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        <registrant>Kıbrıs Ruh Sağlığı Enstitüsü</registrant>
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            <journal>
            <journal_metadata language="tr">
                <full_title>Cyprus Turkish Journal of Psychiatry and Psychology</full_title>
                                    <abbrev_title>KTPP Dergisi</abbrev_title>
                                                    <issn media_type="print">1302-7840</issn>
                            </journal_metadata>
                            <journal_issue>
                    <publication_date media_type="online">
                        <month>03</month>
                        <day>28</day>
                        <year>2026</year>
                    </publication_date>
                                            <journal_volume>
                            <volume>8</volume>
                        </journal_volume>
                                                                <issue>1</issue>
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                        <journal_article publication_type="full_text">
                                    <titles>
                        <title>The Shadow Epidemic: A Five-Year Retrospective Analysis of Workplace Violence and Aggression Pathways in a Psychiatric Hospital</title>
                    </titles>
                
                                    <contributors>
                                                    <person_name contributor_role="author"
                                         sequence="first">
                                <given_name>Cengiz</given_name>
                                <surname>Cengisiz</surname>
                                                                    <affiliations>
                                        <institution>
                                            <institution_name>Manisa Ruh Sağlığı ve Hastalıkları Hastanesi</institution_name>
                                        </institution>
                                    </affiliations>
                                                                                                    <ORCID>https://orcid.org/0000-0001-5552-8767</ORCID>
                                                            </person_name>
                                                    <person_name contributor_role="author"
                                         sequence="additional">
                                <given_name>Sevgi</given_name>
                                <surname>Nehir</surname>
                                                                    <affiliations>
                                        <institution>
                                            <institution_name>Celal Bayar Üniversitesi Manisa</institution_name>
                                        </institution>
                                    </affiliations>
                                                                                                    <ORCID>https://orcid.org/0000-0003-1761-786X</ORCID>
                                                            </person_name>
                                            </contributors>
                
                                    <jats:abstract>
                        <jats:p xml:lang="en">The research was conducted to evaluate the white code data on violence in a regional closed psychiatric hospital. The research is a descriptive and retrospective study. In the study, white code reports reported in XXX between 2018 and 2023 were retrospectively scanned. The sample of the study consisted of 51 individuals. In data collection, descriptive data on victims of violence, perpetrators of violence, type of violence and the cause of violence are shown as numbers and percentages. It was determined that 29 (56.9%) of the violent incidents were verbal violence, 16 (31.4%) occurred in closed psychiatry services and 15 (29.4%) in the emergency room. In the code white incident, 51 hospital personnel were exposed to violence, and 24 (47.1%) of the victims of violence were physicians. It was determined that 36 (70.6%) of the perpetrators were male, the majority 17 (33.3%) were between the ages of 25-35, 24 (47.1)% were patients and 23 (45.1%) were relatives of patients. The most frequently stated reason for violence was determined as patient/patient relative attitude and behavioral errors 37 (72.5%). According to the white code data, there is violence in health in hospitals. Closed psychiatry service, emergency service workers and especially doctors are exposed to violence in health most frequently. Information training for individuals receiving the service should be expanded, and current penalties should be made a deterrent.</jats:p>
                    </jats:abstract>
                
                <publication_date media_type="online">
                    <month>03</month>
                    <day>29</day>
                    <year>2026</year>
                </publication_date>

                                    <acceptance_date media_type="online">
                        <month>01</month>
                        <day>14</day>
                        <year>2026</year>
                    </acceptance_date>
                
                
                                    <fr:program name="fundref">
                                                    <fr:assertion name="funder_name">Manisa Celal Bayar University, Manisa Mental Health and Diseases Hospital</fr:assertion>
                                                    <fr:assertion name="award_number">No</fr:assertion>
                                            </fr:program>
                
