An Inductive Content Analysis of Collaborative Violence Risk Management Plans in a High-Security Forensic Psychiatric...

Area of Science:

• Forensic Psychiatry
• Mental Health Nursing
• Risk Management

Background:

• Forensic psychiatric settings present unique challenges for violence risk management.
• Existing methods may not fully address the collaborative needs of patients and staff.
• A need exists for structured, evidence-based approaches to managing aggression in these environments.

Purpose of the Study:

• To explore and evaluate a new method for collaborative violence risk management for nursing staff.
• To outline the components, background, and rationale for this collaborative approach.
• To analyze the content of collaboratively developed violence risk management plans.

Main Methods:

• Inductive content analysis of 50 collaborative violence risk management plans.
• Analysis focused on early warning signs, risk factors, management strategies, and patient-staff goals.
• Plans were assessed for face and content validity against existing literature.

Main Results:

• Patients and staff successfully generated collaborative violence risk management plans.
• The plans demonstrated high face and content validity.
• Key elements analyzed included warning signs, risk factors, strategies, responsibilities, and agreed-upon goals.

Conclusions:

• Collaborative violence risk management in forensic mental health settings shows promise for risk reduction.
• Goal-oriented collaboration between patients and staff is a key component.
• This approach warrants further development and investigation despite contextual challenges.