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Screening for risk ofviolence usingservice users’self‐perceptions: Aprospective studyfrom an acute mentalhealth unit Øyvind LockertsenNicholas ProcterSolveig Karin Bø Vatnar2017 год

Screening for risk of violence using service users’ self‐perceptions: A prospective study from an acute mental health unit
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Аннотация: Abstract Service users’ self‐perception of risk has rarely been emphasized in violence risk assessments. A recent review pointed to the importance of a multidisciplinary approach, because different perspectives may provide a deeper and improved understanding of risk assessment. The aim of this study was to investigate service users’ perceptions of their own risk of committing violence, using a self‐report risk scale, to determine the feasibility and efficacy of this potential violence risk marker during acute mental health hospitalization. All service users admitted to a psychiatric emergency hospital in Norway during one calendar year were included ( N = 512). Nearly 80% self‐reported no risk or low risk; only seven (1.4%) reported moderate risk or high risk. Service users who reported moderate risk, high risk, don't know, or won't answer were more likely to be violent ( OR = 4.65, 95% CI = 2.79–7.74) compared with those who reported no risk or low risk. There was a significant gender interaction with higher OR for women on both univariate and multivariate analyses. Although the OR was higher for women, women's violence rate (11.0%) was almost half that of men (21.8%). For women, sensitivity and specificity were 0.55 and 0.88, respectively; corresponding values for men were 0.40 and 0.80. Inclusion of self‐perception of violence risk is the first step towards service users’ collaborative involvement in violence prediction; these results indicate that self‐perception can contribute to violence risk assessments in acute mental health settings. Findings also indicate that there are gender differences in these assessments.
Год издания: 2017
Авторы: Øyvind Lockertsen, Nicholas Procter, Solveig Karin Bø Vatnar, Ann Færden, Bjørn Magne S. Eriksen, John Olav Roaldset, Sverre Varvin
Издательство: Wiley
Источник: International Journal of Mental Health Nursing
Ключевые слова: Psychopathy, Forensic Psychiatry, Sexual Offending, Intimate Partner and Family Violence, Suicide and Self-Harm Studies
Другие ссылки: International Journal of Mental Health Nursing (HTML)
UniSA Research Outputs Repository (University of South Australia) (HTML)
PubMed (HTML)