Assessing the risk of imminent aggression in mentally ill young offenders
Objectives: Aggression in adolescents presents a significant problem for psychiatric units. The Dynamic Appraisal of Situational Aggression (DASA) is an empirically validated measure designed to appraise the risk of imminent aggression (within the next 24 hours) in adult patients. Our aim was to exa...
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| Veröffentlicht in: | Australasian psychiatry : bulletin of the Royal Australian and New Zealand College of Psychiatrists 2015-02, Vol.23 (1), p.44-48 |
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| container_title | Australasian psychiatry : bulletin of the Royal Australian and New Zealand College of Psychiatrists |
| container_volume | 23 |
| creator | Kasinathan, John Marsland, Christopher Batterham, Philip Gaskin, Claire Adams, Jonathon Daffern, Michael |
| description | Objectives:
Aggression in adolescents presents a significant problem for psychiatric units. The Dynamic Appraisal of Situational Aggression (DASA) is an empirically validated measure designed to appraise the risk of imminent aggression (within the next 24 hours) in adult patients. Our aim was to examine the predictive validity of the DASA: Youth Version (DASA:YV) with youth-specific items, in young offenders hospitalised with a mental illness.
Methods:
This prospective validation study involved 4440 DASA:YV ratings of mentally ill adolescents in a secure hospital. At 24 hours post-assessment, the nursing staff documented whether patients had behaved aggressively: physically, verbally or towards property. Predictive accuracy was assessed using the area under the curve (AUC) of the receiver operating characteristic (ROC) curve.
Results:
The DASA:YV significantly predicted any imminent aggression (AUC = 0.754). Additional youth-specific items conferred a greater predictive yield, as compared to adult-derived items (p = 0.014).
Conclusions:
It is possible to monitor the risk state of hospitalised mentally ill youth, so that heightened states can be detected early, thus facilitating interventions to reduce the risk of violence. |
| doi_str_mv | 10.1177/1039856214563845 |
| format | Article |
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Aggression in adolescents presents a significant problem for psychiatric units. The Dynamic Appraisal of Situational Aggression (DASA) is an empirically validated measure designed to appraise the risk of imminent aggression (within the next 24 hours) in adult patients. Our aim was to examine the predictive validity of the DASA: Youth Version (DASA:YV) with youth-specific items, in young offenders hospitalised with a mental illness.
Methods:
This prospective validation study involved 4440 DASA:YV ratings of mentally ill adolescents in a secure hospital. At 24 hours post-assessment, the nursing staff documented whether patients had behaved aggressively: physically, verbally or towards property. Predictive accuracy was assessed using the area under the curve (AUC) of the receiver operating characteristic (ROC) curve.
Results:
The DASA:YV significantly predicted any imminent aggression (AUC = 0.754). Additional youth-specific items conferred a greater predictive yield, as compared to adult-derived items (p = 0.014).
