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Violence risk management

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https://www.readbyqxmd.com/read/28631373/the-risk-of-violence-associated-with-novel-psychoactive-substance-misuse-in-patients-presenting-to-acute-mental-health-services
#1
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
#2
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
#3
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
#4
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
#5
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...
May 23, 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
#6
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
#7
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
#8
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
#9
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
#10
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
#11
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
#12
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
https://www.readbyqxmd.com/read/28479143/identification-of-low-risk-of-violent-crime-in-severe-mental-illness-with-a-clinical-prediction-tool-oxford-mental-illness-and-violence-tool-oxmiv-a-derivation-and-validation-study
#13
Seena Fazel, Achim Wolf, Henrik Larsson, Paul Lichtenstein, Susan Mallett, Thomas R Fanshawe
BACKGROUND: Current approaches to stratify patients with psychiatric disorders into groups on the basis of violence risk are limited by inconsistency, variable accuracy, and unscalability. To address the need for a scalable and valid tool to assess violence risk in patients with schizophrenia spectrum or bipolar disorder, we describe the derivation of a score based on routinely collected factors and present findings from external validation. METHODS: On the basis of a national cohort of 75 158 Swedish individuals aged 15-65 years with a diagnosis of severe mental illness (schizophrenia spectrum or bipolar disorder) with 574 018 patient episodes between Jan 1, 2001, and Dec 31, 2008, we developed predictive models for violent offending (primary outcome) within 1 year of hospital discharge for inpatients or clinical contact with psychiatric services for outpatients (patient episode) through linkage of population-based registers...
June 2017: Lancet Psychiatry
https://www.readbyqxmd.com/read/28454539/workplace-violence-against-nurses-in-the-gambia-mixed-methods-design
#14
Ebrima J Sisawo, Saide Yacine Y Arsène Ouédraogo, Song-Lih Huang
BACKGROUND: The aim of this study was to assess the prevalence, perpetrators and factors associated with workplace violence against nurses in public secondary health care facilities from two health regions in the Gambia. METHODS: Data was collected from 219 nurses using self-administered questionnaire and 35 face-to-face interviews. The data collection was conducted between July and September 2014 in 14 public secondary health care facilities. RESULTS: A sizable majority of respondents (62...
April 28, 2017: BMC Health Services Research
https://www.readbyqxmd.com/read/28412581/workplace-violence-against-nurses-a-cross-sectional-study
#15
Liuyi Zhang, Anni Wang, Xia Xie, Yanhong Zhou, Jing Li, Lijun Yang, Jingping Zhang
BACKGROUND: Workplace violence is a serious problem for clinical nurses, as it leads to a series of adverse consequences. However, little information is available on the prevalence and influencing factors of workplace violence in China. OBJECTIVES: To determine the prevalence of workplace violence against Chinese nurses, and its influencing factors. DESIGN: A multi-center, cross-sectional study. SETTINGS: The seven geographical regions (i...
April 7, 2017: International Journal of Nursing Studies
https://www.readbyqxmd.com/read/28394718/psychosocial-risk-and-protective-factors-for-depression-among-lesbian-gay-bisexual-and-queer-youth-a-systematic-review
#16
William J Hall
Many lesbian, gay, bisexual, or queer (LGBQ) youth suffer from depression. Identifying modifiable risk and protective factors for depression can inform the development of psychosocial interventions. The aim of this review is to evaluate the methodological characteristics and summarize the substantive findings of studies examining psychosocial risk and protective factors for depression among LGBQ youth. Eight bibliographic databases were searched, and 35 studies that met all inclusion criteria were included for review...
April 10, 2017: Journal of Homosexuality
https://www.readbyqxmd.com/read/28383982/are-adolescent-risk-assessment-tools-sensitive-to-change-a-framework-and-examination-of-the-savry-and-the-yls-cmi
#17
Jodi L Viljoen, Catherine S Shaffer, Andrew L Gray, Kevin S Douglas
Although many adolescent risk assessment tools include an emphasis on dynamic factors, little research has examined the extent to which these tools are capable of measuring change. In this article, we outline a framework to evaluate a tool's capacity to measure change. This framework includes the following: (a) measurement error and reliable change, and (b) sensitivity (i.e., internal, external, and relative sensitivity). We then used this framework to evaluate the Structured Assessment of Violence Risk in Youth (SAVRY) and Youth Level of Service/Case Management Inventory (YLS/CMI)...
April 6, 2017: Law and Human Behavior
https://www.readbyqxmd.com/read/28383980/risk-assessment-and-the-prevention-of-radicalization-from-nonviolence-into-terrorism
#18
Kiran M Sarma
This article considers the challenges associated with completing risk assessments in countering violent extremism. In particular, it is concerned with risk assessment of those who come to the attention of government and nongovernment organizations as being potentially on a trajectory toward terrorism and where there is an obligation to consider the potential future risk that they may pose. Risk assessment in this context is fraught with difficulty, primarily due to the variable nature of terrorism, the low base-rate problem, and the dearth of strong evidence on relevant risk and resilience factors...
April 2017: American Psychologist
https://www.readbyqxmd.com/read/28383621/-violence-on-health-care-workers
#19
M Cannavò, N Fusaro, F Colaiuda, G Rescigno, M Fioravanti
OBJECTIVES: The Emergency Department (ED) is vulnerable for workplace violence, but little is known about this and its consequences. Objectives of this study were presence, characteristics and effects of violence from patients and visitors on health care workers in an Emergency Department (ED). MATERIALS AND METHODS: This study was about the Accident and Emergency Department, S. Pertini Hospital, (ASL RMB, Rome, Italy). Data were collected from November 2014 to January 2015 on frequency and type of violent behavior in the past five years experienced by staff members and their level of stress by an ad hoc questionnaire for the evaluation of violent events in health activities (QVS) and a questionnaire on perceived work-related stress (QES)...
March 2017: La Clinica Terapeutica
https://www.readbyqxmd.com/read/28363385/lateral-violence-in-nursing-implications-and-strategies-for-nurse-educators
#20
Ericka Sanner-Stiehr, Peggy Ward-Smith
Lateral violence among nurses persists as a prevalent problem, contributing to psychological distress, staff turnover, and attrition. Newly graduated nurses are at particular risk for being targets of lateral violence and experiencing its negative sequelae. Preparing student nurses to respond to lateral violence prior to entering the nursing may alter this scenario. A review of the literature was conducted to determine the potential for nursing faculty to change the cycle of lateral violence. Based on this review, we recommend 3 main strategies, specifically for nursing faculty, aimed at reducing incidences of lateral violence and preparing students to manage this phenomenon...
March 2017: Journal of Professional Nursing: Official Journal of the American Association of Colleges of Nursing
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