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Violence risk management

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https://www.readbyqxmd.com/read/28687175/a-comprehensive-approach-to-managing-threats-of-violence-on-a-university-or-college-campus
#1
REVIEW
Cheryl Regehr, Graham D Glancy, Andrea Carter, Lisa Ramshaw
Horrifying, high profile acts of violence on campuses remain relatively rare, nevertheless, academic administrators are required to manage threats of violence on campus on an increasingly regular basis. These threats take two primary forms, those in which the perpetrator and the intended victim(s) are clearly identified, often involving repeated threats and threatening behaviour towards an individual; and those involving anonymous threats to commit acts of larger scale violence. Complicating factors in managing these threats include: fear contagion; mass media and social media attention; responsibilities to all members of the university community sometimes including individuals issuing the threat and the intended victims; demands for safety and security measures that are often at odds with professional advice; and permeable campus boundaries that cause security challenges...
July 4, 2017: International Journal of Law and Psychiatry
https://www.readbyqxmd.com/read/28654311/effects-of-the-contextual-variables-of-racing-games-on-risky-driving-behavior
#2
Mingming Deng, Alan H S Chan, Feng Wu, Shulin Liu
OBJECTIVE: This research conducted experimental studies to investigate the effects of the contextual variables of racing games on risky driving behavior. MATERIALS AND METHODS: Three experiments were conducted. In Experiment 1, the effect of racing game violence on the driving-related risk-taking inclination of racing game players was examined. Experiment 2 investigated the impact of the competitiveness of racing games on risk-taking inclination, and Experiment 3 investigated the impact of the rewarded/punitive characteristics of racing games on the risk-taking inclination of racing game players...
June 27, 2017: Games for Health
https://www.readbyqxmd.com/read/28653965/factors-influencing-the-underreporting-of-concussion-in-sports-a-qualitative-study-of-minor-hockey-participants
#3
Michael D Cusimano, Jane Topolovec-Vranic, Stanley Zhang, Sarah J Mullen, Mattew Wong, Gabriela Ilie
OBJECTIVE: The present study is to identify factors contributing to underreporting of concussion in adolescent athletes. DESIGN: Qualitative interviews. SETTING: Participants were interviewed in an office environment. PARTICIPANTS: Interviews were conducted with 31 minor hockey players, 10 parents, 6 coaches, 4 trainers, 2 managers, and one game official. Players were 13 to 15 year old. With selective sampling, an inductive approach of analyzing the interviews was undertaken and themes were identified and analyzed...
July 2017: Clinical Journal of Sport Medicine: Official Journal of the Canadian Academy of Sport Medicine
https://www.readbyqxmd.com/read/28650187/disentangling-the-risk-assessment-and-intimate-partner-violence-relation-estimating-mediating-and-moderating-effects
#4
Kirk R Williams, Richard Stansfield
To manage intimate partner violence (IPV), the criminal justice system has turned to risk assessment instruments to predict if a perpetrator will reoffend. Empirically determining whether offenders assessed as high risk are those who recidivate is critical for establishing the predictive validity of IPV risk assessment instruments and for guiding the supervision of perpetrators. But by focusing solely on the relation between calculated risk scores and subsequent IPV recidivism, previous studies of the predictive validity of risk assessment instruments omitted mediating factors intended to mitigate the risk of this behavioral recidivism...
June 26, 2017: Law and Human Behavior
https://www.readbyqxmd.com/read/28650186/incremental-prediction-of-intimate-partner-violence-an-examination-of-three-risk-measures
#5
Mark E Olver, Sandy Jung
Improvements in the risk prediction of domestic violence against intimate partners have the potential to inform policing practices in the prevention of further victimization. The present study examined the incremental predictive validity of 3 measures of risk for intimate partner violence (IPV)-Spousal Assault Risk Assessment (SARA), Ontario Domestic Assault Risk Assessment (ODARA), and the Family Violence Investigative Report (FVIR)-for IPV, general violence, and general recidivism outcomes. The sample featured 289 men and women who were reported to police for IPV and followed up approximately 3 years post release...
