The First Step in the Validation of a new Screen for Violence Risk in Acute Psychiatry: The Inpatient Context

Hartvig, Pål; Roaldset, John Olav; Moger, Tron Anders; Østberg, Bjørn; Bjørkly, Stål

doi:10.1016/j.eurpsy.2010.01.003

Cited by 35 publications

(54 citation statements)

References 23 publications

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“…The amount of violently behaving female patients was lower in the present study than in the previous studies. The proportion of violent female patients range from one third (Daffern et al 2003) to similar proportions of male and female patients, which are reported from Norway (Hartvig et al 2010), Canada (Nicholls et al 2009) and Australia (Daffern et al 2003) in the forensic settings. Furthermore, the proportion of violent female patients was higher in the elderly study in Norway; 4 out of 10 of the violently behaving patients were female (Almvik et al 2006), and in a study of general psychiatric patients; one third of the physically violent patients were female (Ogloff & Daffern 2006).…”

Section: Discussionmentioning

confidence: 57%

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Violent behaviour in a forensic psychiatric hospital in Finland: an analysis of violence incident reports

Kuivalainen

Vehviläinen‐Julkunen

Putkonen

et al. 2013

Psychiatric Ment Health Nurs

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The aim of this paper was to explore the frequency and provocation of physically violent incidents in a Finnish forensic psychiatric hospital. Three years (2007-2009) of violent incident reports were analysed retrospectively. The data were analysed by content analysis, and statistically by Poisson regression analysis. During the study period a total of 840 incidents of physical violence occurred. Six main categories were found to describe the provocation of violence where three of these categories seemed to be without a specified reason (61%), and three represented a reaction to something (36%). The risk for violent behaviour was highest for the civil patients (RR = 11.96; CI 95% 9.43-15.18; P < 0.001), compared to criminal patients (RR = 1). The civil patients represented 36.7% of the patients, and in 43.6% of the studied patient days, they caused 89.8% of the reported violence incidents. Patients undergoing a forensic mental examination did not frequently behave aggressively (RR = 1.97; CI 95% 0.91-4.28). These results can be used in the reorganization of health-care practices and the allocation of resources.

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Section: Discussionmentioning

confidence: 57%

“…) to similar proportions of male and female patients, which are reported from Norway (Hartvig et al . ), Canada (Nicholls et al . ) and Australia (Daffern et al .…”

Section: Discussionmentioning

confidence: 99%

Violent behaviour in a forensic psychiatric hospital in Finland: an analysis of violence incident reports

Kuivalainen

Vehviläinen‐Julkunen

Putkonen

et al. 2013

Psychiatric Ment Health Nurs

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“…Finally, the Violence Risk–10 items (V‐Risk 10; Hartvig, Roaldset, Moger, Ostberg, & Bjørkly, ) was developed in Norway as a brief structured clinical risk assessment screen for inpatient violence. Evidence suggests that the V‐Risk 10 is accurate in predicting in‐patient violence and was found to be easy and quick to use (Hartvig et al, ).…”

Section: Recent Developments In Short‐term Violence Risk Assessmentmentioning

confidence: 99%

Operationalizing the Assessment and Management of Violence Risk in the Short‐term

Doyle

Logan

2012

Behavioral Sci & The Law

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Assessing risk of violence in the short term is crucial for managing and preventing violence, especially in institutions such as psychiatric units and prisons. Despite a lack of consensus on the definition of "short term", a number of recent tools and guidelines have been developed to aid short-term clinical decision-making. Whereas the supporting evidence for the new tools is impressive, limitations remain in terms of the focus on prediction, limited consideration of strengths, and poor integration with formulation and risk management. The Short-Term Assessment of Risk and Treatability (START) is a brief clinical guide for the dynamic assessment of risks, strengths and treatability. It focuses on short-term risks and the characteristics of the individual that, if changed, might lead to an increase or decrease in risk. The START has the potential to operationalize the structured professional judgment (SPJ) approach in order to inform the evaluation of multiple risk domains relevant to everyday psychiatric clinical practice. However, explicit guidance on integrating risk assessment, formulation and management is limited in the START and this paper describes the SPJ approach, reviews recent developments in approaches to risk, and considers how the START can be used to inform SPJ approaches and link risk assessment, formulation, and management.

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“…The purpose of screening is to initially cast a wide net in identifying those who pose a risk to others (Hartvig, Roaldset, Moger, Østberg, & Bjørkly, 2011). This is helpful in referring those identified in screening as high risk for further in-depth assessment.…”

Section: Introductionmentioning

confidence: 99%

Static screening instruments for risk of minor and major violence

Kallis

Bui

Yang

et al. 2014

The Journal of Forensic Psychiatry & Psychology

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Background: Screens for violent convictions that are simple, accessible and parsimonious are needed, as a first stage in identifying those at high risk for further assessment. Aims: To construct and validate screening tools for minor and major violence convictions for released prisoners. Methods: Internal validation sample of 1647 serious offenders and an external validation of 46,704 general prisoners. The outcomes were binary indicators for having at least one conviction for minor and major violence. Risk factors were convictions for violence and age. Results: In the external validation sample, the instrument for risk of minor violence (PMIV) identified correctly 60.8% of male and 66.2% of female general prisoners. For risk of major violence, the instrument (PMAV) identified correctly 68.0% of male and 79.3% of female prisoners. Conclusions: The PMIV and PMAV will efficiently assist practitioners in a first stage of screening before in-depth clinical assessment of risk for future violent convictions.

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The First Step in the Validation of a new Screen for Violence Risk in Acute Psychiatry: The Inpatient Context

Abstract: Despite promising results further validation studies are required before the V-RISK-10 is adopted into routine clinical practise.

Cited by 35 publications

References 23 publications

Violent behaviour in a forensic psychiatric hospital in Finland: an analysis of violence incident reports

Violent behaviour in a forensic psychiatric hospital in Finland: an analysis of violence incident reports

Operationalizing the Assessment and Management of Violence Risk in the Short‐term

Static screening instruments for risk of minor and major violence

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