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Violence risk management

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https://www.readbyqxmd.com/read/27891723/the-structured-assessment-of-violence-risk-in-adults-with-intellectual-disability-a-systematic-review
#1
REVIEW
J Hounsome, R Whittington, A Brown, B Greenhill, J McGuire
BACKGROUND: While structured professional judgement approaches to assessing and managing the risk of violence have been extensively examined in mental health/forensic settings, the application of the findings to people with an intellectual disability is less extensively researched and reviewed. This review aimed to assess whether risk assessment tools have adequate predictive validity for violence in adults with an intellectual disability. METHODS: Standard systematic review methodology was used to identify and synthesize appropriate studies...
November 27, 2016: Journal of Applied Research in Intellectual Disabilities: JARID
https://www.readbyqxmd.com/read/27891354/emerging-trends-of-intentional-firearm-injuries-in-northern-india-a-study
#2
Iram Khan, Mohammad Shakeel, Jawed Ahmad Usmani, Syed Abrar Hasan
INTRODUCTION: Many developing countries are facing rise in firearm injury cases owing to communal and ethnic clashes, political violence, armed robberies and suicide causing huge economic loss to society. On the basis of intention, injuries can be categorized as intentional and unintentional or accidental injuries. Intentional injuries will include suicidal, homicidal and assault related injuries. AIM: This study was undertaken to document the trends and patterns associated with intentional firearm injuries in order to suggest ways to curb the emerging trends...
October 2016: Journal of Clinical and Diagnostic Research: JCDR
https://www.readbyqxmd.com/read/27890031/a-national-assessment-of-the-health-and-safety-of-emergency-medical-services-professionals
#3
Melissa A Bentley, Roger Levine
OBJECTIVES: The objectives were to assess changes in (1) health and physical fitness, (2) the prevalence of selected health problems, (3) risk behaviors, (4) ambulance safety issues, and (5) the preparedness of Emergency Medical Services (EMS) professionals. In addition, the incidence of patient-initiated violence directed toward EMS personnel and associated factors were assessed. METHODS: Data were obtained from a sample of nationally certified EMS professionals via annual questionnaires between 1999 and 2008...
November 28, 2016: Prehospital and Disaster Medicine
https://www.readbyqxmd.com/read/27865013/dancing-around-families-neonatal-nurses-and-child-protection
#4
Tina Saltmarsh, Denise Wilson
AIMS AND OBJECTIVES: To explore the processes neonatal intensive care nurses used in their child protection role with pre-term infants. BACKGROUND: Neonatal nurses' screening for family violence is important in identifying at-risk preterm infants requiring protection upon discharge from neonatal intensive care settings. We know little about neonatal nurses and their role in child protection. DESIGN: A qualitative research design using Glaserian Grounded Theory...
November 16, 2016: Journal of Clinical Nursing
https://www.readbyqxmd.com/read/27859545/targeted-violence-against-law-enforcement-officers
#5
Ronald Schouten, Douglas V Brennan
As highly visible representatives and guardians of society, law enforcement officers (LEOs) are very public figures. Injury or death in the line of duty, whether due to accidents or intentional acts of violence, is an occupational hazard for LEOs. Targeted assaults on police officers, referred to as ambushes in previous literature, are a particularly perplexing problem with significant implications for society at large. In the summer of 2016, the latest in a series of high-profile acts of violence aimed at police occurred, leading to increased examination of the acts themselves and their causes...
September 2016: Behavioral Sciences & the Law
https://www.readbyqxmd.com/read/27852947/psychological-distress-and-associated-factors-among-mexican-american-adolescent-females
#6
Pamela Recto, Jane Dimmitt Champion
INTRODUCTION: Mental health literacy is a critical component of adolescent health enabling recognition, management, and prevention of psychological distress. Adolescents engaging in risk behaviors and experiencing interpersonal violence, substance use, and pregnancy are at high risk for psychological distress. METHOD: Secondary analysis of data collected via a control randomized trial among Mexican American females (aged 14-18 years; N = 461) experiencing high-risk sexual behavior, interpersonal violence, and sexually transmitted infection was conducted with comparisons of psychological distress by pregnancy status...
December 2016: Hispanic Health Care International: the Official Journal of the National Association of Hispanic Nurses
https://www.readbyqxmd.com/read/27836160/sex-offender-risk-assessment-and-management
#7
REVIEW
Brad D Booth, Drew A Kingston
Sexual violence is common and can have profound effects on victims compared with other forms of violence. This violence includes unwelcome and forced sexual contact on adults or children. Assessment of individuals who perpetrate sexual violence starts with a comprehensive biopsychosocial evaluation after a finding of guilt. Clinicians should then evaluate risk. Based on this assessment, a risk management plan should be developed, directed at the specific risk of the offender. Management options include external control (eg, incarceration, probation), psychotherapeutic interventions, pharmacologic interventions, and treatment of comorbidity...
