van der Laan B A G T, Verstegen N, de Vogel V
Tijdschr Psychiatr. 2023;65(4):253-258.
It is well known that structured short-term risk assessment tools contribute to predicting physically aggressive behavior in patients in acute psychiatry.
To research whether the Brøset-Violence-Checklist (BVC), an instrument for short-term prediction of violence of psychiatric inpatients, can be used in forensic psychiatry and how the use of the BVC is experienced.
Twice every 24 hours at more or less fixed times, a BVC score was registered for all patients who stayed in a crisis department within a Forensic Psychiatric Center in 2019. The BVC total scores were then related to physically aggressive incidents. In addition, focus groups and interviews were conducted with sociotherapists to examine experiences with the use of the BVC.
The analysis showed a significant predictive value of the BVC total score (AUC = 0.69; p < 0.01). Moreover, the sociotherapists experienced the BVC as user-friendly and efficient.
The BVC has good predictive value to forensic psychiatry. This is especially true for those patients for whom personality disorder is not part of the primary classification.
众所周知，结构化短期风险评估工具有助于预测急性精神病患者的身体攻击行为。
研究用于短期预测精神科住院患者暴力行为的工具——布罗斯暴力检查表（BVC）能否用于法医精神病学，以及使用BVC的体验如何。
2019年，在法医精神病中心的危机部门，每隔24小时在大致固定的时间对所有住院患者进行两次BVC评分登记。然后将BVC总分与身体攻击事件相关联。此外，与社会心理治疗师进行焦点小组讨论和访谈，以考察使用BVC的体验。
分析表明，BVC总分具有显著的预测价值（曲线下面积=0.69；p<0.01）。此外，社会心理治疗师认为BVC使用方便且高效。
BVC对法医精神病学具有良好的预测价值。对于那些人格障碍不属于主要分类的患者尤其如此。
