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Risk assessment of imminent violence in acute psychiatry: a step towards an extended model

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dc.contributor.authorLockertsen, Ø.
dc.contributor.authorVarvin, S.
dc.contributor.authorFærden, A.
dc.contributor.authorEriksen, B.M.S.
dc.contributor.authorRoaldset, J.O.
dc.contributor.authorProcter, N.G.
dc.contributor.authorVatnar, S.K.B.
dc.date.issued2020
dc.description.abstractAggression 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.
dc.identifier.citationJournal of Forensic Psychiatry & Psychology, The, 2020; 31(1):41-63
dc.identifier.doi10.1080/14789949.2019.1663898
dc.identifier.issn1478-9949
dc.identifier.issn1478-9957
dc.identifier.urihttps://hdl.handle.net/11541.2/139102
dc.language.isoen
dc.publisherRoutledge
dc.rightsCopyright 2019 Informa UK Limited, trading as Taylor & Francis Group Access Condition Notes: Accepted manuscript is available open access
dc.source.urihttps://doi.org/10.1080/14789949.2019.1663898
dc.subjectacute psychiatry
dc.subjectaggression
dc.subjectrepeated measurements
dc.subjectrisk assessment
dc.subjectviolence
dc.titleRisk assessment of imminent violence in acute psychiatry: a step towards an extended model
dc.typeJournal article
pubs.publication-statusPublished
ror.fileinfo12298153330001831 13298153320001831 Open Access Postprint
ror.mmsid9916315710701831

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