December 2016: Psychiatric Clinics of North America
https://www.readbyqxmd.com/read/27836159/stalking-and-violence
#8
REVIEW
Britta Ostermeyer, Susan Hatters Friedman, Renee Sorrentino, Brad D Booth
The three widely known stalker classifications assist in categorizing stalkers, which allows for better management of violence risk. Although 80% of stalking is done by men, women also engage in stalking, and their violence risk should not be underestimated. Juvenile stalkers do exist and juvenile stalking is also associated with violence. Clinicians can become a victim of stalking and may become victims of stalking by proxy, a special type of stalking behavior where the stalker involves other people or agencies to communicate with or track their victim...
December 2016: Psychiatric Clinics of North America
https://www.readbyqxmd.com/read/27836154/workplace-violence-practical-considerations-for-mental-health-professionals-in-consultation-assessment-and-management-of-risk
#9
REVIEW
Philip Saragoza, Stephen G White
Workplace predatory violence has been the focus of increased study over the past 30 years, leading to a more sophisticated understanding of the factors that contribute to it, and important considerations for its assessment and management. Risk assessment professionals involved in workplace violence consultations should be mindful of issues specific to the workplace context and the principles of threat assessment to provide a more precise opinion of risk, to inform and enhance critical decisions regarding the employment status of the individual of concern, security measures, possible treatment options, and other management responses, while being mindful of the employee's certain rights...
December 2016: Psychiatric Clinics of North America
https://www.readbyqxmd.com/read/27819436/does-reassessment-of-risk-improve-predictions-a-framework-and-examination-of-the-savry-and-yls-cmi
#10
Jodi L Viljoen, Andrew L Gray, Catherine Shaffer, Aisha Bhanwer, Donna Tafreshi, Kevin S Douglas
Although experts recommend regularly reassessing adolescents' risk for violence, it is unclear whether reassessment improves predictions. Thus, in this prospective study, the authors tested 3 hypotheses as to why reassessment might improve predictions, namely the shelf-life, dynamic change, and familiarity hypotheses. Research assistants (RAs) rated youth on the Structured Assessment of Violence Risk in Youth (SAVRY) and the Youth Level of Service/Case Management Inventory (YLS/CMI) every 3 months over a 1-year period, conducting 624 risk assessments with 156 youth on probation...
November 7, 2016: Psychological Assessment
https://www.readbyqxmd.com/read/27797547/risk-assessment-matters-but-only-when-implemented-well-a-multisite-study-in-juvenile-probation
#11
Gina M Vincent, Laura S Guy, Rachael T Perrault, Bernice Gershenson
There is a strong movement toward juvenile justice agencies' use of risk assessment and risk-need-responsivity approaches to improve case management decisions for young offenders. However, little is known about whether adoption of risk assessment actually effectuates any changes in the way young offenders are handled. This was a multisite study of the impact on case processing of implementation of the Structured Assessment of Violence Risk in Youth (SAVRY) or Youth Level of Service/Case Management Inventory in 6 juvenile probation offices using a prepost design and 1,694 propensity score-matched young offenders...
October 31, 2016: Law and Human Behavior
https://www.readbyqxmd.com/read/27774246/inherited-proclivity-when-should-neurogenetics-mitigate-moral-culpability-for-purposes-of-sentencing
#12
J Bradley Segal
Certain genes and neurobiology ('neurogenetics') may predispose some people to violent behavior. Increasingly, defendants introduce neurogenetic evidence as a mitigating factor during criminal sentencing. Identifying the cause of a criminal act, biological or otherwise, does not necessarily preclude moral or legal liability. However, valid scientific evidence of an inherited proclivity sometimes should be considered when evaluating whether a defendant is less morally culpable for a crime and perhaps less deserving of punishment...
April 2016: Journal of Law and the Biosciences
https://www.readbyqxmd.com/read/27753553/firearm-ownership-among-military-veterans-with-ptsd-a-profile-of-demographic-and-psychosocial-correlates
#13
Adrienne J Heinz, Nicole L Cohen, Lori Holleran, Jennifer A Alvarez, Marcel O Bonn-Miller
Post-traumatic stress disorder (PTSD), a condition that disproportionately affects military veterans, is associated with heightened rates of aggression and suicide. Although experience with firearms is common among this population, virtually nothing is known regarding who is more likely to own a firearm and whether firearm ownership is differentially associated with psychological and behavioral risk factors among veterans with PTSD. Of 465 veterans (79% male) entering PTSD treatment, 28% owned a firearm (median number of firearms among owners = 3, range = 1-40)...
October 2016: Military Medicine
https://www.readbyqxmd.com/read/27747560/the-epidemiology-of-pre-hospital-potential-spinal-cord-injuries-in-victoria-australia-a-six-year-retrospective-cohort-study
#14
Ala'a O Oteir, Karen Smith, Johannes U Stoelwinder, Shelley Cox, James W Middleton, Paul A Jennings
BACKGROUND: Traumatic Spinal Cord Injury (TSCI) is relatively uncommon, yet a devastating and costly condition. Despite the human and social impacts, studies describing patients with potential TSCI in the pre-hospital setting are scarce. This paper aims to describe the epidemiology of patients potentially at risk of or suspected to have a TSCI by paramedics, with a view to providing a better understanding of factors associated with potential TSCI. METHODS: This is a retrospective cohort study of all adult patients managed and transported by Ambulance Victoria (AV) between 01 January 2007 and 31 December 2012 who, based on meeting pre-hospital triage protocols and criteria for spinal clearance, paramedic suspicion or spinal immobilisation, were classified to be at risk of or suspected to have a TSCI...
