We use a tool to measure the challenge posed to staff from the frequency and severity of behaviors that challenge presented by the individual. I have attached it here. We use it to prioritize our caseload. The higher the score the more challenging the individual is. If your looking for antecedents however I recommend using an ABC chart. You could also create your own monitoring form and transfer the data into Excell to analyze the frequency of behaviors over time of day/month in order to shape care plans. I hope this helps!

Hi Arild!

There is an outstanding and validated checklist called the Bröset Violence Checklist (BVC). It has been and still are used in many countries in order to identify specific risk behaviour which evidently often can be seen before violent actions. The checklist was made in Trondheim at a hospital called Bröset (etc) and is valid to use for  psychiatric in-patients [but is just as useful in ones everyday life..:-).]

I work with forensic psychiatric patients in Sweden and we have used the checklist for at least 10 years and it has helped us to lower our number of violent incidents to a very large extent. It is easy to use (just 6 items) and our staff value it enormously!!!

IF there is an incident anyway - you definitely should use a threat- and damage report called SOAS-R. It works perfect with BVC since it aims to capture what happened Before the incident, how the incident was solved and the report finally ask the informant to mark onn a 1-10 VAS-scale how severe the incident was experienced to be for her/him. For example we have detected that threats and violence are more frequent when its time to eat or when there is a change of staff members at the end/start of a shift.

Both BVC and SOAS-R are easy to find on internet and both instruments are free to use (!!!) as long as you don´t change anything at all (e.g. structure and content).

There are also a number of studies made and I eelieve that you will find them in a second if you have access to for example pubmed or just use a search engine of any kind on the www.

I really hope that my answer will be of use to you and feel  free to contact me if you have problems finding the things I mentioned.

Best regards, Pontus

P.S. I´ll instantly check if I have anything of these things in my computer! D.S.

Hi again, Arild

I found this papers in one of my folders - enjoy!

Dear Arild, 

Buss-Durkee is a used measure: 

Chapter Measures of Anger and Hostility in Adults

Conference Paper Relevance of self-reported aggression and impulsiveness to r...

Article Relationship Between Self-Injurious Behaviors and Levels of ...

 Hello Arild,

In my work with forensic psychiatric patients and prisoners in Germany I use the K-FAF scale (Heubrock&Petermann) It is a reliable and valid scale to measure self reportet spontaneous and reactiv aggression  and also aggression inhibition.i hope this helps.

Thank you very much for your answers. It is not easy to assess whether aggression will diminish or escalate. it depends on a number of factors. Tools/checklists can be helpful in this context. As documentation for use of control/force, and also to prevent damage to the staff and environment. I will look into your answers. Thanks again. 

Hi Arild,

I'm late to the discussion but second the Bröset (Almvik et al., 2000), SOAS, MOAS and OAS (Yudofsky et al., 1986) instruments as probably being the best suited to your needs. 

If you are considering starting structured risk assessment you might also want to look at some of the "companion" outcome scales, e.g., for the START they developed an instrument called the START outcome scales (SOS, Nicholls et al., 2007). 

Good luck! There's a lot out there, just a matter of finding something that fits your needs.

I think Modified Overt Agression Scale is good for rating severity of agression .Here is the link.

https://depts.washington.edu/dbpeds/Screening%20Tools/Modified-Overt-Aggression-Scale-MOAS.pdf

Have a nice job!

Dear Arild,

not specific, but very widely used:

CBCL (Achenbach and Rescorla, 2001). It has a scale on Aggression. In the 6-18 version it also has a scale on Rule Breaking.

You can visit the ASEBA website for further information.

I attach here a paper that used the measure.

Bye

Silvia

I worked on an inpatient forensic setting where they used the Aggressive Incident Scale (AIS) to track inpatient aggression. It is a very useful scale for monitoring aggression and improving communication about aggressive incidents among team members. It is part of the HARM, which is a risk assessment tool that can be used in forensic and civil psychiatric settings. https://books.google.ca/books/about/Companion_Guide_to_the_Aggressive_Incide.html?id=GcaAZwEACAAJ

A recent article establishes the concurrent validity of the AIS http://asm.sagepub.com/content/early/2016/07/13/1073191116653828.abstract

Grand merci pour toutes les informations

je cherche des d'outils de recherche portant sur le thème de "kidnaping des enfants", c'est un phénomène qui prend de l'ampleur en Algérie, et qui n'est pas du tout étudié, cela reflète l'évolution de la criminalité qui reste à ce jour un phénomène brut. et je souhaite avoir plus d'informations sur le thème.

Gratitude

It is very easy to assess aggression in mice. Here is one of our books:

Article Of mice and women: Aspects of female aggression, edited by K...

I have some experience with these two scales

https://depts.washington.edu/dbpeds/Screening%20Tools/Modified-Overt-Aggression-Scale-MOAS.pdf

https://psychology-tools.com/test/buss-perry-aggression-questionnaire

We have used it for a previous paper here - Article Do Personality Traits Such as Impulsivity and Hostility-Aggr...