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Prediction of aggression on a locked psychiatric admissions ward
Objective: The present study evaluates the accuracy of clinical and archival predictors of patients' aggressive behaviour on a locked admissions ward. Method: Over a 9‐month period, staff members estimated the likelihood that patients would become aggressive during their stay in the ward. These...
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| Published in: | Acta psychiatrica Scandinavica 2002-05, Vol.105 (5), p.390-395 |
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| Main Authors: | , , , , |
| Format: | Article |
| Language: | English |
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| container_end_page | 395 |
| container_issue | 5 |
| container_start_page | 390 |
| container_title | Acta psychiatrica Scandinavica |
| container_volume | 105 |
| creator | Nijman, H. Merckelbach, H. Evers, C. Palmstierna, T. à Campo, J. |
| description | Objective: The present study evaluates the accuracy of clinical and archival predictors of patients' aggressive behaviour on a locked admissions ward.
Method: Over a 9‐month period, staff members estimated the likelihood that patients would become aggressive during their stay in the ward. These unaided clinical assessments were obtained with Visual Analogue Scales (VASs) administered before the end of the first full day of admission. Archival predictions were based on demographic variables (e.g. gender, number of previous admissions, diagnosis) derived from patients' admission forms. Aggressive behaviour was recorded with the Staff Observation Aggression Scale‐Revised (SOAS‐R).
Results: Clinical predictions of aggression were found to be moderately accurate. On the basis of clinical estimates, 75% of the patients were correctly classified as becoming aggressive or not.
Conclusion: Although a body of evidence indicates that unaided clinical prediction of violent recidivism after hospital discharge does not perform well, it may be quite accurate in estimating short‐term aggression risks during acute psychiatric admission. |
| doi_str_mv | 10.1034/j.1600-0447.2002.0o426.x |
| format | article |
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Method: Over a 9‐month period, staff members estimated the likelihood that patients would become aggressive during their stay in the ward. These unaided clinical assessments were obtained with Visual Analogue Scales (VASs) administered before the end of the first full day of admission. Archival predictions were based on demographic variables (e.g. gender, number of previous admissions, diagnosis) derived from patients' admission forms. Aggressive behaviour was recorded with the Staff Observation Aggression Scale‐Revised (SOAS‐R).
Results: Clinical predictions of aggression were found to be moderately accurate. On the basis of clinical estimates, 75% of the patients were correctly classified as becoming aggressive or not.
Conclusion: Although a body of evidence indicates that unaided clinical prediction of violent recidivism after hospital discharge does not perform well, it may be quite accurate in estimating short‐term aggression risks during acute psychiatric admission.</description><identifier>ISSN: 0001-690X</identifier><identifier>EISSN: 1600-0447</identifier><identifier>DOI: 10.1034/j.1600-0447.2002.0o426.x</identifier><identifier>PMID: 11942947</identifier><identifier>CODEN: APYSA9</identifier><language>eng</language><publisher>Oxford UK: Blackwell Publishing Ltd</publisher><subject>aggression ; Aggression - psychology ; assaultiveness ; Biological and medical sciences ; Chi-Square Distribution ; Hospitals, Psychiatric - standards ; Humans ; Institution therapy. Inpatient treatment ; Medical sciences ; Medicin och hälsovetenskap ; Netherlands ; Personality Assessment ; prediction ; Predictive Value of Tests ; Professional-Patient Relations ; Psychiatric Status Rating Scales ; Psychology. Psychoanalysis. Psychiatry ; Psychopathology. Psychiatry ; Restraint, Physical ; Risk Management ; Safety Management - methods ; Treatments ; violence ; Violence - prevention & control ; Violence - trends</subject><ispartof>Acta psychiatrica Scandinavica, 2002-05, Vol.105 (5), p.390-395</ispartof><rights>2002 INIST-CNRS</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c6386-292371ad72c10e406b0edf962c3ccb94cdbe927ca893a96c7aaeef4dc3ac87833</citedby><cites>FETCH-LOGICAL-c6386-292371ad72c10e406b0edf962c3ccb94cdbe927ca893a96c7aaeef4dc3ac87833</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>230,314,780,784,885,27924,27925</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=13617084$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/11942947$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink><backlink>$$Uhttp://kipublications.ki.se/Default.aspx?queryparsed=id:18304154$$DView record from Swedish Publication Index$$Hfree_for_read</backlink></links><search><creatorcontrib>Nijman, H.</creatorcontrib><creatorcontrib>Merckelbach, H.</creatorcontrib><creatorcontrib>Evers, C.</creatorcontrib><creatorcontrib>Palmstierna, T.</creatorcontrib><creatorcontrib>à Campo, J.</creatorcontrib><title>Prediction of aggression on a locked psychiatric admissions ward</title><title>Acta psychiatrica Scandinavica</title><addtitle>Acta Psychiatr Scand</addtitle><description>Objective: The present study evaluates the accuracy of clinical and archival predictors of patients' aggressive behaviour on a locked admissions ward.
