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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...

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Autores principales: Roaldset, John Olav, Gustavsen, Carina C., Lockertsen, Øyvind, Landheim, Torbjørn, Bjørkly, Stål K.
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
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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.
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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
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