Tool developed to predict violence and aggression in children and teens
Researchers at Cincinnati Children's Hospital Medical Center have developed a tool to rapidly assess the risk of aggressive and violent behavior by children and adolescents hospitalized on psychiatric units. Ultimately, they hope to use the questionnaire to improve treatment and prevention of aggressive behavior in schools and in the community.
A study providing preliminary validation of the Brief Rating of the Child and Adolescent Aggression (BRACHA) tool is published online in the Journal of the American Academy of Psychiatry and the Law.
"Using the BRACHA could help hospitals cut down on violence," says Drew Barzman, MD, a child and adolescent forensic psychiatrist at Cincinnati Children's and lead author of the study.
The study involved 418 children and teens who had been hospitalized on psychiatric units at Cincinnati Children's. Prior to hospitalization, they were evaluated in the emergency department by psychiatric social workers who administered the BRACHA questionnaire. A total of 292 aggressive acts were committed by 120 of the hospitalized patients (or 29 percent). Fourteen of the 16 items on the survey were significantly associated with aggression by children and teens.
The researchers expect to further validate the updated 14-item BRACHA questionnaire in a larger study of about 1,000 to 1,500 patients in their database.
"The BRACHA may ultimately help doctors improve safety in hospitals, reduce the use of seclusion and restraint in the inpatient setting and focus interventions on reducing aggression-related risk," says Dr. Barzman. "The long-term goal is to prevent kids from going down a criminal path. If we can find high risk children before they become involved with the juvenile justice system, which is why we are studying 7 to 9 year olds, we can hopefully provide more effective treatment and prevention."
The BRACHA study was funded by grants from the National Institutes of Health and Cincinnati Children's.
Combining Questionnaire with New Research
Dr. Barzman and fellow researchers also are now examining two dozen 7- to 9-year-old psychiatric inpatients to determine whether levels of three hormones in their saliva (biomarkers of pediatric aggression) testosterone, cortisol and DHEAS can be combined with the BRACHA questionnaire to even better predict aggressive behavior in the hospital and also improve treatment and prevention outside hospital walls.
"In previously published studies, investigators linked levels of these hormones with levels and types of aggression and violence," says Dr. Barzman. "We're hoping our current salivary study, in conjunction with the BRACHA questionnaire findings, will provide even more meaningful results."
Provided by Cincinnati Children's Hospital Medical Center
- Genes and environment interact in first graders to predict physical but not social aggression Feb 07, 2008 | not rated yet | 0
- Seeing and experiencing violence makes aggression 'normal' for children Mar 29, 2011 | not rated yet | 0
- Study cites media violence as 'critical risk factor' for aggression Nov 19, 2008 | not rated yet | 0
- Study strengthens link between tobacco smoke and behavioral problems in boys with asthma Dec 04, 2008 | not rated yet | 0
- Move over mean girls -- boys can be socially aggressive, too Sep 16, 2008 | not rated yet | 0
- Motion perception revisited: High Phi effect challenges established motion perception assumptions Apr 23, 2013 | 3 / 5 (2) | 2
- Anything you can do I can do better: Neuromolecular foundations of the superiority illusion (Update) Apr 02, 2013 | 4.5 / 5 (11) | 5
- The visual system as economist: Neural resource allocation in visual adaptation Mar 30, 2013 | 5 / 5 (2) | 9
- Separate lives: Neuronal and organismal lifespans decoupled Mar 27, 2013 | 4.9 / 5 (8) | 0
- Sizing things up: The evolutionary neurobiology of scale invariance Feb 28, 2013 | 4.8 / 5 (10) | 14
Why is zone 1 in liver more prone to ischemic injury?
May 23, 2013 Hi, Is it because around central vein, there is only deoxygenated blood from the vein where as in the periphery there is hepatic artery. Also why...
How can there be villous adenoma in colon, if there are no villi there
May 22, 2013 As title suggest. Thanks :smile:
How can there be a term called "intestinal metaplasia" of stomach
May 21, 2013 Hello everyone, Ok Stomach's normal epithelium is simple columnar, now in intestinal type of adenocarcinoma of stomach it undergoes "intestinal...
Pressure-volume curve: Elastic Recoil Pressure don't make sense
May 18, 2013 From pressure-volume curve of the lung and chest wall (attached photo), I don't understand why would the elastic recoil pressure of the lung is...
If you became brain-dead, would you want them to pull the plug?
May 17, 2013 I'd want the rest of me to stay alive. Sure it's a lousy way to live but it beats being all-the-way dead. Maybe if I make it 20 years they'll...
MRI bill question
May 15, 2013 Dear PFers, The hospital gave us a $12k bill for one MRI (head with contrast). The people I talked to at the hospital tell me that they do not...
- More from Physics Forums - Medical Sciences
More news stories
(HealthDay)—We've all seen them: the surfers who race to the beach when a hurricane hits, the guy who decides to ride out the storm in his overmatched boat, the tornado chasers who fearlessly steer their ...
Psychology & Psychiatry May 24, 2013 | not rated yet | 0
Women at a particular stage in their monthly menstrual cycle may be more vulnerable to some of the psychological side-effects associated with stressful experiences, according to a study from UCL.
Psychology & Psychiatry May 24, 2013 | 4 / 5 (4) | 4 |
Ernie Pyle – an iconic war correspondent in World War II – reportedly said "There are no atheists in foxholes." A new joint study between two brothers at Cornell and Virginia Wesleyan found that only ...
Psychology & Psychiatry May 24, 2013 | 2.5 / 5 (4) | 2
(Medical Xpress)—Research by Stanford scholar Emma Seppala at the Center for Compassion and Altruism Research and Education found that post-traumatic stress disorder decreased in veterans who participated ...
Psychology & Psychiatry May 24, 2013 | 5 / 5 (1) | 1
(Medical Xpress)—Patients with diabetes who are depressed are much more likely to develop episodes of dangerously low blood sugars, or hypoglycemia, than are those who are not depressed, a new study has ...
Psychology & Psychiatry May 24, 2013 | not rated yet | 0 |
Coenzyme Q10 decreases all cause mortality by half, according to the results of a multicentre randomised double blind trial presented today at Heart Failure 2013 congress. It is the first drug to improve heart failure mortality ...
18 hours ago | 5 / 5 (5) | 5
(HealthDay)—Animals make great companions for senior citizens, but elderly people who always drive with a pet in the car are far more likely to crash than those who never drive with a pet, researchers have ...
10 hours ago | not rated yet | 1
Heart failure accelerates the aging process and brings on early andropausal syndrome (AS), according to research presented today at the Heart Failure Congress 2013. AS, also referred to as male 'menopause', was four times ...
18 hours ago | 5 / 5 (1) | 1
Mortality and length of stay are highest in heart failure patients admitted in January, on Friday, and overnight, according to research presented today at the Heart Failure Congress 2013. The analysis of nearly 1 million ...
18 hours ago | not rated yet | 0
(AP)—Department of Justice lawyers have again asked a federal appeals court in New York to delay lifting age restrictions and prescription requirements on an emergency contraceptive popularly known as the morning-after ...
18 hours ago | not rated yet | 0