Cargando…
Validation of a violence risk screening for youth in psychiatric inpatient care—a pilot study of V-RISK-Y
The reason for this study was the void of validated risk assessment screening tools for violence in adolescence psychiatry. Our aims were to test the predictive validity and feasibility of a pilot version of the Violence Risk Screening for Youth (V-RISK-Y). The V-RISK-Y was based on a violence risk...
Autores principales: | , , , , |
---|---|
Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Frontiers Media S.A.
2023
|
Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10443591/ https://www.ncbi.nlm.nih.gov/pubmed/37614654 http://dx.doi.org/10.3389/fpsyt.2023.1210871 |
_version_ | 1785093864444395520 |
---|---|
author | Roaldset, John Olav Gustavsen, Carina C. Lockertsen, Øyvind Landheim, Torbjørn Bjørkly, Stål K. |
author_facet | Roaldset, John Olav Gustavsen, Carina C. Lockertsen, Øyvind Landheim, Torbjørn Bjørkly, Stål K. |
author_sort | Roaldset, John Olav |
collection | PubMed |
description | The reason for this study was the void of validated risk assessment screening tools for violence in adolescence psychiatry. Our aims were to test the predictive validity and feasibility of a pilot version of the Violence Risk Screening for Youth (V-RISK-Y). The V-RISK-Y was based on a violence risk screen for adults, the V-RISK-10, and adapted to adolescents, resulting in 12 risk items that are scored for (a) presence and (b) relevance for future violence. In this naturalistic, prospective observational study, the V-RISK-Y was scored at admission and compared with recorded episodes of violent acts and threats during hospital stay. The target population was all 92 patients admitted to the emergency department of adolescent psychiatry at Oslo University Hospital for 1 year, of which 67 patients were scored with the V-RISK-Y at admission and constituted the study sample. The predictive validity of the V-RISK-Y for violent behavior showed an AUC of 0.762 (p = 0.006). Staff approved the screener and found it to be equally or better usable than the V-RISK-10, which was previously used in the department. Still, a high proportion of raters failed to follow the scoring instructions of relevance scores, reducing feasibility. The results must be interpreted within the limits of a pilot study and low power. We conclude that results suggest changes of certain parts of the V-RISK-Y and provide a basis for testing a revised edition of the screener in a more comprehensive study, preferably with a multicenter design. |
format | Online Article Text |
id | pubmed-10443591 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2023 |
publisher | Frontiers Media S.A. |
record_format | MEDLINE/PubMed |
spelling | pubmed-104435912023-08-23 Validation of a violence risk screening for youth in psychiatric inpatient care—a pilot study of V-RISK-Y Roaldset, John Olav Gustavsen, Carina C. Lockertsen, Øyvind Landheim, Torbjørn Bjørkly, Stål K. Front Psychiatry Psychiatry The reason for this study was the void of validated risk assessment screening tools for violence in adolescence psychiatry. Our aims were to test the predictive validity and feasibility of a pilot version of the Violence Risk Screening for Youth (V-RISK-Y). The V-RISK-Y was based on a violence risk screen for adults, the V-RISK-10, and adapted to adolescents, resulting in 12 risk items that are scored for (a) presence and (b) relevance for future violence. In this naturalistic, prospective observational study, the V-RISK-Y was scored at admission and compared with recorded episodes of violent acts and threats during hospital stay. The target population was all 92 patients admitted to the emergency department of adolescent psychiatry at Oslo University Hospital for 1 year, of which 67 patients were scored with the V-RISK-Y at admission and constituted the study sample. The predictive validity of the V-RISK-Y for violent behavior showed an AUC of 0.762 (p = 0.006). Staff approved the screener and found it to be equally or better usable than the V-RISK-10, which was previously used in the department. Still, a high proportion of raters failed to follow the scoring instructions of relevance scores, reducing feasibility. The results must be interpreted within the limits of a pilot study and low power. We conclude that results suggest changes of certain parts of the V-RISK-Y and provide a basis for testing a revised edition of the screener in a more comprehensive study, preferably with a multicenter design. Frontiers Media S.A. 2023-07-26 /pmc/articles/PMC10443591/ /pubmed/37614654 http://dx.doi.org/10.3389/fpsyt.2023.1210871 Text en Copyright © 2023 Roaldset, Gustavsen, Lockertsen, Landheim and Bjørkly. https://creativecommons.org/licenses/by/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms. |
spellingShingle | Psychiatry Roaldset, John Olav Gustavsen, Carina C. Lockertsen, Øyvind Landheim, Torbjørn Bjørkly, Stål K. Validation of a violence risk screening for youth in psychiatric inpatient care—a pilot study of V-RISK-Y |
title | Validation of a violence risk screening for youth in psychiatric inpatient care—a pilot study of V-RISK-Y |
title_full | Validation of a violence risk screening for youth in psychiatric inpatient care—a pilot study of V-RISK-Y |
title_fullStr | Validation of a violence risk screening for youth in psychiatric inpatient care—a pilot study of V-RISK-Y |
title_full_unstemmed | Validation of a violence risk screening for youth in psychiatric inpatient care—a pilot study of V-RISK-Y |
title_short | Validation of a violence risk screening for youth in psychiatric inpatient care—a pilot study of V-RISK-Y |
title_sort | validation of a violence risk screening for youth in psychiatric inpatient care—a pilot study of v-risk-y |
topic | Psychiatry |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10443591/ https://www.ncbi.nlm.nih.gov/pubmed/37614654 http://dx.doi.org/10.3389/fpsyt.2023.1210871 |
work_keys_str_mv | AT roaldsetjohnolav validationofaviolenceriskscreeningforyouthinpsychiatricinpatientcareapilotstudyofvrisky AT gustavsencarinac validationofaviolenceriskscreeningforyouthinpsychiatricinpatientcareapilotstudyofvrisky AT lockertsenøyvind validationofaviolenceriskscreeningforyouthinpsychiatricinpatientcareapilotstudyofvrisky AT landheimtorbjørn validationofaviolenceriskscreeningforyouthinpsychiatricinpatientcareapilotstudyofvrisky AT bjørklystalk validationofaviolenceriskscreeningforyouthinpsychiatricinpatientcareapilotstudyofvrisky |