ArticleJournal of the American College of Emergency Physicians open2022
Multisite study of Aggressive Behavior Risk Assessment Tool in emergency departments.
Article in Journal of the American College of Emergency Physicians open, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 2 of them syntheses that pooled it.
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Who cites it
11 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Predictive Validity of Violence Screening Tools in Emergency and Psychiatric Services: A Systematic Review.Trauma, violence & abuse · 2026Pooled it
- Tools to predict imminent risk of patient perpetrated workplace violence in healthcare settings: an umbrella review.BMC public health · 2025Pooled it
- Interventions to Prevent Patient- and Visitor-Perpetrated Violence Against Nurses in the Emergency Department: A Scoping Review.Journal of advanced nursing · 2026Article
- The Aggression and Violence Evaluation of Risk Tool: A Context-Specific Instrument to Assess Risk of Violence in the Emergency Department.Journal of advanced nursing · 2026Observational
- The Risk for Violence Screening Tool: a psychometric validation and reliability study.International journal of nursing studies advances · 2025Article
- Aggressive Behavior Risk Assessment Tool for Emergency Medical Services.Journal of the American College of Emergency Physicians open · 2025Article
- Deep learning models can predict violence and threats against healthcare providers using clinical notes.Npj mental health research · 2024Article
- A workplace violence prevention program targeting high-risk patients in emergency departments.Journal of the American College of Emergency Physicians open · 2024Article
- Incident of violence escalation of patients with psychiatric emergencies boarding in the emergency department in the central region of Thailand and its association: a prospective observational study.BMC health services research · 2024Observational
- Validation of a violence risk screening for youth in psychiatric inpatient care-a pilot study of V-RISK-Y.Frontiers in psychiatry · 2023Article
- Multisite study of Aggressive Behavior Risk Assessment Tool in emergency departments.Journal of the American College of Emergency Physicians open · 2022Article
Corrections and comments
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Authors and funding
7 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Objective: Violence is a major preventable problem in emergency departments (EDs), and validated screening tools are needed to identify potentially violent patients. We aimed to test the utility of the Aggressive Behavior Risk Assessment Tool (ABRAT) for screening patients in the ED. Methods: A prospective cohort study was conducted among adult and pediatric patients aged ≥10 years visiting 3 emergency departments in Michigan between May 1, 2021, and June 30, 2021. Triage nurses completed the 16-item checklist using electronic health records (EHRs), and the occurrence of violent incidents were collected before ED disposition. A multivariate logistic regression model was applied to select a parsimonious set of items. Results: Among 10,554 patients, 127 had ≥1 violent incidents (1.2%). The regression model resulted in a 7-item ABRAT for EDs, including history of aggression and mental illness and reason for visit, as well as 4 violent behavior indicators. Receiver operating characteristics analysis showed that the area under the curve was 0.91 (95% confidence interval [CI], 0.87-0.95), with a sensitivity of 84.3% (95% CI, 76.5%-89.9%) and specificity of 95.3% (95% CI, 94.8%-95.7%) at the optimal cutoff score of 1. An alternative cutoff score of 4 for identifying patients at high risk for violence had a sensitivity and specificity of 70.1% and 98.9%, respectively. Conclusion: The ABRAT for EDs appears to be a simple yet comprehensive checklist with a high sensitivity and specificity for identifying potentially violent patients in EDs. The availability of such a screening checklist in the EHR may allow rapid identification of high-risk patients and implementation of focused mitigation measures to protect emergency staff and patients.
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