Schizophrenia and violence: study in a general psychiatric hospital with HCR-20 and MOAS
Autor(a) principal: | |
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Data de Publicação: | 2018 |
Outros Autores: | , , , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Trends in Psychiatry and Psychotherapy |
Texto Completo: | http://old.scielo.br/scielo.php?script=sci_arttext&pid=S2237-60892018000400310 |
Resumo: | Abstract Objective: This preliminary study aimed to identify and compare characteristics related to violent behavior in inpatients with schizophrenia at a general psychiatric hospital using the Historical, Clinical, and Risk Management 20 (HCR-20), the Modified Overt Aggression Scale (MOAS), and sociodemographic data. Method: Violent and nonviolent participants were selected based on psychiatric admission reports. Participants with reports of aggressive behavior and HCR-20 total score ≥ 21 upon admission were assigned to the violent patient group. Participants without aggressive behavior and with HCR-20 total score < 21 upon admission were assigned to the nonviolent patient group. The MOAS was applied to characterize the degree of severity of the violent behavior. Results: HCR-20 and its subscales were effective in differentiating between the violent and nonviolent participant groups. Twelve of the 20 HCR-20 items were useful for distinguishing between the groups, although total HCR-20 scores were more reliable when applied to the nonviolent patient group. The MOAS did not show high degrees of severity for the types of aggression observed in the participants. Conclusion: HCR-20 was useful and reliable for distinguishing between violent and nonviolent patients with schizophrenia in this clinical psychiatric setting. Item analysis identified the most relevant characteristics in each group. The use of the HCR-20 in clinical psychiatric settings should be encouraged. |
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Schizophrenia and violence: study in a general psychiatric hospital with HCR-20 and MOASAggressivenesspsychosisschizophreniaHCR-20risk assessmentMOASAbstract Objective: This preliminary study aimed to identify and compare characteristics related to violent behavior in inpatients with schizophrenia at a general psychiatric hospital using the Historical, Clinical, and Risk Management 20 (HCR-20), the Modified Overt Aggression Scale (MOAS), and sociodemographic data. Method: Violent and nonviolent participants were selected based on psychiatric admission reports. Participants with reports of aggressive behavior and HCR-20 total score ≥ 21 upon admission were assigned to the violent patient group. Participants without aggressive behavior and with HCR-20 total score < 21 upon admission were assigned to the nonviolent patient group. The MOAS was applied to characterize the degree of severity of the violent behavior. Results: HCR-20 and its subscales were effective in differentiating between the violent and nonviolent participant groups. Twelve of the 20 HCR-20 items were useful for distinguishing between the groups, although total HCR-20 scores were more reliable when applied to the nonviolent patient group. The MOAS did not show high degrees of severity for the types of aggression observed in the participants. Conclusion: HCR-20 was useful and reliable for distinguishing between violent and nonviolent patients with schizophrenia in this clinical psychiatric setting. Item analysis identified the most relevant characteristics in each group. The use of the HCR-20 in clinical psychiatric settings should be encouraged.Associação de Psiquiatria do Rio Grande do Sul2018-12-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersiontext/htmlhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S2237-60892018000400310Trends in Psychiatry and Psychotherapy v.40 n.4 2018reponame:Trends in Psychiatry and Psychotherapyinstname:Sociedade de Psiquiatria do Rio Grande do Sulinstacron:APRGS10.1590/2237-6089-2017-0039info:eu-repo/semantics/openAccessMeyer,Leonardo FernandezTelles,Lisieux E. de BorbaMecler,KátiaSoares,Ana Luiza Alfaya GalegoAlves,Renata SantosValença,Alexandre Martinseng2019-04-08T00:00:00Zoai:scielo:S2237-60892018000400310Revistahttp://www.scielo.br/scielo.php?script=sci_serial&pid=2237-6089&lng=en&nrm=isohttps://old.scielo.br/oai/scielo-oai.phprevista@aprs.org.br|| rodrigo_grassi@terra.com.br2238-00192237-6089opendoar:2019-04-08T00:00Trends in Psychiatry and Psychotherapy - Sociedade de Psiquiatria do Rio Grande do Sulfalse |
