Nurses’ short-term prediction of violence in acute psychiatric intensive care

Authors: Björkdahl, A.1; Olsson, D.2; Palmstierna, T.

Source: Acta Psychiatrica Scandinavica, Volume 113, Number 3, March 2006 , pp. 224-229(6)

Publisher: Wiley-Blackwell

Buy & download fulltext article:

OR

Price: $48.00 plus tax (Refund Policy)

Abstract:

Björkdahl A, Olsson D, Palmstierna T. Nurses’ short-term prediction of violence in acute psychiatric intensive care.

Acta Psychiatr Scand 2005: 1–6. © 2005 Blackwell Munksgaard. Objective: 

To evaluate the short-term predictive capacity of the Brøset Violence Checklist (BVC) when used by nurses in a psychiatric intensive care unit. Method: 

Seventy-three patients were assessed according to the BVC three times daily. Violent incidents were recorded with the Staff Observation Aggression Scale, revised version.

An extended Cox proportional hazards model with multiple events and time-dependent covariates was estimated to evaluate how the highest BVC sum of the last 24 h and its separate items affect the risk for severe violence within the next 24 h. Results: 

With a BVC sum of one or more, hazard for severe violence was six times higher than if the sum was zero. Four of the six separate items significantly increased the risk for severe violence with hazard ratios between 3.0 and 6.3. Conclusion: 

Risk for in-patient violence in a short-term perspective can to a high degree be predicted by nurses using the BVC.

Keywords: aggression; in-patient; psychiatric nursing; psychiatry; risk assessment; risk management; violence

Document Type: Research Article

DOI: http://dx.doi.org/10.1111/j.1600-0447.2005.00679.x

Affiliations: 1: Division of Psychiatry, Department of Clinical Neuroscience, Karolinska Institute 2: Department of Learning, Informatics, Management and Ethics (LIME) Karolinska Institute

Publication date: March 1, 2006

Related content

Tools

Key

Free Content
Free content
New Content
New content
Open Access Content
Open access content
Subscribed Content
Subscribed content
Free Trial Content
Free trial content

Text size:

A | A | A | A
Share this item with others: These icons link to social bookmarking sites where readers can share and discover new web pages. print icon Print this page