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首页> 外文期刊>The journal of forensic psychiatry & psychology >Risk assessment of imminent violence in acute psychiatry: a step towards an extended model
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Risk assessment of imminent violence in acute psychiatry: a step towards an extended model

机译：急性精神病学迫在眉睫的暴力风险评估：迈向扩展模型的一步

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Aggression 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.
机译：在精神保健环境中经常发生侵略，研究报告称，17％至31％的患者占急性精神病病房的暴力。住院患者的失败精神状态和行为模式加强了评估工具的需要及时预测潜在的暴力。这种自然主义的预期学习研究了是否延长了短期风险评估模型，其结合了（a）短期风险评估与新的修复暴力清单（BVC），（b）患者自身对自我报告风险规模预测暴力（ SRS）和（c）来自暴力风险筛查10（V-RIVEL-10）的单一项目为单独的BVC提供了更好的短期预测准确性。包括一年内挪威入境精神病院急诊医院的所有患者（n = 508）。进行逐步多变量通用线性混合模型分析。调整重复测量时，结果表明，短期风险评估的扩展模型，由BVC，SRS和第2项组成的V-Rust-10的先前和/或当前威胁解释了迫在眉睫的暴力的更多方差单独到BVC。与单独的BVC相比，建议推荐进一步研究扩展模型是否为即将发生的暴力提供临床更好的短期风险预测。

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