Predictors of imminent violence in psychiatric inpatients

OM Linaker, H Busch‐Iversen - Acta Psychiatrica Scandinavica, 1995 - Wiley Online Library
OM Linaker, H Busch‐Iversen
Acta Psychiatrica Scandinavica, 1995Wiley Online Library
Behavior and symptoms seen in 48 24‐h periods preceding violent episodes and 93 control
observations were studied. Six behaviors were more common before violence: confusion,
irritability, boisterousness, physical threats, verbal threats and attacks on objects. A logistic
regression equation based on these behaviors in a randomized half of the observations
predicted the occurrence of subsequent violence in 92.1% of the other half of the sample
without any false positives, giving a sensitivity of 81.3% and a specificity of 100%. It is …
Behavior and symptoms seen in 48 24‐h periods preceding violent episodes and 93 control observations were studied. Six behaviors were more common before violence: confusion, irritability, boisterousness, physical threats, verbal threats and attacks on objects. A logistic regression equation based on these behaviors in a randomized half of the observations predicted the occurrence of subsequent violence in 92.1% of the other half of the sample without any false positives, giving a sensitivity of 81.3% and a specificity of 100%. It is concluded that mentally ill people display the same behaviour before violent acts as we would expect in people without such disorder. The potential for short‐term prediction of violence seems good.
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