Citation

Yao X, Li Z, Arthur D, Hu L, Cheng G. J. Psychiatr. Ment. Health Nurs. 2011; 19(5): 438-445.

Affiliation

School of Nursing, Peking Union Medical College; Nursing Department, Beijing An Ding Hospital, Capital Medical University, Beijing, China; Research and Development Center, Angeles University Foundation, Angeles, the Philippines.

Copyright

(Copyright © 2011, John Wiley and Sons)

DOI

10.1111/j.1365-2850.2011.01821.x

PMID

22073978

Abstract

The Violence Risk Screening-10 (V-RISK-10) is one of the few instruments available for evaluating violence risk among general psychiatric service users. This naturalistic prospective study involved 376 inpatients in a general psychiatric hospital in Beijing and intended to determine whether this brief instrument could be applied to a sample of Chinese consumers and whether its predictive properties could be retained. Risk assessment at admission was compared to the record of aggression and violence during the first month of hospitalization. During the research period, 108 of the 376 consumers caused 265 incidences of aggression. Receiver operating characteristics for the V-RISK-10 Chinese version yielded an area under the curve of 0.63. Its sensitivity/specificity was 0.80/0.38 and the corresponding positive/negative predictive value was 0.34/0.82. Intraclass correlation coefficient for the whole instrument was 0.89. Compared to the results of the original V-RISK-10, its predictive accuracy was lower. However, with some modification, the V-RISK-10 still shows promise as an instrument for use in daily practice in Chinese clinical settings.

ACCESSIBLE SUMMARY: •  The lack of standardized violence risk assessment instruments has disadvantaged Chinese nurses in clinical practice. •  The Violence Risk Screening-10 (V-RISK-10), a 10-item scale with strongly sound face and content validity and evidence of reliability, is worth to be tested in Chinese culture. •  This study, conducted in eight closed wards in a psychiatric hospital in China, revealed that the instrument has acceptable reliability and validity and can be readily used by psychiatric nurses in China. •  Such an instrument provides nurses with a quick and easily administered method of determining if a psychiatric service user is potentially violent, thus allowing for early intervention and avoiding unnecessary, disruptive conflict. Only minor modifications were necessary to make the instrument more useful and appropriate for nurses and potentially violent consumers.

Language: en