Documentation of violence risk information in psychiatric hospital patient charts

An empirical examination

Eric B. Elbogen, Alan J. Tomkins, Antara P. Pothuloori, Mario J Scalora

Research output: Contribution to journalArticle

15 Citations (Scopus)

Abstract

Studies have identified risk factors that show a strong association with violent behavior in psychiatric populations. Yet, little research has been conducted on the documentation of violence risk information in actual clinical practice, despite the relevance of such documentation to risk assessment liability and to conducting effective risk management. In this study, the documentation of cues of risk for violence were examined in psychiatric settings. Patient charts (n = 283) in four psychiatric settings were reviewed for documentation of violence risk information summarized in the MacArthur Violence Risk Assessment Study. The results revealed that particular patient and institutional variables influenced documentation practices. The presence of personality disorder, for example, predicted greater documentation of cues of violence risk, regardless of clinical setting. These findings have medicolegal implications for risk assessment liability and clinical implications for optimizing risk management in psychiatric practice.

Original languageEnglish (US)
Pages (from-to)58-64
Number of pages7
JournalJournal of the American Academy of Psychiatry and the Law
Volume31
Issue number1
StatePublished - Apr 9 2003

Fingerprint

psychiatric hospital
Psychiatric Hospitals
Violence
Documentation
documentation
violence
examination
Psychiatry
risk assessment
Risk Management
risk management
liability
Cues
personality disorder
Personality Disorders
Research
Population

ASJC Scopus subject areas

  • Pathology and Forensic Medicine
  • Psychiatry and Mental health

Cite this

Documentation of violence risk information in psychiatric hospital patient charts : An empirical examination. / Elbogen, Eric B.; Tomkins, Alan J.; Pothuloori, Antara P.; Scalora, Mario J.

In: Journal of the American Academy of Psychiatry and the Law, Vol. 31, No. 1, 09.04.2003, p. 58-64.

Research output: Contribution to journalArticle

@article{551d7ad72e5b4e7db7da699f10ac8302,
title = "Documentation of violence risk information in psychiatric hospital patient charts: An empirical examination",
abstract = "Studies have identified risk factors that show a strong association with violent behavior in psychiatric populations. Yet, little research has been conducted on the documentation of violence risk information in actual clinical practice, despite the relevance of such documentation to risk assessment liability and to conducting effective risk management. In this study, the documentation of cues of risk for violence were examined in psychiatric settings. Patient charts (n = 283) in four psychiatric settings were reviewed for documentation of violence risk information summarized in the MacArthur Violence Risk Assessment Study. The results revealed that particular patient and institutional variables influenced documentation practices. The presence of personality disorder, for example, predicted greater documentation of cues of violence risk, regardless of clinical setting. These findings have medicolegal implications for risk assessment liability and clinical implications for optimizing risk management in psychiatric practice.",
author = "Elbogen, {Eric B.} and Tomkins, {Alan J.} and Pothuloori, {Antara P.} and Scalora, {Mario J}",
year = "2003",
month = "4",
day = "9",
language = "English (US)",
volume = "31",
pages = "58--64",
journal = "Journal of the American Academy of Psychiatry and the Law",
issn = "1093-6793",
publisher = "American Academy of Psychiatry and the Law",
number = "1",

}

TY - JOUR

T1 - Documentation of violence risk information in psychiatric hospital patient charts

T2 - An empirical examination

AU - Elbogen, Eric B.

AU - Tomkins, Alan J.

AU - Pothuloori, Antara P.

AU - Scalora, Mario J

PY - 2003/4/9

Y1 - 2003/4/9

N2 - Studies have identified risk factors that show a strong association with violent behavior in psychiatric populations. Yet, little research has been conducted on the documentation of violence risk information in actual clinical practice, despite the relevance of such documentation to risk assessment liability and to conducting effective risk management. In this study, the documentation of cues of risk for violence were examined in psychiatric settings. Patient charts (n = 283) in four psychiatric settings were reviewed for documentation of violence risk information summarized in the MacArthur Violence Risk Assessment Study. The results revealed that particular patient and institutional variables influenced documentation practices. The presence of personality disorder, for example, predicted greater documentation of cues of violence risk, regardless of clinical setting. These findings have medicolegal implications for risk assessment liability and clinical implications for optimizing risk management in psychiatric practice.

AB - Studies have identified risk factors that show a strong association with violent behavior in psychiatric populations. Yet, little research has been conducted on the documentation of violence risk information in actual clinical practice, despite the relevance of such documentation to risk assessment liability and to conducting effective risk management. In this study, the documentation of cues of risk for violence were examined in psychiatric settings. Patient charts (n = 283) in four psychiatric settings were reviewed for documentation of violence risk information summarized in the MacArthur Violence Risk Assessment Study. The results revealed that particular patient and institutional variables influenced documentation practices. The presence of personality disorder, for example, predicted greater documentation of cues of violence risk, regardless of clinical setting. These findings have medicolegal implications for risk assessment liability and clinical implications for optimizing risk management in psychiatric practice.

UR - http://www.scopus.com/inward/record.url?scp=0037238683&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=0037238683&partnerID=8YFLogxK

M3 - Article

VL - 31

SP - 58

EP - 64

JO - Journal of the American Academy of Psychiatry and the Law

JF - Journal of the American Academy of Psychiatry and the Law

SN - 1093-6793

IS - 1

ER -