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An Inductive Content Analysis of Collaborative Violence Risk Management Plans in a High-Security Forensic Psychiatric Hospital

Berlin, Johan LU ; Hildebrand Karlén, Malin LU ; Nilsson, Thomas LU and Wallinius, Märta LU (2025) In Issues in Mental Health Nursing 46(6). p.566-578
Abstract

This study explored a new method for nursing staff's work with collaborative violence risk management, to be used in forensic psychiatric inpatient settings. The components of the method, the background to, and the rationale for collaborative risk management in forensic mental health settings were outlined. An inductive content analysis of 50 of these collaborative violence risk management plans was conducted. The focus of the analysis was the types and frequencies of early warning signs for aggression, risk factors/scenarios for aggression, risk management strategies, and responsibilities devised to address that risk as well as goals agreed upon between patients and staff concerning that risk. The results showed that patients and staff... (More)

This study explored a new method for nursing staff's work with collaborative violence risk management, to be used in forensic psychiatric inpatient settings. The components of the method, the background to, and the rationale for collaborative risk management in forensic mental health settings were outlined. An inductive content analysis of 50 of these collaborative violence risk management plans was conducted. The focus of the analysis was the types and frequencies of early warning signs for aggression, risk factors/scenarios for aggression, risk management strategies, and responsibilities devised to address that risk as well as goals agreed upon between patients and staff concerning that risk. The results showed that patients and staff could generate collaborative violence risk management plans which displayed a content with a high degree of face validity and content validity when comparing the content of the plans to previous literature on violence risk assessment and management in forensic mental health settings. Although collaborative work on violence risk and violence risk management poses several challenges within forensic psychiatric contexts, the results showed that these approaches hold some promise in such settings - focusing on risk reduction through goal-oriented collaboration between patient and staff - and are worthy of further development and investigation.

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author
; ; and
organization
publishing date
type
Contribution to journal
publication status
published
subject
keywords
Humans, Hospitals, Psychiatric, Risk Management/methods, Violence/prevention & control, Forensic Psychiatry, Cooperative Behavior, Adult, Male, Psychiatric Nursing, Female, Aggression/psychology, Risk Assessment, Middle Aged, Mental Disorders/nursing
in
Issues in Mental Health Nursing
volume
46
issue
6
pages
566 - 578
publisher
Taylor & Francis
external identifiers
  • scopus:105002728674
  • pmid:40203432
ISSN
1096-4673
DOI
10.1080/01612840.2025.2483248
language
English
LU publication?
yes
id
ddc00a34-e68d-46a3-8332-ed2ceae74256
date added to LUP
2025-07-28 13:48:06
date last changed
2025-07-29 09:35:42
@article{ddc00a34-e68d-46a3-8332-ed2ceae74256,
  abstract     = {{<p>This study explored a new method for nursing staff's work with collaborative violence risk management, to be used in forensic psychiatric inpatient settings. The components of the method, the background to, and the rationale for collaborative risk management in forensic mental health settings were outlined. An inductive content analysis of 50 of these collaborative violence risk management plans was conducted. The focus of the analysis was the types and frequencies of early warning signs for aggression, risk factors/scenarios for aggression, risk management strategies, and responsibilities devised to address that risk as well as goals agreed upon between patients and staff concerning that risk. The results showed that patients and staff could generate collaborative violence risk management plans which displayed a content with a high degree of face validity and content validity when comparing the content of the plans to previous literature on violence risk assessment and management in forensic mental health settings. Although collaborative work on violence risk and violence risk management poses several challenges within forensic psychiatric contexts, the results showed that these approaches hold some promise in such settings - focusing on risk reduction through goal-oriented collaboration between patient and staff - and are worthy of further development and investigation.</p>}},
  author       = {{Berlin, Johan and Hildebrand Karlén, Malin and Nilsson, Thomas and Wallinius, Märta}},
  issn         = {{1096-4673}},
  keywords     = {{Humans; Hospitals, Psychiatric; Risk Management/methods; Violence/prevention & control; Forensic Psychiatry; Cooperative Behavior; Adult; Male; Psychiatric Nursing; Female; Aggression/psychology; Risk Assessment; Middle Aged; Mental Disorders/nursing}},
  language     = {{eng}},
  month        = {{04}},
  number       = {{6}},
  pages        = {{566--578}},
  publisher    = {{Taylor & Francis}},
  series       = {{Issues in Mental Health Nursing}},
  title        = {{An Inductive Content Analysis of Collaborative Violence Risk Management Plans in a High-Security Forensic Psychiatric Hospital}},
  url          = {{http://dx.doi.org/10.1080/01612840.2025.2483248}},
  doi          = {{10.1080/01612840.2025.2483248}},
  volume       = {{46}},
  year         = {{2025}},
}