June 26, 2017: Law and Human Behavior
https://www.readbyqxmd.com/read/28641817/-preventing-violence-in-schizophrenia-with-cognitive-remediation
#6
C Darmedru, C Demily, N Franck
OBJECTIVES: The association between schizophrenia and violence represents an important issue in psychiatry. Often highly publicized, violent acts raise the question of their detection, prevention, management and treatment. There is no single, direct and exclusive link between aggressiveness and the underlying psychiatric disorder. On the contrary, the processes underlying this violence are multiple and interlinked. In addition to static and dynamic risk factors, cognitive deficits play an important role in the genesis and maintenance of violent and aggressive behavior...
June 19, 2017: L'Encéphale
https://www.readbyqxmd.com/read/28639803/determining-when-to-conduct-a-violence-risk-assessment-development-and-initial-validation-of-the-fordham-risk-screening-tool-frst
#7
Barry Rosenfeld, Melodie Foellmi, Ali Khadivi, Charity Wijetunga, Jacqueline Howe, Alicia Nijdam-Jones, Shana Grover, Merrill Rotter
Techniques to assess violence risk are increasingly common, but no systematic approach exists to help clinicians decide which psychiatric patients are most in need of a violence risk assessment. The Fordham Risk Screening Tool (FRST) was designed to fill this void, providing a structured, systematic approach to screening psychiatric patients and determining the need for further, more thorough violence risk assessment. The FRST was administered to a sample of 210 consecutive admissions to the civil psychiatric units of an urban medical center, 159 of whom were subsequently evaluated using the Historical Clinical Risk Management-20, version 3, to determine violence risk...
June 22, 2017: Law and Human Behavior
https://www.readbyqxmd.com/read/28638202/characteristics-of-aggressive-behavior-among-male-inpatients-with-schizophrenia
#8
Xiaomin Zhu, Wen Li, Xiaoping Wang
BACKGROUND: The incidence of the aggressive behavior is higher among the patients with severe mental disorder such as schizophrenia than the general population. The study of factors related to aggressive behavior has great meaning in designing prevention and intervention methods with this population of patients. AIMS: To understand the characteristics of assaultive behavior of male patients with schizophrenia who have been hospitalized. METHODS: Using a continuous sampling method, data from 75 male inpatients with a diagnosis of schizophrenia was collected at the psychiatric unit of Central South University Second Xiangya Hospital (Changsha, China) from August 2015 to February 2016...
October 25, 2016: Shanghai Archives of Psychiatry
https://www.readbyqxmd.com/read/28631373/the-risk-of-violence-associated-with-novel-psychoactive-substance-misuse-in-patients-presenting-to-acute-mental-health-services
#9
Abu Shafi, Paul Gallagher, Neil Stewart, Giovanni Martinotti, Ornella Corazza
Novel psychoactive substance (NPS) availability is increasing at a phenomenal rate and so is their associated misuse. Currently, the harms associated with NPS misuse are unclear. This report presents the initial findings of a continuing study looking into the impact of NPS misuse on admissions to an acute mental health facility in London. Violence preadmission and violence during admission have been found to be significant in NPS misusers compared to non-NPS substance misusers. Our findings have important consequences for acute mental health, emergency, and public health services...
June 19, 2017: Human Psychopharmacology
https://www.readbyqxmd.com/read/28627921/risk-factors-for-concurrent-suicidal-ideation-and-violent-impulses-in-military-veterans
#10
Eric B Elbogen, H Ryan Wagner, Nathan A Kimbrel, Mira Brancu, Jennifer Naylor, Robert Graziano, Eric Crawford
Suicide and violence are significant problems in a subset of Iraq/Afghanistan-era veterans. This study investigates how posttraumatic stress disorder (PTSD) and resilience in veterans are associated with suicidal ideation and violent impulses while controlling for known covariates of both adverse outcomes. Structured clinical interviews were conducted of N = 2,543 Iraq/Afghanistan-era U.S. veterans. Compared with veterans denying suicidal ideation or violent impulses (n = 1,927), veterans endorsing both (n = 171) were more likely to meet diagnostic criteria for PTSD, report childhood abuse, combat exposure, physical pain symptoms, and drug misuse, and less likely to endorse self-direction/life purpose...
