Applicability of two violence risk assessment tools in a psychiatric prison hospital population

Bibliographic Data

ID21558175
AuthorsJ Krebs (0000-0003-4990-4142, Charité—Universitätsmedizin Berlin, corporate member of Freie Universität Berlin, Humboldt Universität zu Berlin, and Berlin Institute of Health Institute of Forensic Psychiatry Berlin Germany), Vincent Negatsch (Charité—Universitätsmedizin Berlin, corporate member of Freie Universität Berlin, Humboldt Universität zu Berlin, and Berlin Institute of Health Institute of Forensic Psychiatry Berlin Germany), Christine Berg (0000-0003-0392-7840, Charité—Universitätsmedizin Berlin, corporate member of Freie Universität Berlin, Humboldt Universität zu Berlin, and Berlin Institute of Health Institute of Forensic Psychiatry Berlin Germany), C J Berg (Humboldt-Universität zu Berlin), Annette Aigner (0000-0003-4891-8921, Charité—Universitätsmedizin Berlin, corporate member of Freie Universität Berlin, Humboldt Universität zu Berlin, and Berlin Institute of Health Institute of Biometry and Clinical Epidemiology Berlin Germany), Annette Opitz‐Welke (Charité—Universitätsmedizin Berlin, corporate member of Freie Universität Berlin, Humboldt Universität zu Berlin, and Berlin Institute of Health Institute of Forensic Psychiatry Berlin Germany), Peter Seidel (0000-0002-4425-7655, Department of Psychiatry and Psychotherapy Prison Hospital Berlin Germany), Norbert Konrad (0000-0001-5072-8241, Charité—Universitätsmedizin Berlin, corporate member of Freie Universität Berlin, Humboldt Universität zu Berlin, and Berlin Institute of Health Institute of Forensic Psychiatry Berlin Germany), Alexander Voulgaris (Universitätsklinikum Hamburg‐Eppendorf Institute of Sex Research, Sexual Medicine and Forensic Psychiatry Hamburg Germany, corresponding author)
Year2020
Volume38
Issue5
Pages471-481
Publication date2020-09-01
Peer ReviewedYes
Open AccessYes
TypeARTICLE
VenueBehavioral Sciences & the Law (JOURNAL)
Journal identifiersISSN: 0735-3936 • E-ISSN: 1099-0798
PublisherWiley (PUBLISHER • GB)
DOI10.1002/bsl.2474
PMID32633430
OpenAlexW3041611400
LanguageEN
Citations received1
References cited31

The risk of violent behavior is known to be higher for patients who suffer from a severe mental disorder. However, specific prediction tools for clinical work in prison psychiatry are lacking. In this single‐center study, two violence risk assessment tools (Forensic Psychiatry and Violence Tool, “FoVOx,” and Mental Illness and Violence Tool, “OxMIV”) were applied to a prison hospital population with a primary psychotic or bipolar disorder and subsequently compared. The required information on all items of both tools was obtained retrospectively for a total of 339 patients by evaluation of available patient files. We obtained the median and inter‐quartile range for both FoVOx and OxMIV, and their rank correlation coefficient along with 95% confidence intervals (CIs)—for the full cohort, as well as for cohort subgroups. The two risk assessment tools were strongly positively correlated (Spearman correlation = 0.83; 95% CI = 0.80–0.86). Such a high correlation was independent of nationality, country of origin, type of detention, schizophrenia‐spectrum disorder, previous violent crime and alcohol use disorder, where correlations were above 0.8. A lower correlation was seen with patients who were 30 years old or more, married, with affective disorder and with self‐harm behavior, and also in patients without aggressive behavior and without drug use disorder. Both risk assessment tools are applicable as an adjunct to clinical decision making in prison psychiatry

Bipolar disorder · Cohort · Forensic psychiatry · Medical emergency · Mental health · Mental illness · Mood · Poison control · Population · Prison · Psychiatry · Clinical Psychology · Criminal Justice and Corrections Analysis · Healthcare Decision-Making and Restraints · Medicine · Psychology · Psychopathy, Forensic Psychiatry, Sexual Offending · Internal Medicine

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