Method: Over a 9‐month period, staff members estimated the likelihood that patients would become aggressive during their stay in the ward. These unaided clinical assessments were obtained with Visual Analogue Scales (VASs) administered before the end of the first full day of admission. Archival predictions were based on demographic variables (e.g. gender, number of previous admissions, diagnosis) derived from patients' admission forms. Aggressive behaviour was recorded with the Staff Observation Aggression Scale‐Revised (SOAS‐R).
Results: Clinical predictions of aggression were found to be moderately accurate. On the basis of clinical estimates, 75% of the patients were correctly classified as becoming aggressive or not.
Conclusion: Although a body of evidence indicates that unaided clinical prediction of violent recidivism after hospital discharge does not perform well, it may be quite accurate in estimating short‐term aggression risks during acute psychiatric admission.</description><subject>aggression</subject><subject>Aggression - psychology</subject><subject>assaultiveness</subject><subject>Biological and medical sciences</subject><subject>Chi-Square Distribution</subject><subject>Hospitals, Psychiatric - standards</subject><subject>Humans</subject><subject>Institution therapy. Inpatient treatment</subject><subject>Medical sciences</subject><subject>Medicin och hälsovetenskap</subject><subject>Netherlands</subject><subject>Personality Assessment</subject><subject>prediction</subject><subject>Predictive Value of Tests</subject><subject>Professional-Patient Relations</subject><subject>Psychiatric Status Rating Scales</subject><subject>Psychology. Psychoanalysis. Psychiatry</subject><subject>Psychopathology. Psychiatry</subject><subject>Restraint, Physical</subject><subject>Risk Management</subject><subject>Safety Management - methods</subject><subject>Treatments</subject><subject>violence</subject><subject>Violence - prevention & control</subject><subject>Violence - trends</subject><issn>0001-690X</issn><issn>1600-0447</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2002</creationdate><recordtype>article</recordtype><recordid>eNqNkU1vEzEQhi0EoqHwF9Be4LbL-CP2-gRVBC1Q0aoFwc2a2N7iZJMNdqIk_767yZI9IXHyzPh5Z8Z-CckoFBS4eDcrqATIQQhVMABWQCOYLHZPyOh08ZSMAIDmUsOvM_IipVmbjimUz8kZpVowLdSIfLiN3gW7Ds0ya6oMHx6iT-mQLTPM6sbOvctWaW9_B1zHYDN0i3AgUrbF6F6SZxXWyb_qz3Py49PH75Or_Prm8vPk4jq3kpcyZ5pxRdEpZil4AXIK3lVaMsutnWph3dRrpiyWmqOWViF6XwlnOdpSlZyfk_zYN239ajM1qxgWGPemwWD60ryNvBlrIbRu-fKf_Co2bhD9FdKSg6Bj0UrfHqUt92fj09q0L7a-rnHpm00yikqmaEmHGTY2KUVfnaZQMJ1RZmY6P0znh-mMMgejzK6Vvu5nbKYL7wZh70wLvOkBTBbrKuLShjRwXFIFZbfs-yO3DbXf__cC5mJyew83bTz8bEhrvzt1wDg3UnE1Nj-_XZq7L18VF_fa3PFHb2rAng</recordid><startdate>200205</startdate><enddate>200205</enddate><creator>Nijman, H.</creator><creator>Merckelbach, H.</creator><creator>Evers, C.</creator><creator>Palmstierna, T.</creator><creator>à Campo, J.</creator><general>Blackwell Publishing Ltd</general><general>Blackwell</general><scope>BSCLL</scope><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><scope>ADTPV</scope><scope>AOWAS</scope></search><sort><creationdate>200205</creationdate><title>Prediction of aggression on a locked psychiatric admissions ward</title><author>Nijman, H. ; Merckelbach, H. ; Evers, C. ; Palmstierna, T. ; à Campo, J.