Patient’s Experiences of Violence as Perpetrator: A Qualitative Study from Patients with Schizophrenia in Indonesia

Iyus Yosep; Helmy Hazmi; Zabidah Putit

doi:10.3889/oamjms.2022.7704

Authors

Iyus Yosep Department of Mental Health, Faculty of Nursing, Padjadjaran University, Sumedang, Indonesia
Helmy Hazmi Department of Public Health, Faculty of Medicine, University of Malaysia Sarawak, Sarawak, Malaysia
Zabidah Putit Faculty of Pharmacy and Nursing, Medicine and Health Sciences, University of Nizwa, Nizwa, Oman

DOI:

https://doi.org/10.3889/oamjms.2022.7704

Keywords:

Experience, Violence, Perpetrator, Schizophrenia, Qualitative study

Abstract

BACKGROUND: Individuals with schizophrenia are at an increased risk for violence – limited study on exploring the experience of violence in patients with schizophrenia as a perpetrator.

AIM: This research aimed to investigate the perception of violence as a perpetrator in Indonesia in patients with schizophrenia.

METHODS: This study used phenomenology using a purposive sampling technique. A total of 40 patients were from the psychiatric ward of significant mental hospitals in West Java, Indonesia. The inclusion criteria for patients were the following: Age over 18 years old confirmed diagnosis with schizophrenia. Focus group discussion of patients comprised four groups. Each group consisted of tens of patients.

RESULTS: The patient’s experiences as a perpetrator were categorized into six subthemes: Committing physical violence to family, quarreling with family, verbal abuse to family, a perpetrator of verbal violence to neighbors, expression of anger to object, and physical violence to nurse.

CONCLUSION: The patient’s experiences of violence were not linear, but rather it was a complex experience of being a perpetrator, yet at the same time as of perpetrator violence. A staff training program to reduce patient violence is needed.

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