Monday, November 3, 2003

This presentation is part of : Accepted Posters

Development of the Short Term Assessment of Risk (STAR)

Mary- Lou Martin, RN, MScN1, Connie Middleton, RN, CPMHN(c)1, Christopher Webster, PhD2, Joelle Mamuza, PhD2, and Reeta Varma, N/A3. (1) Centre for Mountain Health Services, St. Joseph's Healthcare, Hamilton, ON, Canada, (2) Centre for Mountain Health Services, Centre for Mountain Health Services, St. Joseph's Healthcare, Hamilton, ON, Canada, (3) Centre for Mountain Health Services, Centre For Mountain Health Services, St. Joseph's Healthcare, Hamilton, Hamilton, ON, Canada
Learning Objective #1: n/a
Learning Objective #2: n/a

Objective: The main aim of this pilot study is to determine if the Short Term Assessment of Risk (STAR) items individually or collectively associate with violent incidents on the forensic in-patient unit or in the community.

Design: The design is a retrospective follow-up back study. Population, Sample, Setting: The is a file study and involves no direct contact with patients. Casebooks of 60 forensic patients will be reviewed using the STAR.

Concept or Variable Studied Together: The researchers have developed a tool called the Short Term Assessment of Risk (STAR) which consists of 22 dynamic risk factors.

Methods: A file based review of 60 forensic patients' casebooks will be reviewed and assessed using the STAR. Half of the cases will be from the in-patient unit and half of the patients will have had community followup for 6 months following discharge. A separate pair of raters will code the actual outcome (incidence of violence). The separation of prediction variables from the outcome variables will permit the statistical computation of the relationships between the two variables. Item by item and inter-rater reliability will be evaluated.

Conclusions: The findings will be available in April 2003.

Implications: This study attempts to narrow the gap between clinical practice and research. Recommendation for further testing of a revised instrument will be discussed.

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