Measurement of violence during in-patient treatment and association with psychopathology

Acta Psychiatr Scand. 2000 Aug;102(2):107-12. doi: 10.1034/j.1600-0447.2000.102002107.x.


Objective: Four available instruments for the measurement of violence were compared. The association between psychopathological status at admission and violence during in-patient treatment was examined.

Method: In 199 consecutively admitted patients (143 with schizophrenia or schizoaffective disorder, 56 with non-psychotic disorders), the PANSS was recorded at the time of admission. Violent behaviour against self and others was assessed for the total period of in-patient treatment using the scales MOAS, SDAS, SOAS and VS.

Results: The sumscores of the scales correlated highly (r between 0.78 and 0.91), but the scales differed in sensibility and inter-rater reliability. There was a strong association between thought disorders and violent behaviour during in-patient treatment in psychotic patients (beta = 0.34; P<0.001).

Conclusion: Although constructed to measure different aspects of violence, all investigated instruments correlated highly. The psychopathological status at admission is associated with violent behaviour during in-patient treatment.

Publication types

  • Comparative Study

MeSH terms

  • Adolescent
  • Adult
  • Aged
  • Female
  • Hospitalization*
  • Humans
  • Male
  • Mental Disorders / diagnosis*
  • Mental Disorders / psychology
  • Mental Disorders / therapy
  • Middle Aged
  • Psychiatric Status Rating Scales / statistics & numerical data*
  • Psychometrics
  • Psychotic Disorders / diagnosis
  • Psychotic Disorders / psychology
  • Psychotic Disorders / therapy
  • Reproducibility of Results
  • Schizophrenia / diagnosis
  • Schizophrenia / therapy
  • Schizophrenic Psychology
  • Sensitivity and Specificity
  • Severity of Illness Index
  • Sex Factors
  • Violence / psychology*
  • Violence / statistics & numerical data