December 2016: Injury Epidemiology
https://www.readbyqxmd.com/read/27744234/examining-the-effect-of-childhood-trauma-on-psychological-distress-risk-of-violence-and-engagement-in-forensic-mental-health
#15
Marlene Macinnes, Gary Macpherson, Jessica Austin, Matthias Schwannauer
Previous research has found an association between childhood trauma and insecure attachment and psychological distress, risk of violence and engagement in therapy. The aim of this study was to investigate the relationships between these factors in a forensic population. Sixty-four participants from three secure psychiatric hospitals completed the Childhood Trauma Questionnaire (CTQ), the Relationship Scales Questionnaire (RSQ) and the Clinical Outcomes in Routine Evaluation - Outcome Measure (CORE-OM). Overall scores from participants' Historical Clinical Risk Management Violence Risk Assessment Scheme, (HCR-20) were calculated...
September 29, 2016: Psychiatry Research
https://www.readbyqxmd.com/read/27743423/the-patient-care-paradox-an-interprofessional-qualitative-study-of-agitated-patient-care-in-the-emergency-department
#16
Ambrose Hon-Wai Wong, Joan Combellick, Beth Ann Wispelwey, Allison Squires, Maureen Gang
OBJECTIVES: The emergency department (ED) has been recognized as a high-risk environment for workplace violence. Acutely agitated patients who perpetrate violence against healthcare workers represent a complex care challenge in the ED. Recommendations to improve safety are often based on expert opinion rather than empirical data. In this study we aim to describe the lived experience of staff members caring for this population in order to provide a broad perspective of ED patient violence...
October 15, 2016: Academic Emergency Medicine: Official Journal of the Society for Academic Emergency Medicine
https://www.readbyqxmd.com/read/27710005/the-role-of-substance-use-coping-in-the-relation-between-childhood-sexual-abuse-and-depression-among-methamphetamine-users-in-south-africa
#17
Martha K Berg, Andréa L Hobkirk, John A Joska, Christina S Meade
Objective: Childhood sexual abuse (CSA) is a critical global health issue associated with poor psychosocial outcomes. Individuals with CSA histories are at risk for drug use, which is a growing problem in the Western Cape of South Africa. The present study of methamphetamine users in this region examined whether substance use coping, a contextually relevant type of avoidance-based coping, mediates the relation between CSA and depressive symptoms. Method: Participants included 161 men and 108 women seeking treatment for methamphetamine use...
October 6, 2016: Psychological Trauma: Theory, Research, Practice and Policy
https://www.readbyqxmd.com/read/27705899/health-advocacy-project-evaluating-the-benefits-of-service-learning-to-nursing-students-and-low-income-individuals-involved-in-a-community-based-mental-health-promotion-project
#18
Joan Samuels-Dennis, Liudi Xia, Sandra Secord, Amelia Raiger
Poverty, along with other factors such as unemployment, work and life stressors, interpersonal violence, and lack of access to high quality health and/or social services all play a role in determining who develops a mental illness and for whom those symptoms persist or worsen. Senior nursing student preparing to enter the field and working in a service learning capacity may be able to influence early recovery and symptom abatement among those most vulnerable to mental illness. A consortium of community stakeholders and researchers collaboratively designed a 10-week mental health promotion project called the Health Advocacy Project (HAP)...
October 8, 2016: International Journal of Nursing Education Scholarship
https://www.readbyqxmd.com/read/27703760/predicting-hospital-aggression-in-secure-psychiatric-care
#19
Jane L Ireland, Lee J Priday, Carol A Ireland, Simon Chu, Jennifer Kilcoyne, Caroline Mulligan
BACKGROUND: Risk assessment instruments have become a preferred means for predicting future aggression, claiming to predict long-term aggression risk. AIMS: To investigate the predictive value over 12 months and 4 years of two commonly applied instruments (Historical, Clinical and Risk Management - 20 (HCR-20) and Violence Risk Appraisal Guide (VRAG)). METHOD: Participants were adult male psychiatric patients detained in a high secure hospital...
January 2016: BJPsych Open
https://www.readbyqxmd.com/read/27695719/teenage-mothers
#20
Jennifer L Marino, Lucy N Lewis, Deborah Bateson, Martha Hickey, S Rachel Skinner
BACKGROUND: Australia's teenage birth rate has fallen to historic lows, but teenage motherhood still occurs and can be challenging for mother and baby. OBJECTIVE: The aim of this article is to review current evidence on the epidemiology and clinical care of teenage pregnancy and parenting, and provide recommendations around management of these young people in Australia. DISCUSSION: Teenage mothers may have experienced family, sexual, and partner violence, family disruption, and socioeconomic disadvantage...
October 2016: Australian Family Physician
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