Applicability of two violence risk assessment tools in a psychiatric prison hospital population

The risk of violent behavior is known to be higher for patients who suffer from a severe mental disorder. However, specific prediction tools for clinical work in prison psychiatry are lacking. In this single-center study, two violence risk assessment tools (Forensic Psychiatry and Violence Tool, “FoVOx,” and Mental Illness and Violence Tool, “OxMIV”) were applied to a prison hospital population with a primary psychotic or bipolar disorder and subsequently compared. The required information on all items of both tools was obtained retrospectively for a total of 339 patients by evaluation of available patient files. We obtained the median and inter-quartile range for both FoVOx and OxMIV, and their rank correlation coefficient along with 95% confidence intervals (CIs)—for the full cohort, as well as for cohort subgroups. The two risk assessment tools were strongly positively correlated (Spearman correlation = 0.83; 95% CI = 0.80–0.86). Such a high correlation was independent of nationality, country of origin, type of detention, schizophrenia-spectrum disorder, previous violent crime and alcohol use disorder, where correlations were above 0.8. A lower correlation was seen with patients who were 30 years old or more, married, with affective disorder and with self-harm behavior, and also in patients without aggressive behavior and without drug use disorder. Both risk assessment tools are applicable as an adjunct to clinical decision making in prison psychiatry.     

Detection of temporal gaps within and between perceptual tonal groups

Two experiments were conducted to explore the hypothesis that tones widely separated in frequency are processed in separate communication channels. Listeners attempted to detect brief temporal gaps between items in a simple tonal sequence of two high tones followed by two low tones. Temporal resolution within both the high and low groups was near perfect; between-group detection scores were significantly lower. Results are interpreted as evidence for a processing time delay when shifts of focal attention occur between perceptual structures organized within the frequency domain.     

The estimation of reliability when several trials are available

In certain types of experiment it frequently happens that we have a block of data consisting of several trials on the same individuals. Using the methods of estimation provided by the analysis of variance, estimates of reliability are derived for this case, and the conditions under which each is valid are discussed. Various relations between these estimates and the product-moment coefficient of correlation are obtained.From the Laboratory of Physiological Hygiene, University of Minnesota. This work was supported in part under the terms of a contract between the Regents of the University of Minnesota and the Office of Scientific Research and Development. Important financial assistance was also provided by the Nutrition Foundation, Inc.: The U. S. Sugar Cane Refiners Association, N. Y.; the Corn Industries Research Foundation, N. Y.: Swift and Co., Chicago; the National Confectioners' Association; the National Daily Council, Chicago; and the Graduate Medical Research Fund. University of Minnesota. The author is indebted for assistance and encouragement to all the members of the staff of the Laboratory of Physiological Hygiene, and especially to Mr. Harold Guetzkow and Mr. Rich and Seymour.     

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