June 19, 2017: Psychological Assessment
https://www.readbyqxmd.com/read/28619081/burnout-among-workers-in-emergency-departments-in-palestinian-hospitals-prevalence-and-associated-factors
#11
Motasem Hamdan, Asma'a Abu Hamra
BACKGROUND: Working in Emergency Departments (EDs) entails high work pressure and stress due to witnessing human suffering and the unpredictable nature of the work. This environment puts personnel at risk of burnout. This analysis aims to assess burnout levels and associated risk factors among health workers in EDs in Palestinian hospitals. Also, it examines the association between burnout and workplace violence, as well as with job turnover. METHODS: Cross-sectional design utilising a self-administered questionnaire was used to collect data from all workers at 14 EDs; 8 from the West Bank and 6 from the Gaza Strip...
June 15, 2017: BMC Health Services Research
https://www.readbyqxmd.com/read/28602221/violent-reinjury-risk-assessment-instrument-vrrai-for-hospital-based-violence-intervention-programs
#12
Erik J Kramer, James Dodington, Ava Hunt, Terrell Henderson, Adaobi Nwabuo, Rochelle Dicker, Catherine Juillard
BACKGROUND: Violent injury is the second most common cause of death among 15- to 24-year olds in the US. Up to 58% of violently injured youth return to the hospital with a second violent injury. Hospital-based violence intervention programs (HVIPs) have been shown to reduce injury recidivism through intensive case management. However, no validated guidelines for risk assessment strategies in the HVIP setting have been reported. We aimed to use qualitative methods to investigate the key components of risk assessments employed by HVIP case managers and to propose a risk assessment model based on this qualitative analysis...
May 11, 2017: Journal of Surgical Research
https://www.readbyqxmd.com/read/28599142/opioid-pharmacovigilance-a-clinical-social-history-of-the-changes-in-opioid-prescribing-for-patients-with-co-occurring-chronic-non-cancer-pain-and-substance-use
#13
Kelly R Knight, Margot Kushel, Jamie S Chang, Kara Zamora, Rachel Ceasar, Emily Hurstak, Christine Miaskowski
There is growing concern among US-based clinicians, patients, policy makers, and in the media about the personal and community health risks associated with opioids. Perceptions about the efficacy and appropriateness of opioids for the management of chronic non-cancer pain (CNCP) have dramatically transformed in recent decades. Yet, there is very little social scientific research identifying the factors that have informed this transformation from the perspectives of prescribing clinicians. As part of an on-going ethnographic study of CNCP management among clinicians and their patients with co-occurring substance use, we interviewed 23 primary care clinicians who practice in safety-net clinical settings...
August 2017: Social Science & Medicine
https://www.readbyqxmd.com/read/28594210/are-risk-assessments-racially-biased-field-study-of-the-savry-and-yls-cmi-in-probation
#14
Rachael T Perrault, Gina M Vincent, Laura S Guy
Risk assessment instruments are widely used by juvenile probation officers (JPOs) to make case management decisions; however, few studies have investigated whether these instruments maintain their predictive validity when completed by JPOs in the field. Moreover, the validity of these instruments for use with minority groups has been called into question. This field study examined the predictive validity of both the Structured Assessment of Violence Risk in Youth (SAVRY; n = 383) and the Youth Level of Service/Case Management Inventory (YLS/CMI; n = 359) for reoffending when completed by JPOs...
June 2017: Psychological Assessment
https://www.readbyqxmd.com/read/28588522/the-positive-and-negative-experiences-of-caregiving-for-siblings-of-young-people-with-first-episode-psychosis
#15
Siann Bowman, Mario Alvarez-Jimenez, Darryl Wade, Linsey Howie, Patrick McGorry
Background: The impact of first episode psychosis (FEP) upon parents' experience of caregiving has been well-documented. However, the determinants and nature of this remain poorly understood in siblings. It is hypothesized that siblings of young people with FEP are also impacted by caregiving and burden. This study aimed to characterize the experience of caregiving for siblings of young people with FEP. Method: Survey methodology was used to explore the experience of 157 siblings in the first 18 months of their brother or sister's treatment for FEP...
