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. 2024 Feb 27:15:1342445.
doi: 10.3389/fpsyt.2024.1342445. eCollection 2024.

The predictive validity of the V-RISK-10 and BVC among involuntarily admitted patients

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The predictive validity of the V-RISK-10 and BVC among involuntarily admitted patients

Tilmann Kös et al. Front Psychiatry. .

Abstract

Although endangerment towards others is a criterion for an involuntary admission in many countries, research on risk assessment of endangerment among involuntarily admitted individuals is limited. In this retrospective case-control study, we calculated scores for a German-translated version of the Violence Risk Screening-10 (V-RISK-10) and the Brøset Violence Checklist (BVC) in a sample of 111 people undergoing an involuntary admission in Reinickendorf, Berlin. Outcomes were violence, coercive measures, and readmission. In line with our hypotheses, the BVC demonstrated stronger predictive validities for short-term, and V-RISK-10 for long-term events. There was an incremental validity for both instruments for restraint 24 hours after admission and any violence until discharge. These findings support the evidence that structured risk assessment instruments may be useful for individuals undergoing an involuntary admission. Ethical considerations about screening procedures are discussed.

Keywords: acute psychiatry; involuntary admission; mental disorder; risk assessment; violent behavior.

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Conflict of interest statement

The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest.

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