| Use of the NOSIE to predict assaults among acute psychiatric patients. Nurses' Observational Scale for Inpatient Evaluation. | |
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MedLine Citation:
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PMID: 9285979 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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OBJECTIVE: The study evaluated the Nurses' Observational Scale for Inpatient Evaluation (NOSIE), the Brief Psychiatric Rating Scale (BPRS), the Mini Mental State Examination (MMSE), and other measures as predictors of assaults that occurred during psychiatric hospitalization. METHODS: On admission, the MMSE was administered to 335 acutely ill psychiatric patients, and diagnostic and demographic data were recorded. Immediately after admission, patients were rated by nurses using the NOSIE and by psychologists using the BPRS. Patients who committed assaults during hospitalization (N = 47) and those who did not were compared, and relationships between several variables and assaults were evaluated by t tests, Mann-Whitney U tests, chi square tests, and analyses of variance. RESULTS: A high score on the irritability factor of the NOSIE and failure to complete the MMSE correctly predicted the occurrence or nonoccurrence of assault 81 percent of the time. None of the other variables examined were significantly related to assaults, including total scores on the BPRS and MMSE, psychiatric diagnosis, and several demographic variables. CONCLUSIONS: Scores on a test of distress level shortly after admission and failure to complete the MMSE on admission can help the clinician predict who will later engage in an assault. |
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Authors:
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C Swett; T Mills |
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Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: Psychiatric services (Washington, D.C.) Volume: 48 ISSN: 1075-2730 ISO Abbreviation: Psychiatr Serv Publication Date: 1997 Sep |
Date Detail:
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Created Date: 1997-10-22 Completed Date: 1997-10-22 Revised Date: 2004-11-17 |
Medline Journal Info:
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Nlm Unique ID: 9502838 Medline TA: Psychiatr Serv Country: UNITED STATES |
Other Details:
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Languages: eng Pagination: 1177-80 Citation Subset: IM |
Affiliation:
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New Hampshire Hospital, Concord 03301, USA. |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Adult Aggression / psychology Female Hospitals, Psychiatric Hospitals, State Humans Inpatients / classification*, psychology Length of Stay / statistics & numerical data Male Mental Status Schedule* / statistics & numerical data Middle Aged New Hampshire Psychiatric Status Rating Scales* / statistics & numerical data Psychometrics Psychotic Disorders / classification, diagnosis*, psychology Reproducibility of Results Risk Assessment* Risk Factors Violence / prevention & control*, psychology |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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