East London Modified-Broset as Decision-Making Tool to Predict Seclusion in Psychiatric Intensive Care Units
Bibliographic Data
| ID | 15529952 |
|---|---|
| Authors | Felice Loi (Churchill Hospital, corresponding author), Karl Marlowe (Mile End Hospital) |
| Year | 2017 |
| Volume | 8 |
| Publication date | 2017-10-04 |
| Open Access | Yes |
| Type | ARTICLE |
| Venue | Frontiers in Psychiatry (JOURNAL) |
| Journal identifiers | ISSN: 1664-0640 • E-ISSN: 1664-0640 |
| Publisher | Frontiers Media (PUBLISHER • CH) |
| DOI | 10.3389/fpsyt.2017.00194 |
| OpenAlex | W2761110096 |
| Language | EN |
| Citations received | 1 |
| References cited | 59 |
Seclusion is a last resort intervention for management of aggressive behavior in psychiatric settings. There is no current objective and practical decision-making instrument for seclusion use on psychiatric wards. Our aim was to test the predictive and discriminatory characteristics of the East London Modified-Broset (ELMB), to delineate its decision-making profile for seclusion of adult psychiatric patients, and secondly to benchmark it against the psychometric properties of the Broset Violence Checklist (BVC). ELMB, an 8-item modified version of the 6-item BVC, was retrospectively employed to evaluate the seclusion decision-making process on two Psychiatric Intensive Care Units (PICUs) (patients n = 201; incidents n = 2187). Data analyses were carried out using multivariate regression and Receiver Operating Characteristic (ROC) curves. Predictors of seclusion were: physical violence towards staff/patients OR = 24.2; non-compliance with PRN (pro re nata) medications OR = 9.8; and damage to hospital property OR = 2.9. ROC analyses indicated that ELMB was significantly more accurate that BVC, with higher sensitivity, specificity, and positive likelihood ratio. Results were similar across gender. The ELMB is a sensitive and specific instrument that can be used to guide the decision-making process when implementing seclusion
Checklist · Psychiatric hospital · Psychiatry · Seclusion · Clinical Psychology · Healthcare Decision-Making and Restraints · Medicine · Psychology · Psychopathy, Forensic Psychiatry, Sexual Offending · Workplace Violence and Bullying
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| Citations per year | 0.14 |
|---|---|
| Citation span | 2019 - 2019 (1) |
| Highly cited | No |