Predictive accuracy of the Violence Risk Assessment Checklist for Youth in acute institutions: A prospective naturalistic multicenter study
Abstract Background Acute health and social services for children and adolescents often struggle with youth aggression and violence. Early identification of violence risk during institutional stay can help prevent violent incidents. As such, this study assessed the predictive accuracy of the Violenc...
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| Format: | Article |
| Language: | English |
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Cambridge University Press
2025-01-01
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| Series: | European Psychiatry |
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| Online Access: | https://www.cambridge.org/core/product/identifier/S0924933825000033/type/journal_article |
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| author | Anniken Lucia Willumsen Laake John Olav Roaldset Tonje Lossius Husum Stål Kapstø Bjørkly Carina Chudiakow Gustavsen Sara Teresia Grenabo Øyvind Lockertsen |
| author_facet | Anniken Lucia Willumsen Laake John Olav Roaldset Tonje Lossius Husum Stål Kapstø Bjørkly Carina Chudiakow Gustavsen Sara Teresia Grenabo Øyvind Lockertsen |
| author_sort | Anniken Lucia Willumsen Laake |
| collection | DOAJ |
| description | Abstract
Background
Acute health and social services for children and adolescents often struggle with youth aggression and violence. Early identification of violence risk during institutional stay can help prevent violent incidents. As such, this study assessed the predictive accuracy of the Violence Risk Assessment Checklist for Youth (V-RISK-Y) aged 12–18 in two different juvenile settings providing 24-hour services for youth. Institutions were included from child and adolescent inpatient psychiatry and residential youth care under child protective services.
Methods
A prospective, naturalistic observational study design was employed. V-RISK-Y was administered for youth admitted to four acute inpatient psychiatric units and four acute residential youth care institutions. Incidents of violence and threats during the youth’s stay were registered by institutional staff. In total, 517 youth were included in analyses, 59 of whom were registered with at least one incident of violence or threats during their stay. Area under curve (AUC) and logistic regression analyses were used to assess predictive accuracy and validity of V-RISK-Y.
Results
For the overall sample, V-RISK-Y had good predictive accuracy, and the sum score of V-RISK-Y significantly predicted registered violent incidents. Stratified analyses indicated good predictive accuracy of V-RISK-Y for the inpatient units, but not for the residential youth care institutions.
Conclusions
Findings imply that V-RISK-Y is accurate in identifying violence risk for youth admitted to inpatient psychiatric units but has limited predictive accuracy in residential youth care institutions. Future research should explore approaches to correctly identify violence risk in residential care settings.
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| format | Article |
| id | doaj-art-2a3d9ce1afec4182a288f5529f1d4fc2 |
| institution | Kabale University |
| issn | 0924-9338 1778-3585 |
| language | English |
| publishDate | 2025-01-01 |
| publisher | Cambridge University Press |
| record_format | Article |
| series | European Psychiatry |
| spelling | doaj-art-2a3d9ce1afec4182a288f5529f1d4fc22025-01-30T08:54:22ZengCambridge University PressEuropean Psychiatry0924-93381778-35852025-01-016810.1192/j.eurpsy.2025.3Predictive accuracy of the Violence Risk Assessment Checklist for Youth in acute institutions: A prospective naturalistic multicenter studyAnniken Lucia Willumsen Laake0https://orcid.org/0009-0001-3481-9829John Olav Roaldset1Tonje Lossius Husum2Stål Kapstø Bjørkly3Carina Chudiakow Gustavsen4Sara Teresia Grenabo5https://orcid.org/0009-0004-4310-7075Øyvind Lockertsen6https://orcid.org/0000-0003-2762-262XFaculty of Health Sciences, Department of Nursing and Health Promotion, Oslo Metropolitan University, Oslo, Norway Centre for Research and Education in Forensic Psychiatry, South Eastern Norway Regional Health Authority, Oslo University Hospital, Oslo, NorwayCentre for Research and Education in Forensic Psychiatry, South Eastern Norway Regional Health Authority, Oslo University Hospital, Oslo, NorwayFaculty of Health Sciences, Department of Nursing and Health Promotion, Oslo Metropolitan University, Oslo, NorwayFaculty of Health Sciences and Social Care, Molde University College, Molde, NorwayDepartment of Child and Adolescent Psychiatry, Oslo University Hospital, Oslo, NorwayYouth Acute Child Welfare Institution, Oslo Municipality, Oslo, NorwayFaculty of Health Sciences, Department of Nursing and Health Promotion, Oslo Metropolitan University, Oslo, Norway Centre for Research and Education in Forensic Psychiatry, South Eastern Norway Regional Health Authority, Oslo University Hospital, Oslo, NorwayAbstract Background Acute health and social services for children and adolescents often struggle with youth aggression and violence. Early identification of violence risk during institutional stay can help prevent violent incidents. As such, this study assessed the predictive accuracy of the Violence Risk Assessment Checklist for Youth (V-RISK-Y) aged 12–18 in two different juvenile settings providing 24-hour services for youth. Institutions were included from child and adolescent inpatient psychiatry and residential youth care under child protective services. Methods A prospective, naturalistic observational study design was employed. V-RISK-Y was administered for youth admitted to four acute inpatient psychiatric units and four acute residential youth care institutions. Incidents of violence and threats during the youth’s stay were registered by institutional staff. In total, 517 youth were included in analyses, 59 of whom were registered with at least one incident of violence or threats during their stay. Area under curve (AUC) and logistic regression analyses were used to assess predictive accuracy and validity of V-RISK-Y. Results For the overall sample, V-RISK-Y had good predictive accuracy, and the sum score of V-RISK-Y significantly predicted registered violent incidents. Stratified analyses indicated good predictive accuracy of V-RISK-Y for the inpatient units, but not for the residential youth care institutions. Conclusions Findings imply that V-RISK-Y is accurate in identifying violence risk for youth admitted to inpatient psychiatric units but has limited predictive accuracy in residential youth care institutions. Future research should explore approaches to correctly identify violence risk in residential care settings. https://www.cambridge.org/core/product/identifier/S0924933825000033/type/journal_articleemergency psychiatryresidential youth careviolence risk screeningV-RISK-Yyouth violence |
| spellingShingle | Anniken Lucia Willumsen Laake John Olav Roaldset Tonje Lossius Husum Stål Kapstø Bjørkly Carina Chudiakow Gustavsen Sara Teresia Grenabo Øyvind Lockertsen Predictive accuracy of the Violence Risk Assessment Checklist for Youth in acute institutions: A prospective naturalistic multicenter study European Psychiatry emergency psychiatry residential youth care violence risk screening V-RISK-Y youth violence |
| title | Predictive accuracy of the Violence Risk Assessment Checklist for Youth in acute institutions: A prospective naturalistic multicenter study |
| title_full | Predictive accuracy of the Violence Risk Assessment Checklist for Youth in acute institutions: A prospective naturalistic multicenter study |
| title_fullStr | Predictive accuracy of the Violence Risk Assessment Checklist for Youth in acute institutions: A prospective naturalistic multicenter study |
| title_full_unstemmed | Predictive accuracy of the Violence Risk Assessment Checklist for Youth in acute institutions: A prospective naturalistic multicenter study |
| title_short | Predictive accuracy of the Violence Risk Assessment Checklist for Youth in acute institutions: A prospective naturalistic multicenter study |
| title_sort | predictive accuracy of the violence risk assessment checklist for youth in acute institutions a prospective naturalistic multicenter study |
| topic | emergency psychiatry residential youth care violence risk screening V-RISK-Y youth violence |
| url | https://www.cambridge.org/core/product/identifier/S0924933825000033/type/journal_article |
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