5-Item Violence Screen IDs At-Risk Veterans
the Psychiatry Advisor take:
A brief screening tool can help clinicians identify military veterans at risk for violent behavior, according to researchers.
Eric B. Elbogen, PhD, of the Department of Psychiatry at the University of North Carolina School of Medicine at Chapel Hill, and colleagues evaluated the predictive validity of the five-item Violence Screening and Assessment of Needs (VIO-SCAN) questionnaire in more than 1,000 Iraq and Afghanistan veterans.
The national random sample survey was conducted from July 2009 through April 2010 and included veterans who served after September 2001. A total of 1090 (84.5% men; 72.8% white; mean age, 37 years) completed a follow-up survey one year later.
VIO-SCAN included questions about combat experience, alcohol misuse, financial stability, history of violence, and probable posttraumatic stress order (PTSD) plus anger.
The researchers found significant Spearman correlations between VIO-SCAN total scores and violence (P<0.05). Area-under-the-curve statistics ranged from 0.74 to 0.78 for the national survey, depending on level of violence analyzed.
"Although the VIO-SCAN does not constitute a comprehensive violence risk assessment and cannot replace fully informed clinical decision making, it is hoped that the screen will provide clinicians with a rapid, systematic method for identifying veterans at higher risk of violence, prioritizing those in need a full clinical workup, structuring review of empirically supported risk factors, and developing plans collaboratively with veterans to reduce risk and increase successful reintegration in the community," the researchers wrote.
5-Item Violence Screen Helps Determine Risk in Military Vets
Sign Up for Free e-newsletters
Psychiatry Advisor Articles
- Differences in Efficacy and Tolerability of ADHD Medications Across Age Groups
- Rapid Cycling Bipolar Disorder Associated With ADHD and Female Gender
- Associations Between Hypovitaminosis D and Poorer Outcomes in Schizophrenia
- Symptom Trajectories Vary According to Language Development in Autism
- Oxycontin's Maker Now Selling Drug to Curb Opioid Addiction
- Selective Serotonin Reuptake Inhibitors May Increase Risk for Suboptimal Fetal Growth
- Transdermal Nicotine Boosts Mood and Cognitive Function in Late-Life Depression
- Ketamine Infusions Reduce Suicidal Ideation in Depression: Characterizing Different Responses
- Prenatal Insecticide Exposure in Mother May Be Linked to Risk for Autism in Children
- Addressing the Uncertainties of the Public Service Loan Forgiveness Program for Medical School Graduates