
@article{ref1,
title="Applicability of two violence risk assessment tools in a psychiatric prison hospital population",
journal="Behavioral sciences and the law",
year="2020",
author="Krebs, Julia and Negatsch, Vincent and Berg, Inga and Aigner, Annette and Opitz-Welke, Annette and Seidel, Peter and Konrad, Norbert and Voulgaris, Alexander",
volume="ePub",
number="ePub",
pages="ePub-ePub",
abstract="The risk of violent behavior is known to be higher for patients who suffer from a severe mental disorder. However, specific prediction tools for clinical work in prison psychiatry are lacking. In this single-center study, two violence risk assessment tools (Forensic Psychiatry and Violence Tool, &quot;FoVOx,&quot; and Mental Illness and Violence Tool, &quot;OxMIV&quot;) were applied to a prison hospital population with a primary psychotic or bipolar disorder and subsequently compared. The required information on all items of both tools was obtained retrospectively for a total of 339 patients by evaluation of available patient files. We obtained the median and inter-quartile range for both FoVOx and OxMIV, and their rank correlation coefficient along with 95% confidence intervals (CIs)-for the full cohort, as well as for cohort subgroups. The two risk assessment tools were strongly positively correlated (Spearman correlation = 0.83; 95% CI = 0.80-0.86). Such a high correlation was independent of nationality, country of origin, type of detention, schizophrenia-spectrum disorder, previous violent crime and alcohol use disorder, where correlations were above 0.8. A lower correlation was seen with patients who were 30 years old or more, married, with affective disorder and with self-harm behavior, and also in patients without aggressive behavior and without drug use disorder. Both risk assessment tools are applicable as an adjunct to clinical decision making in prison psychiatry.<p /> <p>Language: en</p>",
language="en",
issn="0735-3936",
doi="10.1002/bsl.2474",
url="http://dx.doi.org/10.1002/bsl.2474"
}