Predicting inpatient violence using an extended version of the Brøset-Violence-Checklist: instrument development and clinical application.

BMC Psychiatry
Christoph AbderhaldenJ E Fischer

Abstract

Patient aggression is a common problem in acute psychiatric wards and calls for preventive measures. The timely use of preventive measures presupposes a preceded risk assessment. The Norwegian Brøset-Violence-Checklist (BVC) is one of the few instruments suited for short-time prediction of violence of psychiatric inpatients in routine care. Aims of our study were to improve the accuracy of the short-term prediction of violence in acute inpatient settings by combining the Brøset-Violence-Checklist (BVC) with an overall subjective clinical risk-assessment and to test the application of the combined measure in daily practice. We conducted a prospective cohort study with two samples of newly admitted psychiatric patients for instrument development (219 patients) and clinical application (300 patients). Risk of physical attacks was assessed by combining the 6-item BVC and a 6-point score derived from a Visual Analog Scale. Incidents were registered with the Staff Observation of Aggression Scale-Revised SOAS-R. Test accuracy was described as the area under the receiver operating characteristic curve (AUCROC). The AUCROC of the new VAS-complemented BVC-version (BVC-VAS) was 0.95 in and 0.89 in the derivation and validation study respe...Continue Reading

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Citations

Aug 14, 2008·The British Journal of Psychiatry : the Journal of Mental Science·Christoph AbderhaldenJoachim E Fischer
Jul 12, 2013·International Journal of Mental Health Nursing·Roland van de SandeHenk Nijman
Dec 3, 2016·Issues in Mental Health Nursing·Jacob HvidhjelmJakob Bue Bjorner
Sep 27, 2014·Journal of Nursing Measurement·Josef RechenmacherEva Schulc
Jan 20, 2007·International Journal of Geriatric Psychiatry·Roger AlmvikKirsten Rasmussen
Jan 30, 2008·Der Nervenarzt·T Steinert, J Bergk
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Apr 13, 2013·Der Nervenarzt·D Sollberger, U E Lang
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Sep 2, 2020·Psychiatrische Praxis·Michael RentropDirk Schwerthöffer
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Feb 20, 2014·Journal of Psychiatric and Mental Health Nursing·X YaoG Cheng
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Feb 18, 2020·International Journal of Nursing Studies·Geoffrey L DickensMartin Christensen
Apr 20, 2010·Clinical Therapeutics·Scott L Zeller, Robert W Rhoades
Dec 26, 2017·Safety and Health at Work·Gabriele d'Ettorre, Vincenza Pellicani

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Software Mentioned

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