Research
Print page Print page
Switch language
The Capital Region of Denmark - a part of Copenhagen University Hospital
Published

Aggression in Psychiatric Wards: Effect of the Use of a Structured Risk Assessment

Research output: Contribution to journalJournal articleResearchpeer-review

  1. Psychosocial Rehabilitation of Elderly Persons Bereaved by Suicide: A Co-operative Inquiry Study Protocol

    Research output: Contribution to journalJournal articleResearchpeer-review

  2. The Aggression Observation Short Form identified episodes not reported on the Staff Observation Aggression Scale--Revised

    Research output: Contribution to journalJournal articleResearchpeer-review

  3. Changes in persistent delusions in schizophrenia using guided self-determination: a single case study

    Research output: Contribution to journalJournal articleResearchpeer-review

  1. Health-related quality of life in tension-type headache: a population-based study

    Research output: Contribution to journalJournal articleResearchpeer-review

  2. Determining minimal important change for the thyroid-related quality of life questionnaire ThyPRO

    Research output: Contribution to journalJournal articleResearchpeer-review

  3. Changes in effort-reward imbalance at work and risk of onset of sleep disturbances in a population-based cohort of workers in Denmark

    Research output: Contribution to journalJournal articleResearchpeer-review

  4. Ecological momentary assessments (EMAs) did not improve responsiveness of patient-reported outcomes on quality of life

    Research output: Contribution to journalJournal articleResearchpeer-review

  5. Effort-reward imbalance at work and weight changes in a nationwide cohort of workers in Denmark

    Research output: Contribution to journalJournal articleResearchpeer-review

View graph of relations

Health care workers are often exposed to violence and aggression in psychiatric settings. Short-term risk assessments, such as the Brøset Violence Checklist (BVC), are strong predictors of such aggression and may enable staff to take preventive measures against aggression. This study evaluated whether the routine use of the BVC could reduce the frequency of patient aggression. We conducted a study with a semi-random regression discontinuity design in 15 psychiatric wards. Baseline aggression risk was assessed using the Aggression Observation Short Form (AOS) over three months. The BVC was implemented in seven intervention wards, and the risk of aggressive incidents over three months of follow-up was compared with the risk in eight control wards. The analysis was conducted at the ward level because each ward was allocated to the intervention and control groups. At baseline, the risk of aggression varied between wards, from one aggressive incident per patient per 1,000 shifts to 147 aggressive incidents per patient per 1,000 shifts. The regression discontinuity analysis found a 45% reduction in the risk of aggression (Odds Ratio (OR) = 0.55, 95% confidence interval: 0.21-1.43). The study did not find a significant reduction in the risk of aggression after implementing a systematic short-term risk assessment with the BVC. Although our findings suggest that use of the BVC may reduce the risk of aggression, the results need to be confirmed in studies with more statistical power.

Original languageEnglish
JournalIssues in Mental Health Nursing
Volume37
Issue number12
Pages (from-to)960-967
Number of pages8
ISSN0161-2840
DOIs
Publication statusPublished - Dec 2016

ID: 49492541