Terzoni Stefano, Opreni Melissa, Lusignani Maura, Ruta Federico, Parozzi Mauro, Bisesti Alberto, D'Agostino Armando, Ferrara Paolo
University of Milan, Italy; Dept. of Biomedical Sciences for Health, Italy.
ASST Santi Paolo e Carlo, Milan, Italy; Dept. of Internal Medicine, Italy.
Sleep Med. 2025 Jun;130:64-69. doi: 10.1016/j.sleep.2025.03.018. Epub 2025 Mar 22.
Violent behaviours in acute psychiatric settings represent a critical issue within health systems. Prompt identification of patients at risk is a priority for nurses. The Brøset Violence Checklist (BVC), created to support nursing assessment, showed good psychometric skills; a new version of the instrument (BVC), including sleep alterations, seems to improve the predictivity of sleep compared to the original scale but is not available in Italian.
To evaluate the psychometric properties of the Italian version of the Brøset Violence Checklist revised (BVC).
This was a prospective, observational study. After back-translation and content validity assessment, the BVC and BVC were used simultaneously for risk assessment on a sample of patients admitted to the psychiatric inpatient wards of two Italian hospitals. Sensitivity, specificity, positive predictive value, negative predictive value, and ROC curve were calculated for both BVC and BVC.
137 patients were enrolled, and 1117 evaluations were performed. Thirty-four subjects (24.82 %) engaged in aggressive actions during hospitalization, 24 of whom more than once. The predictivity of BVC was higher than that of BVC (ROC = 0.9528 vs 0.8811). The S-CVI of the new version of the instrument was = 0.92.
Including an item addressing sleep disturbances enhances the predictive capabilities of the BVC. This modified version of the BVC proves to be an effective tool for supporting nurses in the short-term assessment of violence risk within acute psychiatric inpatient settings.
急性精神科环境中的暴力行为是卫生系统中的一个关键问题。及时识别有风险的患者是护士的首要任务。为支持护理评估而创建的布罗泽特暴力清单（BVC）显示出良好的心理测量学特性；该工具的新版本（BVC）包括睡眠改变，与原始量表相比，似乎提高了对睡眠的预测性，但尚无意大利语版本。
评估意大利语版修订后的布罗泽特暴力清单（BVC）的心理测量学特性。
这是一项前瞻性观察性研究。经过回译和内容效度评估后，同时使用BVC和BVC对两家意大利医院精神科住院病房的患者样本进行风险评估。计算了BVC和BVC的敏感性、特异性、阳性预测值、阴性预测值和ROC曲线。
共纳入137例患者，进行了1117次评估。34名受试者（24.82%）在住院期间有攻击行为，其中24人不止一次。BVC的预测性高于BVC（ROC = 0.9528对0.8811）。该工具新版本的S-CVI = 0.92。
纳入一项解决睡眠障碍的条目可提高BVC的预测能力。事实证明，这个修改后的BVC版本是支持护士在急性精神科住院环境中进行暴力风险短期评估的有效工具。
