Assessing risk of violent behaviour

Lodge, George J.

doi:10.1192/pb.21.11.703

Cited by 5 publications

(4 citation statements)

References 11 publications

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“…Maden, 1998;Heads, 1997;Lodge, 1997): there is no alternative but a painstaking and thorough collection and review of information relevant to the patient. The Royal College of Psychiatrists (1996) has produced a concise document outlining this process with respect to the risk of harm to others.…”

Section: Risk Assessmentmentioning

confidence: 98%

Clinical management in forensic psychiatry

Thomson

1999

The Journal of Forensic Psychiatry

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Section: Risk Assessmentmentioning

confidence: 98%

Clinical management in forensic psychiatry

Thomson

1999

The Journal of Forensic Psychiatry

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“…Furthermore, the manage ment of violence must not be equated just with the application of physical techniques to restrain and control the patient (Powell et al, 1994;Atakan, 1995;Lodge, 1997). However, these skills are often an essential part of an adequate response by staff.…”

Section: Commentmentioning

confidence: 99%

Management of psychiatric in-patient violence in the Anglia region

1999

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Aims and methodA total of 384 incidents of violence against the person (six ‘serious' and 378 ‘mild’), by adult in-patients in general psychiatric units (GPUs) and learning disability units (LDUs) in 10 National Health Service trusts in the Anglia region, were evaluated by Interviews with staff and examination of records.ResultsThe findings, when compared with standards derived from previous recommendations, showed deficiencies in the documentation of incidents (there was no satisfactory written record of physical restraint for 97% of incidents in GPUs and 86% in LDUs), in the training of staff in ‘control and restraint’ procedures (If two or more staff were involved In physical restraint, for 3% of incidents in GPUs and 100% in LDUs, the staff had received no training within the previous 12 months) and in policies for victim support (there was no written policy that included procedures for victim support in relation to 84% of incidents in GPUs and 44% in LDUs).Clinical implicationsTrusts should consider reviewing their policies on the prevention and management of violence, particularly in relation to staff training.

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“…The need to predict risk of the potential for violence of patients has become a major current concern for psychiatry (Coid, 1996;Lodge, 1997). In a review of 20 prospective studies -examining the relationship between predictions and the actual behaviour of the patient - Bjorkly (1995) identified the low predictive validity of the methods used by clinicians in the assessment of violence potential.…”

Section: Introductionmentioning

confidence: 99%

Is there racial bias in clinicians' perceptions of the dangerousness of psychiatric patients? A review of the literature

Spector

2001

Journal of Mental Health

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The evidence for the assertion that racial stereotyping influences mental health professionals perceptions of the dangerousness of psychiatric patients is examined in this review. As there is very little literature which directly examines this, the review draws on studies examining the relationship between race and the use of coercion within the mental health system. The use of compulsory admission to hospital in Britain, and the use of seclusion and restraint in the US are examined. Alternative explanations of the over-representation of black 1 men in the use of these procedures are discussed and the evidence of each explanation evaluated. The review concludes that there is some evidence in support of the assertion; that racial bias in perceptions of dangerousness influences patient management.

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Assessing risk of violent behaviour

Cited by 5 publications

References 11 publications

Clinical management in forensic psychiatry

Clinical management in forensic psychiatry

Management of psychiatric in-patient violence in the Anglia region

Is there racial bias in clinicians' perceptions of the dangerousness of psychiatric patients? A review of the literature

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