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Article

Open Access

Assessment of the Risk of Violence in Portuguese Psychiatric Settings Using the Brøset Violence Checklist

Author(s)

Maria Isabel Marques, Aida Bessa, Licínia Santos, Sara Carvalho, Goreti Neves

Full-Text PDF Download XML 4738 Views

DOI:10.17265/2159-5526/2015.05.004

Affiliation(s)

Nursing School of Coimbra, Portugal; University Hospital of Coimbra, Portugal; Community Health Center in Figueira da Foz, Portugal

ABSTRACT

The risk of violence in psychiatric settings implies the assessment of dynamic predictors to adjust nursing interventions. So as to identify the pattern of aggressive behaviors, assess the dynamic predictors of violence in hospitalized patients, and analyze the predictive qualities of the Brøset Violence Checklist (BVC), an exploratory/descriptive study was conducted in psychiatric wards in Coimbra, Portugal. The instruments used were: the staff observation aggression scale-revised (SOAS-R), visual analogue scale (VAS), and the BVC. For the period of a month, 64 patients with a mean age of 29 years, unemployed, and with psychotic disorders were observed. In this group, 13 people displayed 15 aggressive behaviors of moderate severity, which had consequences for nurses; they were triggered by the denial of something through verbal aggression and controlled by non-restrictive measures. The most common predictors of violence were irritability and boisterousness. It was also concluded that the BVC shows good predictive characteristics (sensitivity and specificity) of violence, thus, it may be considered as a useful and effective instrument to assess the risk of violence and, consequently, to adjust nursing interventions to prevent this phenomenon.

KEYWORDS

Risk assessment, violence, patients, psychiatry

Cite this paper

Sociology Study, May 2015, Vol. 5, No. 5, 360-370

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