SynthesisSchizophrenia bulletin2011
Structured assessment of violence risk in schizophrenia and other psychiatric disorders: a systematic review of the validity, reliability, and item content of 10 available instruments.
Synthesis in Schizophrenia bulletin, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 46 papers, 6 of them syntheses that pooled it.
What it found
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Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
46 citing papers in PubMed, 6 syntheses or guidelines pooled it.
- Tools to predict imminent risk of patient perpetrated workplace violence in healthcare settings: an umbrella review.BMC public health · 2025Pooled it
- Risk assessment for aggressive behaviour in schizophrenia.The Cochrane database of systematic reviews · 2024Pooled it
- The Effects of rTMS on Impulsivity in Normal Adults: a Systematic Review and Meta-Analysis.Neuropsychology review · 2018Pooled it
- Violence risk assessment in psychiatric patients in China: A systematic review.The Australian and New Zealand journal of psychiatry · 2016Pooled it
- Risk factors for violence in psychosis: systematic review and meta-regression analysis of 110 studies.PloS one · 2013Pooled it
- Use of risk assessment instruments to predict violence and antisocial behaviour in 73 samples involving 24 827 people: systematic review and meta-analysis.BMJ (Clinical research ed.) · 2012Pooled it
- Judgments of predictability, preventability and causation of mental health homicides in England 2010 - 2023.Medicine, science, and the law · 2026Article
- Aberrant deaths: a conundrum in domestic homicide reviews.Psychiatry, psychology, and law : an interdisciplinary journal of the Australian and New Zealand Association of Psychiatry, Psychology and Law · 2026Article
- Ethicality forms a challenge in the implementation of structured violence risk screening: a qualitative study of an intervention in two Swedish emergency psychiatric units.Frontiers in psychiatry · 2026Article
- Situational Factors Impacting Harmful Behavior Towards Others Related to Mental Health in the Community and Their Associations: A Scoping Review Based on Systematic Reviews.Healthcare (Basel, Switzerland) · 2025Review
- The Startle Response and Prepulse Inhibition in Psychosis and Violence: A Combined Electromyography and Electroencephalography Study.Schizophrenia bulletin open · 2025Article
- Approaches and challenges to assessing risk of violence in first episode psychosis: A qualitative interview study of clinicians, patients and carers.Early intervention in psychiatry · 2024Article
- Structural brain abnormalities and aggressive behaviour in schizophrenia: Mega-analysis of data from 2095 patients and 2861 healthy controls via the ENIGMA consortium.medRxiv : the preprint server for health sciences · 2024Article
- Impact of psychosocial stress on facial emotion recognition in schizophrenia and controls: an experimental study in a forensic sample.Frontiers in psychiatry · 2024Article
- Predictive validity on clinical item-level of the HKT-R divided into clinical patient classes.BMC psychiatry · 2023Article
- Assessing violence risk in first-episode psychosis: external validation, updating and net benefit of a prediction tool (OxMIV).BMJ mental health · 2023Article
- Candidate biomarkers in psychiatric disorders: state of the field.World psychiatry : official journal of the World Psychiatric Association (WPA) · 2023Article
- Filicide by mentally ill maternal perpetrators: a longitudinal, retrospective study over 30 years in a single Northern Italy psychiatric-forensic facility.Archives of women's mental health · 2023Article
- Risk factors for violence among female forensic inpatients with schizophrenia.Frontiers in psychiatry · 2023Article
- Validation and recalibration of OxMIV in predicting violent behaviour in patients with schizophrenia spectrum disorders.Scientific reports · 2022Article
Corrections and comments
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Authors and funding
4 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectivesTo undertake a systematic review on structured violence risk assessment tools in individuals with schizophrenia.
methodsA systematic search was conducted from 1990 to 2011 to identify violence risk assessment tools and studies examining their predictive validity. Item content of the identified instruments was analyzed, and areas under the curve (AUC) from the studies were extracted. In addition, an 11-item checklist was developed to assess the utility and psychometric properties of these tools.
resultsTen risk assessment tools designed to predict community violence in psychiatric patients were identified, but only 2 studies reporting predictive validity estimates in patients with schizophrenia were found (median AUC = 0.69; interquartile range = 0.60-0.77). When inclusion criteria was broadened to include studies measuring accuracy for any diagnostic group, mixed evidence of predictive validity was found, with median AUCs ranging from 0.62 to 0.85 depending on the population. Item content included mostly clinical, sociodemographic, and criminal history factors. As only 1 tool included a neurobiological item, a structured review of brain-based and cognitive risk factors for violence was included, and 3 clusters (neurocognitive ability, neurocognitive awareness, and attitudinal cognition) were identified.
conclusionsWhile a number of violence risk assessment tools exist that can be used to predict the likelihood of community violence in psychiatric patients, there is currently little direct evidence for their utility in individuals with schizophrenia. In addition, there is large variation in item content between instruments, and further research is necessary to determine whether the inclusion of alternative factors could improve risk assessment.
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