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The assessment of imminent inpatient aggression: a validation study of the DASA-IV in Scotland

The assessment of imminent inpatient aggression: a validation study of the DASA-IV in Scotland
The assessment of imminent inpatient aggression: a validation study of the DASA-IV in Scotland

Inpatient aggression in psychiatric settings poses a serious management problem. This study reports the findings of a prospective pilot study on the Dynamic Appraisal of Situational Aggression -Inpatient Version (DASA-IV), a structured risk assessment tool for imminent aggression. The study was conducted in the State Hospital, the high secure psychiatric hospital for Scotland and Northern Ireland. The outcome data were aggressive incidents recorded on the Staff Observation Aggression Scale - Revised (SOAS-R) and incidents noted on the hospital's online recording tool. All measures were completed by nursing staff as part of their daily clinical routine to ensure ecological validity. The DASA-IV was found to be of moderate to good predictive power. Limitations and suggestions for further research are outlined, and the potential for implementation of the tool is discussed.

DASA-IV, Dynamic risk assessment tool, Inpatient aggression, Prediction
1478-9949
789-800
Vojt, Gabriele
20a2722e-e8b5-49e9-9f9f-01cf4e1b1387
Marshall, Lisa A.
f1d5a77b-b112-49b2-90f2-37e290a22aee
Thomson, Lindsay D.G.
ada5baba-e0ce-463c-92f4-7ba95baa7d9c
Vojt, Gabriele
20a2722e-e8b5-49e9-9f9f-01cf4e1b1387
Marshall, Lisa A.
f1d5a77b-b112-49b2-90f2-37e290a22aee
Thomson, Lindsay D.G.
ada5baba-e0ce-463c-92f4-7ba95baa7d9c

Vojt, Gabriele, Marshall, Lisa A. and Thomson, Lindsay D.G. (2010) The assessment of imminent inpatient aggression: a validation study of the DASA-IV in Scotland. Journal of Forensic Psychiatry and Psychology, 21 (5), 789-800. (doi:10.1080/14789949.2010.489952).

Record type: Article

Abstract

Inpatient aggression in psychiatric settings poses a serious management problem. This study reports the findings of a prospective pilot study on the Dynamic Appraisal of Situational Aggression -Inpatient Version (DASA-IV), a structured risk assessment tool for imminent aggression. The study was conducted in the State Hospital, the high secure psychiatric hospital for Scotland and Northern Ireland. The outcome data were aggressive incidents recorded on the Staff Observation Aggression Scale - Revised (SOAS-R) and incidents noted on the hospital's online recording tool. All measures were completed by nursing staff as part of their daily clinical routine to ensure ecological validity. The DASA-IV was found to be of moderate to good predictive power. Limitations and suggestions for further research are outlined, and the potential for implementation of the tool is discussed.

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More information

Published date: 26 July 2010
Keywords: DASA-IV, Dynamic risk assessment tool, Inpatient aggression, Prediction

Identifiers

Local EPrints ID: 502382
URI: http://eprints.soton.ac.uk/id/eprint/502382
ISSN: 1478-9949
PURE UUID: 88870d17-2c77-4767-b42b-f535790f7511
ORCID for Gabriele Vojt: ORCID iD orcid.org/0000-0002-9135-0684

Catalogue record

Date deposited: 24 Jun 2025 16:45
Last modified: 25 Jun 2025 02:14

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Contributors

Author: Gabriele Vojt ORCID iD
Author: Lisa A. Marshall
Author: Lindsay D.G. Thomson

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