Citation

Kaszuba M. Rev. Med. Brux. 2012; 33(1): 26-38.

Vernacular Title

Estimation du risque d'apparition des comportements agressifs.

Affiliation

Service de Psychiatrie, Hôpital Erasme, Bruxelles. marcinkaszuba@hotamail.com

Copyright

(Copyright © 2012, Association des Medecins Anciens Etudiants de l'Universite Libre de Bruxelles)

DOI

unavailable

PMID

22512147

Abstract

The article concerns the problem of patients with aggressive behaviour and the most common methods for estimating the potential risk of appearance of such behaviour. The problem mentioned above is related in particular to psychiatric facilities, but it is also present in medical facilities of general type. The importance of this problem is underlined by epidemiological data. The article includes a description of two widely used instruments, namely the HCR 20 (The Historical Clinical and Risk Management Scale 20) and the PCL-R (The Hare Psychopathy Checklist-Revised) but also the actuarial instruments the VRAG (The Violence Risk Assessment Guide) and the SORAG (The Sex Offender Risk Assessment Guide). The article also presents an instrument for the dynamic assessment, the START (The Short-Term Assessment of Risk and Treatability). The usefulness and limitations of these instruments are developed. Some personality disorders may predispose an individual to commit acts of aggression or violence. This topic is also developed in the text. The article focuses on the rationale for the usefulness of regular training of risk assessment for staff, which increases security and helps to plan the care correctly.

Language: fr