Journal article
Predicting inpatient violence using an extended version of the Brøset-Violence-Checklist: instrument development and clinical application.
- Abderhalden C Nursing and Social Education Research Unit, University Bern, Bolligenstrasse 111, 3000 Bern 60, Switzerland. abderhalden@puk.unibe.ch
- Needham I
- Dassen T
- Halfens R
- Haug HJ
- Fischer J
- 2006-04-28
Published in:
- BMC psychiatry. - 2006
Acute Disease
Adult
Aggression
Cohort Studies
Female
Hospitalization
Humans
International Classification of Diseases
Male
Mental Disorders
Predictive Value of Tests
Prospective Studies
Psychiatric Nursing
Psychometrics
ROC Curve
Reproducibility of Results
Risk Assessment
Surveys and Questionnaires
Switzerland
Violence
English
BACKGROUND
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.
METHOD
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).
RESULTS
The AUCROC of the new VAS-complemented BVC-version (BVC-VAS) was 0.95 in and 0.89 in the derivation and validation study respectively.
CONCLUSION
The BVC-VAS is an easy to use and accurate instrument for systematic short-term prediction of violent attacks in acute psychiatric wards. The inclusion of the VAS-derived data did not change the accuracy of the original BVC.
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.
METHOD
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).
RESULTS
The AUCROC of the new VAS-complemented BVC-version (BVC-VAS) was 0.95 in and 0.89 in the derivation and validation study respectively.
CONCLUSION
The BVC-VAS is an easy to use and accurate instrument for systematic short-term prediction of violent attacks in acute psychiatric wards. The inclusion of the VAS-derived data did not change the accuracy of the original BVC.
- Language
-
- English
- Open access status
- gold
- Identifiers
-
- DOI 10.1186/1471-244X-6-17
- PMID 16638122
- Persistent URL
- https://folia.unifr.ch/global/documents/42336
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