                
                                    <citation_list>
                                                    <citation key="ref1">
                                                                    <unstructured_citation>Arnetz, J. E., Hamblin, L., Ager, J., &amp; Aranyos, D. (2015). Underreporting of workplace violence: Comparison of self-report and actual documentation of hospital incidents. Workplace Health &amp; Safety, 63(5), 200–210. 
https://doi.org/10.1177/2165079915574684</unstructured_citation>
                                                            </citation>
                                                    <citation key="ref2">
                                                                    <unstructured_citation>Bandura, A. (1999). Moral disengagement in the perpetration of inhumanities. Personality and Social Psychology Review, 3(3), 193–209. https://doi.org/10.1207/s15327957pspr0303_3</unstructured_citation>
                                                            </citation>
                                                    <citation key="ref3">
                                                                    <unstructured_citation>Büyükbayram, A., &amp; Okçay, H. (2013). Sağlık çalışanlarına yönelik şiddeti etkileyen sosyokültürel faktörler. Psikiyatri Hemşireliği Dergisi, 4(1), 46-53.  https://doi.org/10.5505/phd.2013.14622</unstructured_citation>
                                                            </citation>
                                                    <citation key="ref4">
                                                                    <unstructured_citation>Cengisiz, C., Nehir, S., &amp; Öğütveren, Ö. (2023). Şizofreni tanılı bireylere uygulanan psikiyatrik rehabilitasyon hizmetlerinin yaşam kalitesi ve umuda etkisi. Gevher Nesibe Journal of Medical &amp; Health Sciences, 8 (Özel Sayı), 882-889.  http://doi.org/10.5281/zenodo.8405271</unstructured_citation>
                                                            </citation>
                                                    <citation key="ref5">
                                                                    <unstructured_citation>Deniz, S., &amp; Yüksel, O. (2020). Sağlık çalışanlarına yönelik şiddetin nedenlerinin belirlenmesine yönelik bir çalışma [A study on the determination of the reasons for violence against healthcare workers]. Acıbadem Üniversitesi Sağlık Bilimleri Dergisi, 11(3), 483-487. https://doi.org/10.31067/acusaglik.733632</unstructured_citation>
                                                            </citation>
                                                    <citation key="ref6">
                                                                    <unstructured_citation>Duğan, Ö. (2024). Violence in health: An analysis based on the emotions of YouTube viewers. Cyprus Turkish Journal of Psychiatry &amp; Psychology, 6(3), 249-254.  https://doi.org/10.35365/ctjpp.24.3.06</unstructured_citation>
                                                            </citation>
                                                    <citation key="ref7">
                                                                    <unstructured_citation>Eğici, M.T., &amp; Öztürk, G.Z. (2018). Beyaz kod verileri ışığında sağlık çalışanlarına yönelik şiddet [Violence against healthcare workers in light of code white data]. Ankara Medical Journal, 18(2), 224-231. https://doi.org/10.17098/amj.436537</unstructured_citation>
                                                            </citation>
                                                    <citation key="ref8">
                                                                    <unstructured_citation>Liu, J., Gan, Y., Jiang, H., Li, L., Dwyer, R., Lu, K.,.. &amp; Wang, C. (2019). Prevalence of workplace violence against healthcare workers: A systematic review and meta-analysis. Occupational and Environmental Medicine, 76(12), 927-937.  https://doi.org/10.1136/oemed-2019-105849</unstructured_citation>
                                                            </citation>
                                                    <citation key="ref9">
                                                                    <unstructured_citation>Mento, C., Silvestri, M.C., Bruno, A., Muscatello, M.R.A., Cedro, C., Pandolfo, G., &amp; Zoccali, R.A. (2020). Workplace violence against healthcare professionals: A systematic review. Aggression and Violent Behavior, 51, 101381. 
https://doi.org/10.1016/j.avb.2020.101381</unstructured_citation>
                                                            </citation>
                                                    <citation key="ref10">
