The predictive validity of the V-RISK-10 and BVC among involuntarily admitted patients

Tilmann Kös; Peter Bräunig; Joscha Hausam

doi:10.3389/fpsyt.2024.1342445

The predictive validity of the V-RISK-10 and BVC among involuntarily admitted patients

Front Psychiatry. 2024 Feb 27:15:1342445. doi: 10.3389/fpsyt.2024.1342445. eCollection 2024.

Authors

Tilmann Kös^{1

2}, Peter Bräunig¹, Joscha Hausam²

Affiliations

¹ Vivantes Humboldt-Klinikum, Vivantes Netzwerk GmbH, Berlin, Germany.
² Institut für Forensische Psychiatrie, Charité - Universitätsmedizin Berlin, Corporate Member of Freie Universität Berlin and Humboldt-Universität, Berlin, Germany.

Abstract

Although endangerment towards others is a criterion for an involuntary admission in many countries, research on risk assessment of endangerment among involuntarily admitted individuals is limited. In this retrospective case-control study, we calculated scores for a German-translated version of the Violence Risk Screening-10 (V-RISK-10) and the Brøset Violence Checklist (BVC) in a sample of 111 people undergoing an involuntary admission in Reinickendorf, Berlin. Outcomes were violence, coercive measures, and readmission. In line with our hypotheses, the BVC demonstrated stronger predictive validities for short-term, and V-RISK-10 for long-term events. There was an incremental validity for both instruments for restraint 24 hours after admission and any violence until discharge. These findings support the evidence that structured risk assessment instruments may be useful for individuals undergoing an involuntary admission. Ethical considerations about screening procedures are discussed.

Keywords: acute psychiatry; involuntary admission; mental disorder; risk assessment; violent behavior.

Grants and funding

The author(s) declare financial support was received for the research, authorship, and/or publication of this article. We acknowledge financial support from the Open Access Publication Fund of Charité – Universitätsmedizin Berlin.