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首页> 外文期刊>The journal of forensic psychiatry & psychology >Predicting aggression in acute inpatient psychiatric setting using BVC, DASA, and HCR-20 Clinical scale
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Predicting aggression in acute inpatient psychiatric setting using BVC, DASA, and HCR-20 Clinical scale

机译：使用BVC，DASA和HCR-20临床量表预测急性住院精神病患者的攻击性

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摘要

The assessment and prevention of aggressive behavior are critical components of contemporary psychiatric inpatient care, treatment, and management. This prospective study compared the predictive validity of three dynamic violence risk assessment measures (i.e. Br?set Violence Checklist (BVC), Dynamic Appraisal of Situational Aggression (DASA), and HCR-20 Clinical scale) for imminent aggression (within the next 24 h). The DASA and BVC were developed specifically to assess imminent violence within psychiatric hospitals, whereas the HCR-20 is a 'general' violence risk assessment measure that can also be used for this purpose. Daily risk ratings were completed for 70 psychiatric inpatients; a total of 3449 ratings for each risk assessment measure were obtained. Results showed that the DASA and BVC were acceptable to outstanding predictive validity and were more accurate than the HCR-20 Clinical scale for predicting inpatient aggression. Actuarial and structured professional ratings were similar for the prediction of verbal threats, but actuarial ratings were more accurate for predicting interpersonal violence. Overall, these findings support the use of structured dynamic risk assessment measures to aid in the prediction of imminent aggression within inpatient psychiatric settings.
机译：攻击行为的评估和预防是当代精神病住院，治疗和管理的关键组成部分。这项前瞻性研究比较了三种动态暴力风险评估措施（即Brset暴力清单（BVC），情境侵害动态评估（DASA）和HCR-20临床量表）对即将发生的侵略行为的预测有效性（在接下来的24小时内） ）。 DASA和BVC是专门为评估精神病医院内即将发生的暴力而开发的，而HCR-20是一种“一般”暴力风险评估措施，也可以用于此目的。对70名精神病患者的每日风险评估已经完成;每种风险评估措施共获得3449个等级。结果表明，DASA和BVC具有出色的预测效度，并且比HCR-20临床量表更能准确预测患者的侵略性。精算和结构化专业等级在预测言语威胁方面相似，但精算等级在预测人际暴力方面更为准确。总体而言，这些发现支持使用结构化动态风险评估方法来帮助预测住院精神病患者即将发生的攻击行为。

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