Citation

Skeem JL, Schubert C, Odgers C, Mulvey EP, Gardner W, Lidz C. J. Consult. Clin. Psychol. 2006; 74(5): 967-979.

Affiliation

Department of Psychology and Social Behavior, University of California-Irvine, Irvine, CA 92697-7085, USA. skeem@uci.edu

Copyright

(Copyright © 2006, American Psychological Association)

DOI

10.1037/0022-006X.74.5.967

PMID

17032100

Abstract

Given the availability of violence risk assessment tools, clinicians are now better able to identify high-risk patients. Once these patients have been identified, clinicians must monitor risk state and intervene when necessary to prevent harm. Clinical practice is dominated by the assumption that increases in psychiatric symptoms elevate risk of imminent violence. This intensive study of patients (N = 132) at high risk for community violence is the first to evaluate prospectively the temporal relation between symptoms and violence. Symptoms were assessed with the Brief Symptom Inventory and threat/control override (TCO) scales. Results indicate that a high-risk patient with increased anger in 1 week is significantly more likely to be involved in serious violence in the following week. This was not true of other symptom constellations (anxiety, depression, TCO) or general psychological distress. The authors found no evidence that increases in the latter symptoms during 1 week provide an independent foundation for expecting violence during the following week.

Language: en