Conclusions:
It is possible to monitor the risk state of hospitalised mentally ill youth, so that heightened states can be detected early, thus facilitating interventions to reduce the risk of violence.</description><identifier>ISSN: 1039-8562</identifier><identifier>EISSN: 1440-1665</identifier><identifier>DOI: 10.1177/1039856214563845</identifier><identifier>PMID: 25512970</identifier><language>eng</language><publisher>London, England: SAGE Publications</publisher><subject>Adolescent ; Adolescent Behavior - psychology ; Aggression - psychology ; Criminals - psychology ; Female ; Humans ; Male ; Mentally Ill Persons - psychology ; Predictive Value of Tests ; Prospective Studies ; Psychiatric Status Rating Scales ; Risk Assessment ; ROC Curve ; Young Adult</subject><ispartof>Australasian psychiatry : bulletin of the Royal Australian and New Zealand College of Psychiatrists, 2015-02, Vol.23 (1), p.44-48</ispartof><rights>The Royal Australian and New Zealand College of Psychiatrists 2014</rights><rights>The Royal Australian and New Zealand College of Psychiatrists 2014.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c370t-b557b947f29b6cd9540cf86cbec6e1a5d55302f512eb935de131f361a4e59b4a3</citedby><cites>FETCH-LOGICAL-c370t-b557b947f29b6cd9540cf86cbec6e1a5d55302f512eb935de131f361a4e59b4a3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://journals.sagepub.com/doi/pdf/10.1177/1039856214563845$$EPDF$$P50$$Gsage$$H</linktopdf><linktohtml>$$Uhttps://journals.sagepub.com/doi/10.1177/1039856214563845$$EHTML$$P50$$Gsage$$H</linktohtml><link.rule.ids>314,780,784,21819,27924,27925,43621,43622</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/25512970$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Kasinathan, John</creatorcontrib><creatorcontrib>Marsland, Christopher</creatorcontrib><creatorcontrib>Batterham, Philip</creatorcontrib><creatorcontrib>Gaskin, Claire</creatorcontrib><creatorcontrib>Adams, Jonathon</creatorcontrib><creatorcontrib>Daffern, Michael</creatorcontrib><title>Assessing the risk of imminent aggression in mentally ill young offenders</title><title>Australasian psychiatry : bulletin of the Royal Australian and New Zealand College of Psychiatrists</title><addtitle>Australas Psychiatry</addtitle><description>Objectives:
Aggression in adolescents presents a significant problem for psychiatric units. The Dynamic Appraisal of Situational Aggression (DASA) is an empirically validated measure designed to appraise the risk of imminent aggression (within the next 24 hours) in adult patients. Our aim was to examine the predictive validity of the DASA: Youth Version (DASA:YV) with youth-specific items, in young offenders hospitalised with a mental illness.
Methods:
This prospective validation study involved 4440 DASA:YV ratings of mentally ill adolescents in a secure hospital. At 24 hours post-assessment, the nursing staff documented whether patients had behaved aggressively: physically, verbally or towards property. Predictive accuracy was assessed using the area under the curve (AUC) of the receiver operating characteristic (ROC) curve.
Results:
The DASA:YV significantly predicted any imminent aggression (AUC = 0.754). Additional youth-specific items conferred a greater predictive yield, as compared to adult-derived items (p = 0.014).
Conclusions:
It is possible to monitor the risk state of hospitalised mentally ill youth, so that heightened states can be detected early, thus facilitating interventions to reduce the risk of violence.</description><subject>Adolescent</subject><subject>Adolescent Behavior - psychology</subject><subject>Aggression - psychology</subject><subject>Criminals - psychology</subject><subject>Female</subject><subject>Humans</subject><subject>Male</subject><subject>Mentally Ill Persons - psychology</subject><subject>Predictive Value of Tests</subject><subject>Prospective Studies</subject><subject>Psychiatric Status Rating Scales</subject><subject>Risk Assessment</subject><subject>ROC Curve</subject><subject>Young Adult</subject><issn>1039-8562</issn><issn>1440-1665</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2015</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqNkL1PwzAQxS0EoqWwMyGPLAHb8TnJWFV8VKrEAnPkJOfiksTFTob-97hqYUBCYjrr3u89nR8h15zdcZ5l95ylRQ5KcAkqzSWckCmXkiVcKTiN7ygne31CLkLYMMZyEOqcTAQAF0XGpmQ5DwFDsP2aDu9IvQ0f1Blqu8722A9Ur9d-r7ue2p52caXbdkdt29KdG6PLGYN9gz5ckjOj24BXxzkjb48Pr4vnZPXytFzMV0mdZmxIKoCsKmRmRFGpuilAstrkqq6wVsg1NAApEybeh1WRQoM85SZVXEuEopI6nZHbQ-7Wu88Rw1B2NtTYtrpHN4Yy_p0rnkuZ_wMFITmDTESUHdDauxA8mnLrbaf9ruSs3Hdd_u46Wm6O6WPVYfNj-C43AskBCHqN5caNvo_F_B34Bbd7hao</recordid><startdate>201502</startdate><enddate>201502</enddate><creator>Kasinathan, John</creator><creator>Marsland, Christopher</creator><creator>Batterham, Philip</creator><creator>Gaskin, Claire</creator><creator>Adams, Jonathon</creator><creator>Daffern, Michael</creator><general>SAGE