Back to Search
Start Over
The risk assessment of imminent inpatient aggression: A cross‐cultural validation study of the dynamic appraisal of situational aggression in Estonia.
- Source :
- Journal of Psychiatric & Mental Health Nursing (John Wiley & Sons, Inc.); Aug2024, Vol. 31 Issue 4, p560-571, 12p
- Publication Year :
- 2024
-
Abstract
- Introduction: The reason for this study was void of a data‐driven imminent risk assessment instrument for aggression in psychiatry clinics in Estonia. The predictive accuracy of the observer‐rated Dynamic Assessment of Situational Aggression (DASA) has been repeatedly demonstrated. However, the research gap remains regarding a deeper conceptual understanding of the underlying latent structure of the DASA. Aim: Comprehensively evaluate the psychometric properties of the Estonian DASA version for cross‐cultural clinical use. Method: We used a prospective repeated measure design and collected 6097 risk evaluations from 381 adult inpatients, 151 of whom committed 1013 aggressive incidents during the study. Results: The Estonian DASA version has acceptable inter‐rater reliability (Kendall's τ = 0.74) and is a useful instrument with excellent predictive validity (AUC = 0.86) for identifying potentially aggressive inpatients. In our sample, the DASA has a bi‐factorial structure which explains 83% of the total variance. Discussion: The adapted DASA has acceptable validity and reliability indices for measuring imminent aggression risk in adult inpatient units. Implications for Practice: Evidence‐based risk assessment of aggression in psychiatric clinics enhances recognition of the signs of potentially aggressive behaviour in order to apply preventive actions and reduce aggression, thereby improving the quality of the care provided. [ABSTRACT FROM AUTHOR]
- Subjects :
- RISK assessment
REPEATED measures design
MULTITRAIT multimethod techniques
RESEARCH funding
RECEIVER operating characteristic curves
RESEARCH methodology evaluation
RESEARCH evaluation
VIOLENCE against medical personnel
LOGISTIC regression analysis
DESCRIPTIVE statistics
CHI-squared test
AGGRESSION (Psychology)
LONGITUDINAL method
ODDS ratio
PSYCHOMETRICS
RESEARCH methodology
PSYCHIATRIC hospitals
CONFIDENCE intervals
FACTOR analysis
DATA analysis software
INTER-observer reliability
PREDICTIVE validity
SENSITIVITY & specificity (Statistics)
EVALUATION
Subjects
Details
- Language :
- English
- ISSN :
- 13510126
- Volume :
- 31
- Issue :
- 4
- Database :
- Complementary Index
- Journal :
- Journal of Psychiatric & Mental Health Nursing (John Wiley & Sons, Inc.)
- Publication Type :
- Academic Journal
- Accession number :
- 178211575
- Full Text :
- https://doi.org/10.1111/jpm.13010