Yao Xiuyu, Li Zheng, Arthur David, Hu Lili, Cheng Gen
School of Nursing, Peking Union Medical College, Beijing, China.
Int J Ment Health Nurs. 2014 Feb;23(1):79-87. doi: 10.1111/j.1447-0349.2012.00890.x. Epub 2013 Jan 29.
The Violence Risk Screening-10 is one of the few instruments available for evaluating violence risk in mental health clients during and after hospitalization. This prospective study examined the applicability of this brief instrument with a sample of 289 clients in the 6 months after discharge from a general psychiatric hospital in Beijing. During the research period, 24 of the 289 clients demonstrated aggression. The receiver-operator characteristic curve yielded an area under the curve of 0.62. At the cut-off point of 4.5, its sensitivity/specificity was 79.2%/33.3%, and the corresponding positive/negative predictive value was 9.9%/94.5%. The predictive accuracy of this instrument was lower compared with the results of the original study, and was also less accurate than when it was administered while the clients were in the hospital. While promising in its utility for use beyond the hospital, it deserves further modification prior to its wide use across culturally-diverse China.
暴力风险筛查-10是少数可用于评估精神卫生患者住院期间及出院后暴力风险的工具之一。这项前瞻性研究在北京一家综合精神病医院出院后的6个月内，对289名患者样本检验了这一简短工具的适用性。在研究期间，289名患者中有24人表现出攻击性。受试者工作特征曲线得出曲线下面积为0.62。在截断点为4.5时，其敏感度/特异度为79.2%/33.3%，相应的阳性/阴性预测值为9.9%/94.5%。与原研究结果相比，该工具的预测准确性较低，并且比在患者住院期间使用时的准确性也更低。虽然它在出院后使用具有一定效用，但在文化多元的中国广泛使用之前，仍值得进一步改进。
