This study examined violent incidents occurring over a four-year perio
d in a Regional Secure Unit. Data were collected fram incident reports
and case notes. Patients referred from district general psychiatric h
ospitals because of unmanageable behaviour were over-represented among
the small number of patients who were responsible for the majority of
incidents. Most patients exhibited little or no aggression. Seclusion
was found unnecessary in the management of such patients. Suggestions
for further research in this area are made.