دورية أكاديمية
Screening for risk of violence using service users' self-perceptions: A prospective study from an acute mental health unit.
| العنوان: | Screening for risk of violence using service users' self-perceptions: A prospective study from an acute mental health unit. |
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| المؤلفون: | Lockertsen Ø; Faculty of Health Sciences, Department of Nursing and Health Promotion, Oslo and Akershus University of Applied Sciences, Oslo, Norway.; Division of Mental Health and Addiction, Acute Psychiatric Section, Oslo University Hospital, Oslo, Norway., Procter N; School of Nursing and Midwifery, University of South Australia, Adelaide, South Australia, Australia., Vatnar SKB; Faculty of Health Sciences, Department of Nursing and Health Promotion, Oslo and Akershus University of Applied Sciences, Oslo, Norway.; Centre for Research and Education in Forensic Psychiatry, Oslo University Hospital, Oslo, Norway., Faerden A; Division of Mental Health and Addiction, Acute Psychiatric Section, Oslo University Hospital, Oslo, Norway.; Faculty of Medicine, Institute of Clinical Medicine, Oslo, Norway., Eriksen BMS; Division of Mental Health and Addiction, Acute Psychiatric Section, Oslo University Hospital, Oslo, Norway.; Faculty of Medicine, Institute of Clinical Medicine, Oslo, Norway., Roaldset JO; Centre for Research and Education in Forensic Psychiatry, Oslo University Hospital, Oslo, Norway.; Møre & Romsdal Health Trust, Psychiatric Department, Ålesund Hospital, Ålesund, Norway., Varvin S; Faculty of Health Sciences, Department of Nursing and Health Promotion, Oslo and Akershus University of Applied Sciences, Oslo, Norway. |
| المصدر: | International journal of mental health nursing [Int J Ment Health Nurs] 2018 Jun; Vol. 27 (3), pp. 1055-1065. Date of Electronic Publication: 2017 Nov 24. |
| نوع المنشور: | Journal Article |
| اللغة: | English |
| بيانات الدورية: | Publisher: Blackwell Pub Country of Publication: Australia NLM ID: 101140527 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1447-0349 (Electronic) Linking ISSN: 14458330 NLM ISO Abbreviation: Int J Ment Health Nurs |
| أسماء مطبوعة: | Publication: Carlton, Vic. : Wiley-Blackwell : Blackwell Pub. Original Publication: Carlton, Vic. : Blackwell Pub., c2002- |
| مواضيع طبية MeSH: | Risk Assessment*/methods , Self Concept*, Violence/*prevention & control, Acute Disease ; Adult ; Female ; Hospitals, Psychiatric ; Humans ; Inpatients/psychology ; Male ; Mental Disorders/psychology ; Prospective Studies ; Violence/psychology |
| مستخلص: | 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. (© 2017 Australian College of Mental Health Nurses Inc.) |
| فهرسة مساهمة: | Keywords: gender; mental illnesses; risk assessment; self-report; violence |
| تواريخ الأحداث: | Date Created: 20171125 Date Completed: 20181029 Latest Revision: 20181029 |
| رمز التحديث: | 20240628 |
| DOI: | 10.1111/inm.12413 |
| PMID: | 29171702 |
| قاعدة البيانات: | MEDLINE |
Full Text Finder | تدمد: | 1447-0349 |
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| DOI: | 10.1111/inm.12413 |