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Updated: Aug 22, 2026

The Resident-intruder Paradigm: A Standardized Test for Aggression, Violence and Social Stress
Published on: July 4, 2013
Management of potentially violent detainees
1Department of Forensic Psychiatry, Institute of Psychiatry, London SE5 8AF, UK.
Abstract:
Most doctors and other health care workers have at some time received threats of violence, but the assessment of police detainees can be especially challenging and in a recent study of police surgeons, 18% had experienced physical violence. Aggression towards carers rarely erupts without warning and there is much that the examining doctor can do to minimize personal risk. This review offers a brief overview of current understanding about the causes of violence and offers guidance on the systematic assessment of risk and how to manage this within the setting of a clinical assessment of a detained individual.
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