Screening for Risk Factors Associated with Violence in Pediatric Patients Presenting to a Psychiatric Emergency Department

Marisa A. Giggie · Rene Luis Olvera · MEGHNA N. JOSHI

39 citations0/0 files storedJournal of Psychiatric Practice

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Gun Ownership and Violence Research Suicide and Self-Harm Studies Psychopathy, Forensic Psychiatry, Sexual Offending

Abstract

OBJECTIVE: This exploratory study was a chart review that examined whether risk factors for violence were adequately reported in 425 pediatric patients assessed by psychiatry residents in a psychiatric emergency room. RESULTS: Overall, psychiatric residents rarely documented asking about important risk factors such as gun access, gang affiliation, history of police contact, and domestic violence; however, high rates of positive endorsement were found when queries concerning risk factors were documented in the chart. Despite being the most common method of homicide/suicide in youth, gun access was assessed by residents in only 3% of patients. Domestic violence was endorsed as positive 100% of the time when it was documented. Pediatric patients presenting with violence were more likely to be screened for past violence than those with suicide and other complaints. Males were more likely to have a history of prior violence. CONCLUSIONS: Most psychiatric residents failed to document thorough risk assessments for violence in pediatric patients in an emergency setting. This has important medical-legal and treatment planning implications.

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References

1998The prediction of criminal and violent recidivism among mentally disordered offenders: A meta-analysis.1994Assessing predictions of violence: Being accurate about accuracy.2005Gun Storage Practices and Risk of Youth Suicide and Unintentional Firearm Injuries 2004Youth violence perpetration: What protects? What predicts? Findings from the National Longitudinal Study of Adolescent Health 1993The Accuracy of Predictions of Violence to Others 1991The presence and accessibility of firearms in the homes of adolescent suicides. A case-control study 1991The Presence and Accessibility of Firearms in the Homes of Adolescent Suicides 2000Interventions to Improve Provider Diagnosis and Treatment of Mental Disorders in Primary Care: A Critical Review of the Literature

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