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Area of Science:

  • Forensic Psychiatry
  • Clinical Psychology
  • Criminology

Background:

  • Violence is prevalent in psychiatric settings, affecting staff and patients.
  • Limited understanding of individual risk factors for violence in forensic settings.
  • Need for research to inform violence prevention strategies.

Purpose of the Study:

  • To identify independent predictors of physical and verbal violence in forensic psychiatric inpatients.
  • To compare characteristics of violent versus non-violent patients.
  • To explore the relationship between risk assessment tools and actual violent behavior.

Main Methods:

  • Retrospective file study in three medium-security forensic psychiatric units.
  • Binary logistic regression analyses to determine independent risk factors.
  • Comparison of non-violent inpatients with those exhibiting verbal or physical violence.

Main Results:

  • Absconding during treatment independently predicted physical violence.
  • Personality disorder diagnosis and general non-compliance were associated with verbal violence.
  • Both physical and verbal violence independently predicted early termination of treatment.
  • Risk assessment tool results did not correlate with inpatient violence.

Conclusions:

  • Clinicians must monitor for early signs of non-compliance as a potential indicator of verbal violence risk.
  • Absconding behavior warrants attention as a predictor of physical violence.
  • Current risk assessment tools may not accurately predict violence in this forensic population.