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V-RISK-10: Validation of a Screen for Risk of Violence After Discharge from Acute Psychiatry

Published online by Cambridge University Press:  08 July 2010

J.O. Roaldset ,
P. Hartvig  and
S. Bjørkly
J.O. Roaldset*
Affiliation:
Psychiatric Department, Ålesund Hospital, 6026Ålesund, Norway Faculty of Medicine, The Norwegian University of Science and Technology, 7489 Trondheim, Norway
P. Hartvig
Affiliation:
Centre for Research and Education in Forensic Psychiatry, Oslo University Hospital, Bygg 7, Gaustad, 0320 Oslo, Norway
S. Bjørkly
Affiliation:
Centre for Research and Education in Forensic Psychiatry, Oslo University Hospital, Bygg 7, Gaustad, 0320 Oslo, Norway Institute of Health and Social Sciences, Molde University College, Norway, Box 2110, 6402 Molde, Norway
*
⁎[email protected][email protected]
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Abstract

Background

Current violence risk assessment instruments are time-consuming and mainly developed for forensic psychiatry. A paucity of violence screens for acute psychiatry instigated the development and validation of the V-RISK-10. The aim of this prospective naturalistic study was to test the predictive validity of the V-RISK-10 as a screen of violence risk after discharge from two acute psychiatric wards.

Methods

Patients were screened with V-RISK-10 before discharge, and incidents of violence were recorded 3, 6, 9 and 12 months after discharge. A total of 381 of the 1017 patients that were screened completed the follow up.

Results

The ROC-AUC values for any violent behaviour were 0.80 and 0.75 (p < 0.001) for the 3 and 12 months follow-up periods, respectively, and significant for both genders. The most accurate risk estimates were obtained for severe violence. For persons without a known history of violence prior to the screening, AUCs were 0.74 (p = 0.004) and 0.68 (p = 0.002).

Conclusions

Results indicate that the V-RISK-10 is a valid and clinically useful screen for violence risk after discharge from acute psychiatry, and even significant for patients without a known previous history of violence.

Keywords

Violence risk assessmentScreeningEmergency psychiatryProspective
Type
Original article
Information
European Psychiatry , Volume 26 , Issue 2 , March 2011 , pp. 85 - 91
Copyright
Copyright © Elsevier Masson SAS 2010

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