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INTRODUCTIONViolent behavior toward health care workers is notably high.1,2 Emergency departments (EDs), in particular, are known for their high rates of violence, with as many as 75% to 91% of ED nurses reporting experiencing violent incidents while at work.3 These data are likely an underestimate given that many violent incidents in the health care setting go unreported.4 For patients in mental health crisis, risk assessment for potential violence is essential, but is evaluated most often by unstructured assessment guided by clinical judgment.5Structured tools to help clinicians evaluate violence risk do exist. The Historical Clinical Risk Management‐20, Version 3 (HCR‐20 V3), is a 20‐item structured clinical judgment approach to assessing violence risk that has been used in over 200 empirical studies and is considered the criterion standard in the evaluation of potential risk for violence.6,7 However, the utility of this well‐validated tool has limited applicability in ED populations due to the several hours needed for completion.8 In contrast, the Fordham Risk Screening Tool (FRST) was specifically designed to utilize information that should be readily available either before or during a standard psychiatric intake evaluation and can be completed in minutes.9 Prior research on the validity of the FRST indicated that
Academic Emergency Medicine – Wiley
Published: Sep 1, 2023
Keywords: crisis assessment; risk assessment; screening tool; violence
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