                                                                    <unstructured_citation>Nielssen, O., Large, M., Ryan, C., &amp; Hayes, R. (2015). Prevalence of physical violence in a forensic psychiatric hospital system during 2011–2013: Patient assaults, staff assaults, and repeatedly violent patients. CNS Spectrums, 20(3), 264-272.  https://doi.org/10.1017/s109285291500018x</unstructured_citation>
                                                            </citation>
                                                    <citation key="ref11">
                                                                    <unstructured_citation>Özen Bekar, E., &amp; Çevik, E. (2021). Beyaz kod verileri ışığında Düzce ilindeki sağlık çalışanlarına yönelik şiddet. Düzce Üniversitesi Sağlık Bilimleri Enstitüsü Dergisi, 11(3), 298-304. https://doi.org/10.33631/duzcesbed.694178</unstructured_citation>
                                                            </citation>
                                                    <citation key="ref12">
                                                                    <unstructured_citation>Öztosun, A., Kuşci, İ., &amp; Eldeleklioğlu, J. (2024). Şiddet görmüş kadınlarda algılanan sosyal destek ile travma sonrası büyüme ilişkisinde mental iyi oluşun aracı rolü. Kıbrıs Türk Psikiyatri ve Psikoloji Dergisi, 6(4), 321-330. 
https://doi.org/10.35365/ctjpp.24.4.03</unstructured_citation>
                                                            </citation>
                                                    <citation key="ref13">
                                                                    <unstructured_citation>Polat, Ö., &amp; Çırak, M. (2019). Beyaz kod verileri ile sağlıkta şiddetin değerlendirilmesi [Evaluation of violence in health with white code data]. Medical Journal of Bakirkoy, 15(4), 393-398. https://doi.org/10.4274/BTDMJB.galenos.20190918115436</unstructured_citation>
                                                            </citation>
                                                    <citation key="ref14">
                                                                    <unstructured_citation>Sağlık Bakanlığı. (2013). Sağlıkta ulusal renk kodları (URK) yönetmeliği.https://dosyamerkez.saglik.gov.tr/Eklenti/6409,ulusal-renk-kodlarpdf.pdf</unstructured_citation>
                                                            </citation>
                                                    <citation key="ref15">
                                                                    <unstructured_citation>Smith, C. P., &amp; Freyd, J. J. (2014). Institutional betrayal. American Psychologist, 69(6), 575–587. 
https://doi.org/10.1037/a0037564</unstructured_citation>
                                                            </citation>
                                                    <citation key="ref16">
                                                                    <unstructured_citation>Substance Abuse and Mental Health Services Administration. (2014). SAMHSA’s concept of trauma and guidance for a trauma-informed approach (HHS Publication No. SMA 14-4884). https://store.samhsa.gov/product/SAMHSA-s-Concept-of-Trauma-and-Guidance-for-a-Trauma-Informed-Approach/SMA14-4884</unstructured_citation>
                                                            </citation>
                                                    <citation key="ref17">
                                                                    <unstructured_citation>Takak, S.Ö., &amp; Artantaş, A.B. (2018). Hastaların ve yakınlarının sağlık çalışanlarına yönelik şiddetin nedenleri konusunda görüş ve tutumlarının değerlendirilmesi [Evaluation of patients’ and their relatives’ opinions and attitudes regarding the causes of violence against healthcare workers]. Ankara Medical Journal, 18(1), 103-116. https://doi.org/10.17098/amj.409020</unstructured_citation>
                                                            </citation>
                                                    <citation key="ref18">
                                                                    <unstructured_citation>Torun, N. (2020). &quot;Beyaz kod&quot; verilerinin şiddet açısından değerlendirilmesi [An evaluation of “white code” data regarding violence]. Çukurova Medical Journal, 45(3), 977-984. https://doi.org/10.17826/cumj.708892</unstructured_citation>
                                                            </citation>
                                                    <citation key="ref19">
                                                                    <unstructured_citation>UN Women. (2020, April). The shadow pandemic: Violence against women during COVID-19. 
https://www.unwomen.org/en/news/in-focus/in-focus-gender-equality-in-covid-19-response/violence-against-women-during-covid-19</unstructured_citation>
                                                            </citation>
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