Agression and violent behaviour risk assessment
Introduction After discharge from forensic psychiatric hospital, rates of violent reoffending are reported to range from 2% to 8% per year in high income countries. Risk assessment informs decisions around admission to and discharge from secure psychiatric hospital and contributes to treatment and...
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| Format: | Article |
| Language: | English |
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Cambridge University Press
2021-04-01
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| Series: | European Psychiatry |
| Subjects: | |
| Online Access: | https://www.cambridge.org/core/product/identifier/S0924933821010130/type/journal_article |
| _version_ | 1797616499667501056 |
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| author | G. Marinho S. Almeida |
| author_facet | G. Marinho S. Almeida |
| author_sort | G. Marinho |
| collection | DOAJ |
| description |
Introduction
After discharge from forensic psychiatric hospital, rates of violent reoffending are reported to range from 2% to 8% per year in high income countries. Risk assessment informs decisions around admission to and discharge from secure psychiatric hospital and contributes to treatment and supervision Current approaches to assess violence risk in secure hospitals are resource intensive, limited by accuracy and authorship bias. Forensic Violence Oxford (FoVOx) was developed using all forensic psychiatric patients in Sweden, based on the largest forensic psychiatric sample to date, and has the advantage of using routinely available data, which are less liable to bias than interview-based measures.
Objectives
Literature review on the Forensic Psychiatry and Violence Oxford (FoVOx) tool.
Methods
Pubmed and Google Scholar search
Results
The 12 items within the FoVOx tool are sex, age, previous violent crime, previous serious violent crime, primary discharge diagnosis, drug use disorder at point of hospitalization or discharge, any lifetime drug use disorder, alcohol use disorder at point of hospitalization or discharge, personality disorder at discharge, employment at admission, five or more prior inpatient episodes, and whether current length of stay has exceeded one year.
Conclusions
The FoVOx tool is scalable, quick, free to use and available online. Its use could enable clinicians to provide a reasonably accurate risk assessment in a brief and cost-effective way, and free up time to focus on clinical care and risk management rather than risk assessment.
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| first_indexed | 2024-03-11T07:41:04Z |
| format | Article |
| id | doaj.art-4f23a31d27f5468d83f7bdccb1052494 |
| institution | Directory Open Access Journal |
| issn | 0924-9338 1778-3585 |
| language | English |
| last_indexed | 2024-03-11T07:41:04Z |
| publishDate | 2021-04-01 |
| publisher | Cambridge University Press |
| record_format | Article |
| series | European Psychiatry |
| spelling | doaj.art-4f23a31d27f5468d83f7bdccb10524942023-11-17T05:08:26ZengCambridge University PressEuropean Psychiatry0924-93381778-35852021-04-0164S378S37810.1192/j.eurpsy.2021.1013Agression and violent behaviour risk assessmentG. Marinho0S. Almeida1Clinica 6, CHPL, Lisbon, PortugalServiço De Psiquiatria, Hospital Prisional S. João Deus, Lisboa, Portugal Introduction After discharge from forensic psychiatric hospital, rates of violent reoffending are reported to range from 2% to 8% per year in high income countries. Risk assessment informs decisions around admission to and discharge from secure psychiatric hospital and contributes to treatment and supervision Current approaches to assess violence risk in secure hospitals are resource intensive, limited by accuracy and authorship bias. Forensic Violence Oxford (FoVOx) was developed using all forensic psychiatric patients in Sweden, based on the largest forensic psychiatric sample to date, and has the advantage of using routinely available data, which are less liable to bias than interview-based measures. Objectives Literature review on the Forensic Psychiatry and Violence Oxford (FoVOx) tool. Methods Pubmed and Google Scholar search Results The 12 items within the FoVOx tool are sex, age, previous violent crime, previous serious violent crime, primary discharge diagnosis, drug use disorder at point of hospitalization or discharge, any lifetime drug use disorder, alcohol use disorder at point of hospitalization or discharge, personality disorder at discharge, employment at admission, five or more prior inpatient episodes, and whether current length of stay has exceeded one year. Conclusions The FoVOx tool is scalable, quick, free to use and available online. Its use could enable clinicians to provide a reasonably accurate risk assessment in a brief and cost-effective way, and free up time to focus on clinical care and risk management rather than risk assessment. https://www.cambridge.org/core/product/identifier/S0924933821010130/type/journal_articleviolencerisk assessmentforensic psychiatry |
| spellingShingle | G. Marinho S. Almeida Agression and violent behaviour risk assessment European Psychiatry violence risk assessment forensic psychiatry |
| title | Agression and violent behaviour risk assessment |
| title_full | Agression and violent behaviour risk assessment |
| title_fullStr | Agression and violent behaviour risk assessment |
| title_full_unstemmed | Agression and violent behaviour risk assessment |
| title_short | Agression and violent behaviour risk assessment |
| title_sort | agression and violent behaviour risk assessment |
| topic | violence risk assessment forensic psychiatry |
| url | https://www.cambridge.org/core/product/identifier/S0924933821010130/type/journal_article |
| work_keys_str_mv | AT gmarinho agressionandviolentbehaviourriskassessment AT salmeida agressionandviolentbehaviourriskassessment |