TY - JOUR
T1 - Predicting aggression in acute inpatient psychiatric setting using BVC, DASA, and HCR-20 Clinical scale
AU - Chu, Chi Meng
AU - Daffern, Michael David
AU - Ogloff, James Robert
PY - 2013
Y1 - 2013
N2 - The assessment and prevention of aggressive behavior are critical components of contemporary psychiatric inpatient care, treatment, and management. This prospective study compared the predictive validity of three dynamic violence risk assessment measures (i.e. Br?set Violence Checklist (BVC), Dynamic Appraisal of Situational Aggression (DASA), and HCR-20 Clinical scale) for imminent aggression (within the next 24 h). The DASA and BVC were developed specifically to assess imminent violence within psychiatric hospitals, whereas the HCR-20 is a general violence risk assessment measure that can also be used for this purpose. Daily risk ratings were completed for 70 psychiatric inpatients; a total of 3449 ratings for each risk assessment measure were obtained. Results showed that the DASA and BVC were acceptable to outstanding predictive validity and were more accurate than the HCR-20 Clinical scale for predicting inpatient aggression. Actuarial and structured professional ratings were similar for the prediction of verbal threats, but actuarial ratings were more accurate for predicting interpersonal violence. Overall, these findings support the use of structured dynamic risk assessment measures to aid in the prediction of imminent aggression within inpatient psychiatric settings.
AB - The assessment and prevention of aggressive behavior are critical components of contemporary psychiatric inpatient care, treatment, and management. This prospective study compared the predictive validity of three dynamic violence risk assessment measures (i.e. Br?set Violence Checklist (BVC), Dynamic Appraisal of Situational Aggression (DASA), and HCR-20 Clinical scale) for imminent aggression (within the next 24 h). The DASA and BVC were developed specifically to assess imminent violence within psychiatric hospitals, whereas the HCR-20 is a general violence risk assessment measure that can also be used for this purpose. Daily risk ratings were completed for 70 psychiatric inpatients; a total of 3449 ratings for each risk assessment measure were obtained. Results showed that the DASA and BVC were acceptable to outstanding predictive validity and were more accurate than the HCR-20 Clinical scale for predicting inpatient aggression. Actuarial and structured professional ratings were similar for the prediction of verbal threats, but actuarial ratings were more accurate for predicting interpersonal violence. Overall, these findings support the use of structured dynamic risk assessment measures to aid in the prediction of imminent aggression within inpatient psychiatric settings.
UR - http://www.tandfonline.com/doi/pdf/10.1080/14789949.2013.773456
U2 - 10.1080/14789949.2013.773456
DO - 10.1080/14789949.2013.773456
M3 - Article
SN - 1478-9949
VL - 24
SP - 269
EP - 285
JO - Journal of Forensic Psychiatry and Psychology
JF - Journal of Forensic Psychiatry and Psychology
IS - 2
ER -