Journal article
Use of a violence risk prediction tool (Oxford Mental Illness and Violence) in early intervention in psychosis services: mixed methods study of acceptability, feasibility and clinical role
- Abstract:
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Background: Scalable assessment tools for precision psychiatry are of increasing clinical interest. One clinical risk assessment that might be improved by such approaches is assessment of violence perpetration risk. This is an important adverse outcome to reduce for some people presenting to services for first-episode psychosis. A prediction tool (Oxford Mental Illness and Violence (OxMIV)) has been externally validated in these services, but clinical acceptability and role need to be examined and developed.
Aims: This study aimed to understand clinical use of the OxMIV tool to support violence risk management in early intervention in psychosis services in terms of acceptability to clinicians, patients and carers, practical feasibility, perceived utility, impact and role.
Method: A mixed methods approach integrated quantitative data on utility and patterns of use of the OxMIV tool over 12 months in two services with qualitative data from interviews of 20 clinicians and 12 patients and carers.
Results: The OxMIV tool was used 141 times, mostly in new assessments. Required information was available, with only family history items scored unknown to any notable degree. The OxMIV tool was deemed helpful by clinicians in most cases, especially if there were previous risk concerns. It was acceptable practically, and broadly for the service, for which its concordance with clinical judgement was important. Patients and carers thought it could improve openness. There was some limited impact on plans for clinical support.
Conclusions: The OxMIV tool met an identified clinical need to support clinical assessment for violence risk. Linkage to intervention pathways is a research priority.
- Publication status:
- Published
- Peer review status:
- Peer reviewed
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(Preview, Version of record, pdf, 677.4KB, Terms of use)
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(Preview, Supplementary materials, pdf, 216.4KB, Terms of use)
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- Publisher copy:
- 10.1192/bjp.2024.293
Authors
- Publisher:
- Cambridge University Press
- Journal:
- British Journal of Psychiatry More from this journal
- Volume:
- 228
- Issue:
- 2
- Pages:
- 140-149
- Publication date:
- 2025-03-20
- Acceptance date:
- 2024-11-28
- DOI:
- EISSN:
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1472-1465
- ISSN:
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0007-1250
- Language:
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English
- Keywords:
- Pubs id:
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2096531
- Local pid:
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pubs:2096531
- Deposit date:
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2025-03-21
- ARK identifier:
Terms of use
- Copyright holder:
- Whiting et al.
- Copyright date:
- 2025
- Rights statement:
- © The Author(s), 2025. Published by Cambridge University Press on behalf of Royal College of Psychiatrists. This is an Open Access article, distributed under the terms of the Creative Commons Attribution licence (https://creativecommons.org/licenses/by/4.0/), which permits unrestricted re-use, distribution and reproduction, provided the original article is properly cited.
- Licence:
- CC Attribution (CC BY)
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