dc.title.none.fl_str_mv |
Schizophrenia and violence: study in a general psychiatric hospital with HCR-20 and MOAS |
title |
Schizophrenia and violence: study in a general psychiatric hospital with HCR-20 and MOAS |
spellingShingle |
Schizophrenia and violence: study in a general psychiatric hospital with HCR-20 and MOAS Meyer,Leonardo Fernandez Aggressiveness psychosis schizophrenia HCR-20 risk assessment MOAS |
title_short |
Schizophrenia and violence: study in a general psychiatric hospital with HCR-20 and MOAS |
title_full |
Schizophrenia and violence: study in a general psychiatric hospital with HCR-20 and MOAS |
title_fullStr |
Schizophrenia and violence: study in a general psychiatric hospital with HCR-20 and MOAS |
title_full_unstemmed |
Schizophrenia and violence: study in a general psychiatric hospital with HCR-20 and MOAS |
title_sort |
Schizophrenia and violence: study in a general psychiatric hospital with HCR-20 and MOAS |
author |
Meyer,Leonardo Fernandez |
author_facet |
Meyer,Leonardo Fernandez Telles,Lisieux E. de Borba Mecler,Kátia Soares,Ana Luiza Alfaya Galego Alves,Renata Santos Valença,Alexandre Martins |
author_role |
author |
author2 |
Telles,Lisieux E. de Borba Mecler,Kátia Soares,Ana Luiza Alfaya Galego Alves,Renata Santos Valença,Alexandre Martins |
author2_role |
author author author author author |
dc.contributor.author.fl_str_mv |
Meyer,Leonardo Fernandez Telles,Lisieux E. de Borba Mecler,Kátia Soares,Ana Luiza Alfaya Galego Alves,Renata Santos Valença,Alexandre Martins |
dc.subject.por.fl_str_mv |
Aggressiveness psychosis schizophrenia HCR-20 risk assessment MOAS |
topic |
Aggressiveness psychosis schizophrenia HCR-20 risk assessment MOAS |
description |
Abstract Objective: This preliminary study aimed to identify and compare characteristics related to violent behavior in inpatients with schizophrenia at a general psychiatric hospital using the Historical, Clinical, and Risk Management 20 (HCR-20), the Modified Overt Aggression Scale (MOAS), and sociodemographic data. Method: Violent and nonviolent participants were selected based on psychiatric admission reports. Participants with reports of aggressive behavior and HCR-20 total score ≥ 21 upon admission were assigned to the violent patient group. Participants without aggressive behavior and with HCR-20 total score < 21 upon admission were assigned to the nonviolent patient group. The MOAS was applied to characterize the degree of severity of the violent behavior. Results: HCR-20 and its subscales were effective in differentiating between the violent and nonviolent participant groups. Twelve of the 20 HCR-20 items were useful for distinguishing between the groups, although total HCR-20 scores were more reliable when applied to the nonviolent patient group. The MOAS did not show high degrees of severity for the types of aggression observed in the participants. Conclusion: HCR-20 was useful and reliable for distinguishing between violent and nonviolent patients with schizophrenia in this clinical psychiatric setting. Item analysis identified the most relevant characteristics in each group. The use of the HCR-20 in clinical psychiatric settings should be encouraged. |
publishDate |
2018 |
dc.date.none.fl_str_mv |
2018-12-01 |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
http://old.scielo.br/scielo.php?script=sci_arttext&pid=S2237-60892018000400310 |
url |
http://old.scielo.br/scielo.php?script=sci_arttext&pid=S2237-60892018000400310 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
10.1590/2237-6089-2017-0039 |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
text/html |
dc.publisher.none.fl_str_mv |
Associação de Psiquiatria do Rio Grande do Sul |
publisher.none.fl_str_mv |
Associação de Psiquiatria do Rio Grande do Sul |
dc.source.none.fl_str_mv |
Trends in Psychiatry and Psychotherapy v.40 n.4 2018 reponame:Trends in Psychiatry and Psychotherapy instname:Sociedade de Psiquiatria do Rio Grande do Sul instacron:APRGS |
instname_str |
Sociedade de Psiquiatria do Rio Grande do Sul |
instacron_str |
APRGS |
institution |
APRGS |
reponame_str |
Trends in Psychiatry and Psychotherapy |
collection |
Trends in Psychiatry and Psychotherapy |
repository.name.fl_str_mv |
Trends in Psychiatry and Psychotherapy - Sociedade de Psiquiatria do Rio Grande do Sul |
repository.mail.fl_str_mv |
revista@aprs.org.br|| rodrigo_grassi@terra.com.br |
_version_ |
1754209281096286208 |