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Predicting hospital aggression in secure psychiatric care

  • Jane L. Ireland (a1), Lee J. Priday (a2), Carol A. Ireland (a1), Simon Chu (a3), Jennifer Kilcoyne (a3) and Caroline Mulligan (a3)...
Abstract
Background

Risk assessment instruments have become a preferred means for predicting future aggression, claiming to predict long-term aggression risk.

Aims

To investigate the predictive value over 12 months and 4 years of two commonly applied instruments (Historical, Clinical and Risk Management - 20 (HCR-20) and Violence Risk Appraisal Guide (VRAG)).

Method

Participants were adult male psychiatric patients detained in a high secure hospital. All had a diagnosis of personality disorder. The focus was on aggression in hospital.

Results

The actuarial risk assessment (VRAG) was generally performing better than the structured risk assessment (HCR-20), although neither approach performed particularly well overall. Any value in their predictive potential appeared focused on the longer time period under study (4 years) and was specific to certain types of aggression.

Conclusions

The value of these instruments for assessing aggression in hospital among patients with personality disorder in a high secure psychiatric setting is considered.

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Copyright
This is an open access article distributed under the terms of the Creative Commons Non-Commercial, No Derivatives (CC BY-NC-ND) licence (http://creativecommons.org/licenses/by-nc-nd/4.0/).
Corresponding author
Jane L. Ireland, University of Central Lancashire, Darwin Building, Preston PR1 2HE, UK. Email: jlireland1@uclan.acuk
Footnotes
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Declaration of interest

J.L.I., C.A.M. and J.K. are employed by the trust where the data were collected.

Footnotes
References
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  • EISSN: 2056-4724
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Predicting hospital aggression in secure psychiatric care

  • Jane L. Ireland (a1), Lee J. Priday (a2), Carol A. Ireland (a1), Simon Chu (a3), Jennifer Kilcoyne (a3) and Caroline Mulligan (a3)...
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