2017: Frontiers in Psychology
https://www.readbyqxmd.com/read/28583418/policies-for-managing-emergency-medical-services-in-mass-casualty-incidents
#16
B Adini, M Bodas, H Nilsson, K Peleg
INTRODUCTION: Diverse decision-making is needed in managing mass casualty incidents (MCIs), by emergency medical services (EMS). The aim of the study was to review consensus among international experts concerning policies of EMS management during MCIs. METHODS: Applicability of 21 EMS policies was tested through a 2-cycle modified e-Delphi process, in which 38 multi-disciplinary experts from 10 countries participated. Threshold for approving proposed solutions was defined as consensus of >80%...
May 27, 2017: Injury
https://www.readbyqxmd.com/read/28557640/workplace-violence-training-programs-for-health-care-workers-an-analysis-of-program-elements
#17
Sheila Arbury, Michael Hodgson, Donna Zankowski, Jane Lipscomb
Commercial workplace violence (WPV) prevention training programs differ in their approach to violence prevention and the content they present. This study reviews 12 such programs using criteria developed from training topics in the Occupational Safety and Health Administration's (OSHA) Guidelines for Preventing Workplace Violence for Healthcare and Social Service Workers and a review of the WPV literature. None of the training programs addressed all the review criteria. The most significant gap in content was the lack of attention to facility-specific risk assessment and policies...
June 2017: Workplace Health & Safety
https://www.readbyqxmd.com/read/28547784/workplace-violence-against-nurses-in-korea-and-its-impact-on-professional-quality-of-life-and-turnover-intention
#18
Seung-Hye Choi, Haeyoung Lee
AIM: To inform countermeasures against nurses' workplace violence by reviewing the experience of violence. BACKGROUND: Violence is an important issue in medical settings that influences turnover intention of nurses. However, few studies have dealt with the effects of violence experienced by nurses on professional quality of life and turnover intention. METHOD: A descriptive study using a structured questionnaire and data were analysed using t-test, one-way anova and hierarchical multiple regression analysis...
May 25, 2017: Journal of Nursing Management
https://www.readbyqxmd.com/read/28540038/effectiveness-of-paliperidone-depot-injection-in-seriously-violent-men-with-comorbid-schizophrenia-and-dissocial-personality-disorder-in-a-uk-high-security-hospital
#19
Anna-Marie Mortlock, Fintan Larkin, Callum C Ross, Nitin Gupta, Samrat Sengupta, Mrigendra Das
BACKGROUND: High-security hospital patients are often complex in presentation and are characterized by treatment resistance, medication nonadherence and history of violence. Paliperidone is licensed both as an oral and depot antipsychotic medication in the treatment of schizophrenia. Clinical trials have shown that paliperidone depot is well tolerated with similar efficacy to risperidone depot but with additional practical advantages. Whilst data exist for the effectiveness of paliperidone palmitate (PP), there are no studies involving patients in forensic settings or those with comorbid personality disorder...
May 2017: Therapeutic Advances in Psychopharmacology
https://www.readbyqxmd.com/read/28506012/i-see-so-i-feel-coping-with-workplace-violence-among-victims-and-witnesses
#20
Biru Zhou, Alain Marchand, Stéphane Guay
BACKGROUND: Workplace violence is a serious concern for workers' mental health and well-being in high risk work sectors. OBJECTIVE: This study examined victims' and witnesses' experiences after exposure to workplace violence, and the types of help they used to cope with the violent event. METHODS: Workers (n = 211) from five different work sectors participated in our study. Multiple mediation analysis was used to investigate the indirect effects through psychological and work consequences on victims' versus witnesses' differential likelihood of using formal, paraformal and informal helping...
2017: Work: a Journal of Prevention, Assessment, and Rehabilitation
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