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EV1064

Optimizing violence reporting in psychiatric nursing: a comparative analysis of brief screening and comprehensive assessment

OPTIMIZING VIOLENCE REPORTING IN PSYCHIATRIC NURSING: A COMPARATIVE ANALYSIS OF BRIEF SCREENING VERSUS COMPREHENSIVE ASSESSMENT

Switching to the brief reporting tool (VES-2) substantially increased the reporting rate of violent incidents, but only the comprehensive tool (SOAS-R) provided significant information for predicting violence severity.

The study aimed to compare a comprehensive tool (SOAS-R) with a brief tool (VES-2) for reporting patient-to-staff violence (PSV), in terms of reporting volume and clinical depth. Two periods were compared retrospectively across 14 psychiatric wards in Switzerland (acute psychiatry n = 10, psychogeriatrics n = 4): at Time 1, both the comprehensive SOAS-R and the brief VES-2 were mandatory; at Time 2, only the brief VES-2 was used. The SOAS-R includes 5 clinical components (score range 0–22), whereas the VES-2 consists of 2 Likert-type severity items (score range 2–8). Descriptive findings showed that 66.7% of institutional incidents involved direct patient-to-staff violence (94 of 141 incidents), and 92.3% of reported violent incidents directly targeted nursing staff. The risk of incidents in psychogeriatrics was twice that in acute psychiatry (0.062 versus 0.030 incidents per patient). Reporting compliance increased from Time 1 to Time 2 by 48% in acute psychiatry (p = 0.011) and by 42% in psychogeriatrics (p = 0.011). In multivariable linear regression models predicting violence severity (predictors: VES-2 total score, patient age, patient sex, and staff sex), only the SOAS-R-based model was significant (p = 0.031); the VES-2 models were not significant (p = 0.406 for Time 1 and p = 0.620 for Time 2). The authors recommend using the brief tool routinely and the longer tool for severe incidents: VES-2 to support day-to-day compliance and address underreporting, and SOAS-R in specialized wards (such as psychogeriatrics), where clinical depth must be maintained to support targeted institutional prevention.

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