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c6386-292371ad72c10e406b0edf962c3ccb94cdbe927ca893a96c7aaeef4dc3ac87833</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2002</creationdate><topic>aggression</topic><topic>Aggression - psychology</topic><topic>assaultiveness</topic><topic>Biological and medical sciences</topic><topic>Chi-Square Distribution</topic><topic>Hospitals, Psychiatric - standards</topic><topic>Humans</topic><topic>Institution therapy. Inpatient treatment</topic><topic>Medical sciences</topic><topic>Medicin och hälsovetenskap</topic><topic>Netherlands</topic><topic>Personality Assessment</topic><topic>prediction</topic><topic>Predictive Value of Tests</topic><topic>Professional-Patient Relations</topic><topic>Psychiatric Status Rating Scales</topic><topic>Psychology. Psychoanalysis. Psychiatry</topic><topic>Psychopathology. Psychiatry</topic><topic>Restraint, Physical</topic><topic>Risk Management</topic><topic>Safety Management - methods</topic><topic>Treatments</topic><topic>violence</topic><topic>Violence - prevention & control</topic><topic>Violence - trends</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Nijman, H.</creatorcontrib><creatorcontrib>Merckelbach, H.</creatorcontrib><creatorcontrib>Evers, C.</creatorcontrib><creatorcontrib>Palmstierna, T.</creatorcontrib><creatorcontrib>à Campo, J.</creatorcontrib><collection>Istex</collection><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><collection>SwePub</collection><collection>SwePub Articles</collection><jtitle>Acta psychiatrica Scandinavica</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Nijman, H.</au><au>Merckelbach, H.</au><au>Evers, C.</au><au>Palmstierna, T.</au><au>à Campo, J.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Prediction of aggression on a locked psychiatric admissions ward</atitle><jtitle>Acta psychiatrica Scandinavica</jtitle><addtitle>Acta Psychiatr Scand</addtitle><date>2002-05</date><risdate>2002</risdate><volume>105</volume><issue>5</issue><spage>390</spage><epage>395</epage><pages>390-395</pages><issn>0001-690X</issn><eissn>1600-0447</eissn><coden>APYSA9</coden><abstract>Objective: The present study evaluates the accuracy of clinical and archival predictors of patients' aggressive behaviour on a locked admissions ward.
Method: Over a 9‐month period, staff members estimated the likelihood that patients would become aggressive during their stay in the ward. These unaided clinical assessments were obtained with Visual Analogue Scales (VASs) administered before the end of the first full day of admission. Archival predictions were based on demographic variables (e.g. gender, number of previous admissions, diagnosis) derived from patients' admission forms. Aggressive behaviour was recorded with the Staff Observation Aggression Scale‐Revised (SOAS‐R).
Results: Clinical predictions of aggression were found to be moderately accurate. On the basis of clinical estimates, 75% of the patients were correctly classified as becoming aggressive or not.
Conclusion: Although a body of evidence indicates that unaided clinical prediction of violent recidivism after hospital discharge does not perform well, it may be quite accurate in estimating short‐term aggression risks during acute psychiatric admission.</abstract><cop>Oxford UK</cop><pub>Blackwell Publishing Ltd</pub><pmid>11942947</pmid><doi>10.1034/j.1600-0447.2002.0o426.x</doi><tpages>6</tpages><oa>free_for_read</oa></addata></record> |
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| language | eng |
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| source | Wiley |
| subjects | aggression Aggression - psychology assaultiveness Biological and medical sciences Chi-Square Distribution Hospitals, Psychiatric - standards Humans Institution therapy. Inpatient treatment Medical sciences Medicin och hälsovetenskap Netherlands Personality Assessment prediction Predictive Value of Tests Professional-Patient Relations Psychiatric Status Rating Scales Psychology. Psychoanalysis. Psychiatry Psychopathology. Psychiatry Restraint, Physical Risk Management Safety Management - methods Treatments violence Violence - prevention & control Violence - trends |
| title | Prediction of aggression on a locked psychiatric admissions ward |
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