Simple tool helps psychiatry residents ID risk of violence

Simple tool helps psychiatry residents ID risk of violence
A simple, structured risk assessment tool, the Historical, Clinical, Risk Management-20 clinical subscale, could help psychiatric residents more accurately evaluate the risk for violence among patients, according to a study published online Aug. 31 in Psychiatric Services.

(HealthDay)—A simple, structured risk assessment tool, the Historical, Clinical, Risk Management-20 clinical subscale (HCR-20-C), could help psychiatric residents more accurately evaluate the risk for violence among patients, according to a study published online Aug. 31 in Psychiatric Services.

Alan R. Teo, M.D., of the University of California in San Francisco, and colleagues conducted a retrospective, case-control study involving 151 patients who assaulted staff at a county hospital and 150 comparison patients. assessments were completed at admission by psychiatric residents (38 for 52 patients) or attending psychiatrists (41 for 249 patients). The HCR-20-C structured was used by blinded trained research clinicians to assess the risk of violence for each patient.

The researchers found that the predictive validity of risk assessments made by attending psychiatrists was significantly higher than those made by psychiatric residents. The risk assessments by attending physicians had an area under the curve (AUC) of 0.70 (moderately accurate), while the AUC for risk assessments by residents was 0.52. Use of the HCR-20-C had the potential to improve the accuracy to 0.67.

"The results support the conclusion that level of training confers an advantage in the accuracy of risk assessments for violence," the authors write. "In addition, the results illustrate that structured methods have the potential to augment training in a way that may improve the accuracy of ."

More information: Abstract
Full Text (subscription or payment may be required)

add to favorites email to friend print save as pdf

Related Stories

Recommended for you

New book examines the known and unknown about OCD

10 hours ago

A new and thorough overview of a disturbing behavioural condition that will affect 2.3 per cent of the UK population in their lifetime has been written by University of Sussex researchers.

Ibuprofen relieves women's hurt feelings, not men's

12 hours ago

(Medical Xpress)—For years, researchers have known that physical pain relievers such as ibuprofen can also help ease emotional pain, but new research suggests that ibuprofen has contrasting effects on men ...

User comments