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Updated: Jul 5, 2026
09:12
The Resident-intruder Paradigm: A Standardized Test for Aggression, Violence and Social Stress
Published on: July 4, 2013
[Violent behaviour of patients in institutions]
1Zentrum für Psychiatrie, Die Weissenau, Ravensburg, Germany. tilman.steinert@zfp-weissenau.de
Psychiatrische Praxis
|March 15, 2002
Summary
Violence risk assessment differs between community and inpatient settings. Community violence predictors include criminal history and substance abuse, while inpatient violence relates to psychopathology severity.
Area of Science:
- Psychiatry
- Criminology
- Psychology
Context:
- Violence risk assessment is crucial in both forensic and civil psychiatric settings.
- Recent research on violence has yielded complex and sometimes misinterpreted findings.
- Distinguishing between community and inpatient violence is essential for accurate assessment.
Purpose:
- To review studies on inpatient violence and its predictors.
- To differentiate predictors of community violence from those of inpatient violence.
- To highlight the limitations of individual risk variables in violence prediction.
Summary:
- Community violence predictors (criminal history, male gender, age, substance abuse) are largely independent of psychopathology.
- Inpatient violence is strongly associated with the severity of psychopathological symptoms.
- Predicting violence is challenging due to the influence of situational factors and sample selection issues.
Impact:
- Informs clinical decision-making in psychiatric units by clarifying distinct risk factors.
- Emphasizes the need for context-specific violence risk assessment strategies.
- Highlights the limitations of solely relying on individual risk variables for predicting violent behavior.
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