Psychiatric symptoms and community violence among high-risk patients: A test of the relationship at the weekly level.

Abstract:

:Given the availability of violence risk assessment tools, clinicians are now better able to identify high-risk patients. Once these patients have been identified, clinicians must monitor risk state and intervene when necessary to prevent harm. Clinical practice is dominated by the assumption that increases in psychiatric symptoms elevate risk of imminent violence. This intensive study of patients (N = 132) at high risk for community violence is the first to evaluate prospectively the temporal relation between symptoms and violence. Symptoms were assessed with the Brief Symptom Inventory and threat/control override (TCO) scales. Results indicate that a high-risk patient with increased anger in 1 week is significantly more likely to be involved in serious violence in the following week. This was not true of other symptom constellations (anxiety, depression, TCO) or general psychological distress. The authors found no evidence that increases in the latter symptoms during 1 week provide an independent foundation for expecting violence during the following week.

journal_name

J Consult Clin Psychol

authors

Skeem JL,Schubert C,Odgers C,Mulvey EP,Gardner W,Lidz C

doi

10.1037/0022-006X.74.5.967

subject

Has Abstract

pub_date

2006-10-01 00:00:00

pages

967-79

issue

5

eissn

0022-006X

issn

1939-2117

pii

2006-13014-017

journal_volume

74

pub_type

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