Clinical decision-making about inpatient violence risk at admission to a public-sector acute psychiatric hospital.

Published

Journal Article

This is an examination of the extent to which patients who are violent in the hospital can be distinguished from nonviolent patients, based on information that is readily available at the time of admission to a state acute psychiatric hospital. The charts of 235 inpatients were examined retrospectively, by selecting 103 patients who had engaged in inpatient violence and comparing them with 132 randomly selected patients who had not during the same period. Data were gathered from initial psychiatric assessment and admissions face sheets in patients' charts, reflecting information available to a mental health professional within the first 24 hours of a patient's admission. Multivariate analysis showed that violent and nonviolent patients were distinguished by diagnosis, age, gender, estimated intelligence, psychiatric history, employment history, living situation, and agitated behavior. These factors led to an 80 percent correct classification of violent patients and thus may assist clinicians to structure decision-making about the risk of inpatient violence.

Full Text

Duke Authors

Cited Authors

  • Newton, VM; Elbogen, EB; Brown, CL; Snyder, J; Barrick, AL

Published Date

  • January 2012

Published In

Volume / Issue

  • 40 / 2

Start / End Page

  • 206 - 214

PubMed ID

  • 22635292

Pubmed Central ID

  • 22635292

Electronic International Standard Serial Number (EISSN)

  • 1943-3662

International Standard Serial Number (ISSN)

  • 1093-6793

Language

  • eng