Predicting inpatient violence using the Brøset Violence Checklist (BVC)

University of Manchester, England.
The international journal of psychiatric nursing research 02/1999; 4(3):498-505.
Source: PubMed

ABSTRACT This paper reports early analysis of the Broset Violence Checklist. An instrument aiming to assist in the process of the prediction of violence from mentally ill in-patients. Early results appear promising and directions for future research using the instrument are suggested.

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Available from: Roger Almvik, Jan 05, 2015
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    • "Symptoms, general psychopathology, function and behaviour were assessed with a single rating on the first day in the PICU with the Positive and Negative Syndrome Scale (PANSS) for schizophrenia [17] with time criterion the last 24 hours, the Global Assessment Scale Split version (GAF-S), and the Brøset Violence Checklist (BVC) [18]. GAF-S is based on DSM-4's GAF [19] and is a two-item scale measuring global symptoms (GAF-S-Symptoms) and functioning (GAF-S-Function) separately. "
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    ABSTRACT: The aims of the present study were to investigate clinically relevant patient and environment-related predictive factors for threats and violent incidents the first three days in a PICU population based on evaluations done at admittance. In 2000 and 2001 all 118 consecutive patients were assessed at admittance to a Psychiatric Intensive Care Unit (PICU). Patient-related conditions as actuarial data from present admission, global clinical evaluations by physician at admittance and clinical nurses first day, a single rating with an observer rated scale scoring behaviours that predict short-term violence in psychiatric inpatients (The Brøset Violence Checklist (BVC)) at admittance, and environment-related conditions as use of segregation or not were related to the outcome measure Staff Observation Aggression Scale-Revised (SOAS-R). A multiple logistic regression analysis with SOAS-R as outcome variable was performed. The global clinical evaluations and the BVC were effective and more suitable than actuarial data in predicting short-term aggression. The use of segregation reduced the number of SOAS-R incidents. In a naturalistic group of patients in a PICU segregation of patients lowers the number of aggressive and threatening incidents. Prediction should be based on clinical global judgment, and instruments designed to predict short-term aggression in psychiatric inpatients. NCT00184119/NCT00184132.
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    ABSTRACT: The topic of violent incidents and its importance to inpatient psychiatric nursing practice is well recognised in the academic literature. However the awareness and profile of the issue in different European countries is highly variable. In this paper five European countries are compared: Italy, Norway, the Netherlands, Sweden and the UK. Contextual factors are likely to determine the perception, recognition and acknowledgement of the problem. Those described in detail here are the organisation of psychiatric inpatient services, the training of psychiatric nurses, and the methods used by those nurses to control and contain disturbed patients. For each of these factors large variations exist between the countries considered. The conclusion is drawn that there is much scope for useful comparative research.
    International Journal of Nursing Studies 07/1999; 36(3):217-22. DOI:10.1016/S0020-7489(99)00017-6 · 2.90 Impact Factor
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