@article{ref1,
title="Short-term prediction of threatening and violent behaviour in an Acute Psychiatric Intensive Care Unit based on patient and environment characteristics",
journal="BMC psychiatry",
year="2011",
author="Vaaler, Arne Einar and Iversen, Valentina C. and Morken, Gunnar and Flovig, John C. and Palmstierna, Tom and Linaker, Olav M.",
volume="11",
number="1",
pages="44-44",
abstract="ABSTRACT: BACKGROUND: The aims of the present study were to investigate clinically relevant patient and environment-related predictive factors for threats and violent incidents the first three days in a PICU population based on evaluations done at admittance. METHODS: In 2000 and 2001 all 118 consecutive patients were assessed at admittance to a Psychiatric Intensive Care Unit (PICU). Patient-related conditions as actuarial data from present admission, global clinical evaluations by physician at admittance and clinical nurses first day, a single rating with an observer rated scale scoring behaviours that predict short-term violence in psychiatric inpatients (The Broset Violence Checklist (BVC)) at admittance, and environment-related conditions as use of segregation or not were related to the outcome measure Staff Observation Aggression Scale-Revised (SOAS-R). A multiple logistic regression analysis with SOAS-R as outcome variable was performed. RESULTS: The global clinical evaluations and the BVC were effective and more suitable than actuarial data in predicting short-term aggression. The use of segregation reduced the number of SOAS-R incidents. CONCLUSIONS: In a naturalistic group of patients in a PICU segregation of patients lowers the number of aggressive and threatening incidents. Prediction should be based on clinical global judgement, and instruments designed to predict short-term aggression in psychiatric inpatients. Trial registrations: NCT 00184119 / NCT 00184132.<p /> <p>Language: en</p>",
language="en",
issn="1471-244X",
doi="10.1186/1471-244X-11-44",
url="http://dx.doi.org/10.1186/1471-244X-11-44"
}