Relevance of interrater agreement to violence risk assessment
Department of Psychiatry, School of Medicine, University of California, San Francisco 94143-0984, USA.Journal of Consulting and Clinical Psychology (Impact Factor: 4.85). 01/2001; 68(6):1111-5. DOI: 10.1037//0022-006X.68.6.1111
This study considered whether assessments of violence risk in which 2 clinicians reach similar conclusions are more accurate than the conclusions of either clinician alone when their assessments disagree. One hundred ten physicians and 44 nurses estimated the probability of physical assault of 478 patients admitted to a short-term locked psychiatric inpatient unit. The level of assessed risk showed a substantial correspondence with the likelihood of later violence when the physician and nurse ratings were highly concordant. As the extent of agreement between the physician and nurse ratings decreased, the strength of the association between the risk assessments and the occurrence of violence decreased accordingly.
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ABSTRACT: Social workers have a long history of working with clients in their homes. The mission and values of the profession support community-based service. Child welfare workers, in particular, routinely make home visits to clients. Social workers are at times at risk of violence when they work to assess and treat child welfare clients in their homes. Threats of and actual incidents of violence against social workers are increasing. Because of the current concern about violence toward social workers, practical strategies are suggested for reducing risks and maintaining personal safety while carrying out child welfare responsibilities.The Clinical Supervisor 01/2002; 21(1):145-153. DOI:10.1300/J001v21n01_12
- Handbook of Psychology, 04/2003; , ISBN: 9780471264385
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ABSTRACT: The authors evaluated the utility of 3 decision support tools for assessing acute risk of violence in patients undergoing behavioral emergencies that warranted hospitalization. Information available at the time of admission to a short-term psychiatric unit was coded from the medical charts of 100 patients using the Historical, Clinical, Risk Management-20 (HCR-20), the Hare Psychopathy Checklist-Screening Version (PCL-SV), and the McNiel-Binder Violence Screening Checklist (VSC). Nurses rated violence that later occurred during hospitalization with the Overt Aggression Scale. Scores on all 3 instruments were associated with the likelihood of violence. The strongest predictive relationships were obtained for indices of clinical risk factors rather than historical risk factors. The results suggest that decision support tools, particularly those that emphasize clinical risk factors, have the potential to improve decision making about violence risk in the context of behavioral emergencies.Journal of Consulting and Clinical Psychology 11/2003; 71(5):945-53. DOI:10.1037/0022-006X.71.5.945 · 4.85 Impact Factor
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