Risk assessment of imminent violence in acute psychiatry: a step towards an extended model
| Autor: | Bjørn Magne Sundsbø Eriksen, Solveig Karin Bø Vatnar, Øyvind Lockertsen, Nicholas Procter, Sverre Varvin, John Olav Roaldset, Ann Færden |
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| Přispěvatelé: | Lockertsen, Øyvind, Varvin, Sverre, Færden, Ann, Eriksen, Bjørn Magne Sundsbø, Roaldset, John Olav, Procter, Nicholas G, Vatnar, Solveig Karin Bø |
| Jazyk: | angličtina |
| Rok vydání: | 2020 |
| Předmět: |
medicine.medical_specialty
Commit Violence acute psychiatry violence Extended model medicine Psychiatry repeated measurements Repeated measurements 0505 law Aggression 05 social sciences aggression risk assessment Acute psychiatry Psychiatry and Mental health Clinical Psychology Risk assessments 050501 criminology Mental health care medicine.symptom Psychology Risk assessment |
| Zdroj: | Journal of Forensic Psychiatry & Psychology |
| Popis: | Aggression occurs frequently in mental health care settings, and studies have reported that 17% to 31% of patients admitted to acute psychiatric wards commit violence. Inpatients’ fluctuating mental states and behaviour patterns reinforce the need for an assessment instrument to predict potential violence in a timely manner. This naturalistic prospective inpatient study investigated whether an extended short-term risk assessment model that combines (a) short-term risk assessment with the Broset Violence Checklist (BVC), (b) patient’s own prediction of violence with the Self-Report Risk Scale (SRS) and (c) single items from the Violence Risk Screening 10 (V-RISK-10) provides better short-term predictive accuracy for violence than the BVC alone. All patients admitted to a psychiatric emergency hospital in Norway during one year were included (N = 508). Stepwise multivariate generalised linear mixed model analyses were conducted. When adjusting for repeated measurements, the results indicated that an extended model for short-term risk assessment, consisting of the BVC, SRS and Item 2 Previous and/or current threats from the V-RISK-10 explained more variance of imminent violence, compared to the BVC alone. Further studies are recommended to investigate whether the extended model provides a clinically better short-term risk prediction of imminent violence, compared to the BVC alone. Refereed/Peer-reviewed |
| Databáze: | OpenAIRE |
| Externí odkaz: |
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