Clinical assessment of violence from inpatient records

A comparison of individual and aggregate decision making across risk strategies

Matthew T. Huss, Robert A. Zeiss

Research output: Contribution to journalArticle

7 Citations (Scopus)

Abstract

Although clinical decisions of future risk are often criticized for being less accurate than actuarial predictions, clinical realities dictate their continued use. The current study assessed mental health professionals’ ability to make clinical decisions in an analog context while relying on the data from a previous in-vivo study (Zeiss, Tanke, Fenn, & Yesavage, 1996) in which future violence had been successfully predicted. Results of this study indicate that across multiple violence risk prediction strategies, individual clinicians consistently demonstrated poor ability to predict violence but are much improved when aggregated as “group” decision makers. In addition, clinicians showed consistent ability to assess the severity of future violence accurately.

Original languageEnglish (US)
Pages (from-to)139-147
Number of pages9
JournalInternational Journal of Forensic Mental Health
Volume3
Issue number2
DOIs
StatePublished - 2004

Fingerprint

Violence
Aptitude
Inpatients
Decision Making
Mental Health

All Science Journal Classification (ASJC) codes

  • Pathology and Forensic Medicine
  • Phychiatric Mental Health
  • Psychiatry and Mental health

Cite this

@article{7c607b23db0f4f7fb97734b124422101,
title = "Clinical assessment of violence from inpatient records: A comparison of individual and aggregate decision making across risk strategies",
abstract = "Although clinical decisions of future risk are often criticized for being less accurate than actuarial predictions, clinical realities dictate their continued use. The current study assessed mental health professionals’ ability to make clinical decisions in an analog context while relying on the data from a previous in-vivo study (Zeiss, Tanke, Fenn, & Yesavage, 1996) in which future violence had been successfully predicted. Results of this study indicate that across multiple violence risk prediction strategies, individual clinicians consistently demonstrated poor ability to predict violence but are much improved when aggregated as “group” decision makers. In addition, clinicians showed consistent ability to assess the severity of future violence accurately.",
author = "Huss, {Matthew T.} and Zeiss, {Robert A.}",
year = "2004",
doi = "10.1080/14999013.2004.10471203",
language = "English (US)",
volume = "3",
pages = "139--147",
journal = "International Journal of Forensic Mental Health",
issn = "1499-9013",
publisher = "Taylor and Francis Ltd.",
number = "2",

}

TY - JOUR

T1 - Clinical assessment of violence from inpatient records

T2 - A comparison of individual and aggregate decision making across risk strategies

AU - Huss, Matthew T.

AU - Zeiss, Robert A.

PY - 2004

Y1 - 2004

N2 - Although clinical decisions of future risk are often criticized for being less accurate than actuarial predictions, clinical realities dictate their continued use. The current study assessed mental health professionals’ ability to make clinical decisions in an analog context while relying on the data from a previous in-vivo study (Zeiss, Tanke, Fenn, & Yesavage, 1996) in which future violence had been successfully predicted. Results of this study indicate that across multiple violence risk prediction strategies, individual clinicians consistently demonstrated poor ability to predict violence but are much improved when aggregated as “group” decision makers. In addition, clinicians showed consistent ability to assess the severity of future violence accurately.

AB - Although clinical decisions of future risk are often criticized for being less accurate than actuarial predictions, clinical realities dictate their continued use. The current study assessed mental health professionals’ ability to make clinical decisions in an analog context while relying on the data from a previous in-vivo study (Zeiss, Tanke, Fenn, & Yesavage, 1996) in which future violence had been successfully predicted. Results of this study indicate that across multiple violence risk prediction strategies, individual clinicians consistently demonstrated poor ability to predict violence but are much improved when aggregated as “group” decision makers. In addition, clinicians showed consistent ability to assess the severity of future violence accurately.

UR - http://www.scopus.com/inward/record.url?scp=84858868704&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=84858868704&partnerID=8YFLogxK

U2 - 10.1080/14999013.2004.10471203

DO - 10.1080/14999013.2004.10471203

M3 - Article

VL - 3

SP - 139

EP - 147

JO - International Journal of Forensic Mental Health

JF - International Journal of Forensic Mental Health

SN - 1499-9013

IS - 2

ER -