Publications</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><scope>ASE</scope><scope>FPQ</scope><scope>K6X</scope></search><sort><creationdate>201502</creationdate><title>Assessing the risk of imminent aggression in mentally ill young offenders</title><author>Kasinathan, John ; Marsland, Christopher ; Batterham, Philip ; Gaskin, Claire ; Adams, Jonathon ; Daffern, Michael</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c370t-b557b947f29b6cd9540cf86cbec6e1a5d55302f512eb935de131f361a4e59b4a3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2015</creationdate><topic>Adolescent</topic><topic>Adolescent Behavior - psychology</topic><topic>Aggression - psychology</topic><topic>Criminals - psychology</topic><topic>Female</topic><topic>Humans</topic><topic>Male</topic><topic>Mentally Ill Persons - psychology</topic><topic>Predictive Value of Tests</topic><topic>Prospective Studies</topic><topic>Psychiatric Status Rating Scales</topic><topic>Risk Assessment</topic><topic>ROC Curve</topic><topic>Young Adult</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Kasinathan, John</creatorcontrib><creatorcontrib>Marsland, Christopher</creatorcontrib><creatorcontrib>Batterham, Philip</creatorcontrib><creatorcontrib>Gaskin, Claire</creatorcontrib><creatorcontrib>Adams, Jonathon</creatorcontrib><creatorcontrib>Daffern, Michael</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><collection>British Nursing Index</collection><collection>British Nursing Index (BNI) (1985 to Present)</collection><collection>British Nursing Index</collection><jtitle>Australasian psychiatry : bulletin of the Royal Australian and New Zealand College of Psychiatrists</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Kasinathan, John</au><au>Marsland, Christopher</au><au>Batterham, Philip</au><au>Gaskin, Claire</au><au>Adams, Jonathon</au><au>Daffern, Michael</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Assessing the risk of imminent aggression in mentally ill young offenders</atitle><jtitle>Australasian psychiatry : bulletin of the Royal Australian and New Zealand College of Psychiatrists</jtitle><addtitle>Australas Psychiatry</addtitle><date>2015-02</date><risdate>2015</risdate><volume>23</volume><issue>1</issue><spage>44</spage><epage>48</epage><pages>44-48</pages><issn>1039-8562</issn><eissn>1440-1665</eissn><abstract>Objectives:
Aggression in adolescents presents a significant problem for psychiatric units. The Dynamic Appraisal of Situational Aggression (DASA) is an empirically validated measure designed to appraise the risk of imminent aggression (within the next 24 hours) in adult patients. Our aim was to examine the predictive validity of the DASA: Youth Version (DASA:YV) with youth-specific items, in young offenders hospitalised with a mental illness.
Methods:
This prospective validation study involved 4440 DASA:YV ratings of mentally ill adolescents in a secure hospital. At 24 hours post-assessment, the nursing staff documented whether patients had behaved aggressively: physically, verbally or towards property. Predictive accuracy was assessed using the area under the curve (AUC) of the receiver operating characteristic (ROC) curve.
Results:
The DASA:YV significantly predicted any imminent aggression (AUC = 0.754). Additional youth-specific items conferred a greater predictive yield, as compared to adult-derived items (p = 0.014).
Conclusions:
It is possible to monitor the risk state of hospitalised mentally ill youth, so that heightened states can be detected early, thus facilitating interventions to reduce the risk of violence.</abstract><cop>London, England</cop><pub>SAGE Publications</pub><pmid>25512970</pmid><doi>10.1177/1039856214563845</doi><tpages>5</tpages></addata></record> |
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| language | eng |
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| source | Access via SAGE; MEDLINE |
| subjects | Adolescent Adolescent Behavior - psychology Aggression - psychology Criminals - psychology Female Humans Male Mentally Ill Persons - psychology Predictive Value of Tests Prospective Studies Psychiatric Status Rating Scales Risk Assessment ROC Curve Young Adult |
| title | Assessing the risk of imminent aggression in mentally ill young offenders |
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