Predictive validity and gender differences in a biopsychosocial model of violence risk assessment in acute psychiatry.

Current violence risk assessment methods seem to have reached an upper limit of accuracy. More comprehensive biopsychosocial models may improve on existing methods. Research on gender differences concerning risk factors of violence is scarce and inconclusive. In this prospective study from an acute psychiatric ward, all patients admitted from March 2012 to March 2013 were included. Predictive validity and potential gender differences in a biopsychosocial model of violence risk assessment consisting of a psychosocial checklist (Violence risk screening-10, V-RISK-10), a patient's self-report risk scale (SRS), total cholesterol (TC) and high-density lipoprotein cholesterol (HDL) were examined in an inpatient (N = 348) and a 3-months follow-up (N = 101) sample. Overall increases in explained variances and predictive values were small and non-significant compared to V-RISK-10 alone. In the inpatient sample, HDL contributed significantly to the model for men but not for women. In the follow-up sample, SRS contributed significantly for the whole sample. Results indicated that the biopsychosocial model we tested partially improved accuracy of violence risk assessments in acute psychiatry and that gender differences may exist.

• Publication year

  2018

• Venue

  Psychiatry Research

• Publication date

  2018-06-01

• Fields of study

  Medicine, Psychology

• Identifiers
  DOI 10.1016/j.psychres.2018.04.021PMID 29655971
• External record

  Open on Semantic Scholar

• Source metadata

  Semantic Scholar, PubMed

• No claims are published for this paper.

• No concepts are published for this paper.

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• Low cholesterol level as a risk marker of inpatient and post-discharge violence in acute psychiatry - A prospective study with a focus on gender differences.

  2017influential reference
• Relationships between anhedonia, alexithymia, impulsivity, suicidal ideation, recent suicide attempt, C-reactive protein and serum lipid levels among 122 inpatients with mood or anxious disorders.

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• Gender Differences in the Predictive Validity of a Violence Risk Screening Tool: A Prospective Study in an Acute Psychiatric Ward

  2016influential reference
• Effect of glycemic state on postprandial hyperlipidemia and hyperinsulinemia in patients with coronary artery disease

  2015cited by this paper
• Reporting guidance for violence risk assessment predictive validity studies: the RAGEE Statement.

  2015influential reference
• Female attempted suicide patients with low HDL levels are at higher risk of suicide re-attempt within the subsequent year: a clinical cohort study.

  2015cited by this paper
• Personality Assessment Inventory scores as predictors of misconduct, recidivism, and violence: A meta-analytic review.

  2015influential reference
• Cholesterol and the "Cycle of Violence" in attempted suicide.

  2014influential reference
• The Aggression Observation Short Form Identified Episodes Not Reported on the Staff Observation Aggression Scale-Revised

  2014influential reference
• A review and meta‐analysis of the patient factors associated with psychiatric in‐patient aggression

  2013cited by this paper
• A bio-psycho-social model of violence related to mental health problems.

  2013cited by this paper
• The assessment and management of the violent patient in critical hospital settings.

  2013cited by this paper
• Relationship among low cholesterol levels, depressive symptoms, aggression, hostility, and cynicism.

  2013cited by this paper
• The utility of patients' self-perceptions of violence risk: consider asking the person who may know best.

  2013cited by this paper
• A multifaceted model for risk assessment of violent behaviour in acutely admitted psychiatric patients.

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• Evaluation of a risk assessment tool to predict violent behaviour by patients detained in a psychiatric intensive care unit

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• Aggression in psychiatry wards: a systematic review.

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• Most items in structured risk assessment instruments do not predict violence

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• A prospective study of lipids and serotonin as risk markers of violence and self-harm in acute psychiatric patients.

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• Patients' own statements of their future risk for violent and self-harm behaviour: a prospective inpatient and post-discharge follow-up study in an acute psychiatric unit.

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  2010cited by this paper
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  2010cited by this paper
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• Preventing aggressive incidents and seclusions in forensic care by means of the 'Early Recognition Method'.

  2010cited by this paper
• The evolution of violence in men: the function of central cholesterol and serotonin.

  2009cited by this paper
• A Review of Ecological Factors Affecting Inpatient Psychiatric Unit Violence: Implications for Relational and Unit Cultural Improvements

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• Premeditated aggression is associated with serum cholesterol in abstinent drug and alcohol dependent men.

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  2007cited by this paper
• A national study of violent behavior in persons with schizophrenia.

  2006cited by this paper
• Violence in women with psychosis in the community: Prospective study

  2006cited by this paper
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  2006cited by this paper
• Fifteen years of research with the Staff Observation Aggression Scale: a review

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  2004cited by this paper
• Diagnostic tests 4: likelihood ratios

  2004cited by this paper
• Mental Disorder, Violence, and Gender

  2003cited by this paper
• Shared decision making in psychiatry

  2003cited by this paper
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  2002cited by this paper
• Role of Genotype in the Cycle of Violence in Maltreated Children

  2002cited by this paper
• Rethinking Risk Assessment: The MacArthur Study of Mental Disorder and Violence

  2001influential reference
• Low HDL cholesterol, aggression and altered central serotonergic activity.

  2000cited by this paper
• The staff observation aggression scale-revised (SOAS-R).

  1999cited by this paper
• Low serum cholesterol and suicide.

  1992cited by this paper
• The biopsychosocial model and the education of health professionals.

  1979cited by this paper
• THE BIOPSYCHOSOCIAL MODEL AND THE EDUCATION OF HEALTH PROFESSIONALS * †

  1978cited by this paper

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