TY - JOUR PY - 2017// TI - Use of multimodal technology to identify digital correlates of violence among inpatients with serious mental illness: a pilot study JO - Psychiatric services A1 - Ben-Zeev, Dror A1 - Scherer, Emily A. A1 - Brian, Rachel M. A1 - Mistler, Lisa A. A1 - Campbell, Andrew T. A1 - Wang, Rui SP - 1088 EP - 1092 VL - 68 IS - 10 N2 - OBJECTIVE: The study examined multimodal technologies to identify correlates of violence among inpatients with serious mental illness.

METHODS: Twenty-eight high-risk inpatients were provided with smartphones adapted for data collection. Participants recorded their thoughts and behaviors by using self-report software. Sensors embedded in each device (microphone and accelerometers) and throughout the inpatient unit (Bluetooth beacons) captured patients' activity and location.

RESULTS: Self-reported delusions were associated with violent ideation (odds ratio [OR]=3.08), damaging property (OR=8.24), and physical aggression (OR=12.39). Alcohol and cigarette cravings were associated with violent ideation (OR=5.20 and OR=6.08, respectively), damaging property (OR=3.71 and OR=4.26, respectively), threatening others (OR=3.62 and OR=3.04, respectively), and physical aggression (OR=6.26, and OR=8.02, respectively). Drug cravings were associated with violent ideation (OR=2.76) and damaging property (OR=5.09). Decreased variability in physical activity and noisy ward conditions were associated with violent ideation (OR=.71 and OR=2.82, respectively).

CONCLUSIONS: Identifiable digital correlates may serve as indicators of increased risk of violence.

Language: en

LA - en SN - 1075-2730 UR - http://dx.doi.org/10.1176/appi.ps.201700077 ID - ref1 ER -