Ben-Jacob lost his battle with cancer in 2015. We would like to forward our special thanks to: Dr Yael Delayahu, Head, Dual Diagnosis Ward, Mr Sabri Elwahidi and Mr Yuri Gimelfarb, both senior caregivers at the wards, and to all the team at the wards, Abarbanel Mental Health Center, Bat Yam, Israel, for their continued support in this study; the experimental observers, Ms. Lee Koyavski and Ms. Dekla Mezuyanim; The support team of GraphPad Prism, US and Dr Yoram Braw, Israel, for assisting with statistical analysis; Professor Michael Firer, Israel, for assisting with cortisol readouts. Our special thanks to Dr Michelle Edwards, Scotland, for critical reading of the manuscript. E.F. (Professor) and S.A.G. (Ph.D. Senior Lecturer) were the academic supervisors of the study. E.F., H.E. (M.A.), U.B., Y.E. (Ph.D.), D.G. (Ph.D.), M.L. (M.D.) designed the trial protocol. U.B. trained the dogs and served as the handler. C.M.S. (M.D.) provided clinical supervision at the hospital. U.B. and H.E. carried out the project at the hospital. S.A.G. analysed the data, wrote the manuscript and edited the video.",
year = "2019",
month = nov,
day = "21",
doi = "10.1038/s41598-019-52940-w",
language = "الإنجليزيّة",
volume = "9",
journal = "Scientific Reports",
issn = "2045-2322",
publisher = "Nature Publishing Group",
number = "1",
}