Violence risk assessment in psychiatric patients in China: A systematic review

Jiansong Zhou, Katrina Witt, Yutao Xiang, Xiaomin Zhu, Xiaoping Wang, Seena Fazel

Research output: Contribution to journalArticleResearchpeer-review

Abstract

Objectives: The aim of this study was to undertake a systematic review on violence risk assessment instruments used for psychiatric patients in China.

Methods: A systematic search was conducted from 1980 until 2014 to identify studies that used psychometric tools or structured instruments to assess aggression and violence risk. Information from primary studies was extracted, including demographic characteristics of the samples used, study design characteristics, and reliability and validity estimates.

Results: A total of 30 primary studies were identified that investigated aggression or violence; 6 reported on tools assessing aggression while an additional 24 studies reported on structured instruments designed to predict violence. Although measures of reliability were typically good, estimates of predictive validity were mostly in the range of poor to moderate, with only 1 study finding good validity. These estimates were typically lower than that found in previous work for Western samples.

Conclusion: There is currently little evidence to support the use of current violence risk assessment instruments in psychiatric patients in China. Developing more accurate and scalable approaches are research priorities.
Original languageEnglish
Pages (from-to)33-45
Number of pages13
JournalAustralian & New Zealand Journal of Psychiatry
Volume50
Issue number1
DOIs
Publication statusPublished - 2016
Externally publishedYes

Keywords

  • Violence
  • Risk assessment
  • Systematic review
  • Prediction
  • China

Cite this

Zhou, Jiansong ; Witt, Katrina ; Xiang, Yutao ; Zhu, Xiaomin ; Wang, Xiaoping ; Fazel, Seena. / Violence risk assessment in psychiatric patients in China : A systematic review. In: Australian & New Zealand Journal of Psychiatry. 2016 ; Vol. 50, No. 1. pp. 33-45.
@article{98044cdb2cfc4fd9a93d69a14848a587,
title = "Violence risk assessment in psychiatric patients in China: A systematic review",
abstract = "Objectives: The aim of this study was to undertake a systematic review on violence risk assessment instruments used for psychiatric patients in China. Methods: A systematic search was conducted from 1980 until 2014 to identify studies that used psychometric tools or structured instruments to assess aggression and violence risk. Information from primary studies was extracted, including demographic characteristics of the samples used, study design characteristics, and reliability and validity estimates. Results: A total of 30 primary studies were identified that investigated aggression or violence; 6 reported on tools assessing aggression while an additional 24 studies reported on structured instruments designed to predict violence. Although measures of reliability were typically good, estimates of predictive validity were mostly in the range of poor to moderate, with only 1 study finding good validity. These estimates were typically lower than that found in previous work for Western samples. Conclusion: There is currently little evidence to support the use of current violence risk assessment instruments in psychiatric patients in China. Developing more accurate and scalable approaches are research priorities.",
keywords = "Violence, Risk assessment, Systematic review, Prediction, China",
author = "Jiansong Zhou and Katrina Witt and Yutao Xiang and Xiaomin Zhu and Xiaoping Wang and Seena Fazel",
year = "2016",
doi = "10.1177/0004867415585580",
language = "English",
volume = "50",
pages = "33--45",
journal = "Australian & New Zealand Journal of Psychiatry",
issn = "0004-8674",
publisher = "SAGE Publications Ltd",
number = "1",

}

Violence risk assessment in psychiatric patients in China : A systematic review. / Zhou, Jiansong; Witt, Katrina; Xiang, Yutao; Zhu, Xiaomin; Wang, Xiaoping; Fazel, Seena.

In: Australian & New Zealand Journal of Psychiatry, Vol. 50, No. 1, 2016, p. 33-45.

Research output: Contribution to journalArticleResearchpeer-review

TY - JOUR

T1 - Violence risk assessment in psychiatric patients in China

T2 - A systematic review

AU - Zhou, Jiansong

AU - Witt, Katrina

AU - Xiang, Yutao

AU - Zhu, Xiaomin

AU - Wang, Xiaoping

AU - Fazel, Seena

PY - 2016

Y1 - 2016

N2 - Objectives: The aim of this study was to undertake a systematic review on violence risk assessment instruments used for psychiatric patients in China. Methods: A systematic search was conducted from 1980 until 2014 to identify studies that used psychometric tools or structured instruments to assess aggression and violence risk. Information from primary studies was extracted, including demographic characteristics of the samples used, study design characteristics, and reliability and validity estimates. Results: A total of 30 primary studies were identified that investigated aggression or violence; 6 reported on tools assessing aggression while an additional 24 studies reported on structured instruments designed to predict violence. Although measures of reliability were typically good, estimates of predictive validity were mostly in the range of poor to moderate, with only 1 study finding good validity. These estimates were typically lower than that found in previous work for Western samples. Conclusion: There is currently little evidence to support the use of current violence risk assessment instruments in psychiatric patients in China. Developing more accurate and scalable approaches are research priorities.

AB - Objectives: The aim of this study was to undertake a systematic review on violence risk assessment instruments used for psychiatric patients in China. Methods: A systematic search was conducted from 1980 until 2014 to identify studies that used psychometric tools or structured instruments to assess aggression and violence risk. Information from primary studies was extracted, including demographic characteristics of the samples used, study design characteristics, and reliability and validity estimates. Results: A total of 30 primary studies were identified that investigated aggression or violence; 6 reported on tools assessing aggression while an additional 24 studies reported on structured instruments designed to predict violence. Although measures of reliability were typically good, estimates of predictive validity were mostly in the range of poor to moderate, with only 1 study finding good validity. These estimates were typically lower than that found in previous work for Western samples. Conclusion: There is currently little evidence to support the use of current violence risk assessment instruments in psychiatric patients in China. Developing more accurate and scalable approaches are research priorities.

KW - Violence

KW - Risk assessment

KW - Systematic review

KW - Prediction

KW - China

UR - http://anp.sagepub.com/content/50/1/33

U2 - 10.1177/0004867415585580

DO - 10.1177/0004867415585580

M3 - Article

VL - 50

SP - 33

EP - 45

JO - Australian & New Zealand Journal of Psychiatry

JF - Australian & New Zealand Journal of Psychiatry

SN - 0004-8674

IS - 1

ER -