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Mental health-related risk factors for violence : using the evidence to guide mental health triage decision making

Sands, N, Elsom, S., Gerdtz, M. and Khaw, D. 2012, Mental health-related risk factors for violence : using the evidence to guide mental health triage decision making, Journal of psychiatric and mental health nursing, vol. 19, no. 8, pp. 690-701, doi: 10.1111/j.1365-2850.2011.01839.x.

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Title Mental health-related risk factors for violence : using the evidence to guide mental health triage decision making
Author(s) Sands, N
Elsom, S.
Gerdtz, M.
Khaw, D.ORCID iD for Khaw, D. orcid.org/0000-0002-9311-6912
Journal name Journal of psychiatric and mental health nursing
Volume number 19
Issue number 8
Start page 690
End page 701
Total pages 12
Publisher Wiley Blackwell
Place of publication Oxford, England
Publication date 2012-10
ISSN 1351-0126
1365-2850
Keyword(s) crisis assessment
emergency psychiatry
mental health triage
systematic review
violence risk
Summary Mental health clinicians working in emergency crisis assessment teams or mental health triage roles are required to make rapid and accurate risk assessments. The assessment of violence risk at triage is particularly pertinent to the early identification and prevention of patient violence, and to enhancing the safety of clinical staff and the general public. To date, the evidence base for mental health triage violence risk assessment has been minimal. This study aimed to address this evidence gap by identifying best available evidence for mental health-related risk factors for patientinitiated violence.We conducted a systematic review based on the National Health and Medical Research Council of Australia’s methodology for systematic reviews. A total of 6847 studies were retrieved, of which 326 studies met the study inclusion criteria. Of these studies, 277 met inclusion criteria but failed the quality appraisal process, thus a total of 49 studies were included in the final review. The risk factors that achieved the highest evidence grading were predominantly related to dynamic clinical factors immediately observable in the patient’s general appearance, behaviour and speech. These factors included hostility/anger, agitation, thought disturbance, positive symptoms of schizophrenia, suspiciousness and irritability.

Notes Article first published online 15 Nov. 2011
Language eng
DOI 10.1111/j.1365-2850.2011.01839.x
Field of Research 111005 Mental Health Nursing
Socio Economic Objective 920210 Nursing
HERDC Research category C1 Refereed article in a scholarly journal
Copyright notice ©2011, Blackwell Publishing Ltd.
Persistent URL http://hdl.handle.net/10536/DRO/DU:30045313

Document type: Journal Article
Collections: Faculty of Health
School of Nursing and Midwifery
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Citation counts: TR Web of Science Citation Count  Cited 21 times in TR Web of Science
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Created: Tue, 15 May 2012, 13:01:04 EST by Jane Moschetti

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