title: What do clinicians expect? Comparing envisioned and reported violence for male and female patients.
abstract: Mental health professionals' (MHPs') accuracy in assessing the risk of violence in female patients is particularly limited. Based on assessments made by 205 MHPs of 605 patients in an emergency room, this study explored potential causes of MHPs' poorer accuracy in assessing women's potential for violence. The dimensions that underlie MHPs' envisioned violence in patients were identified and were compared with those that characterized patients' reported violence during a 6-month follow-up period. There were three key findings from their study. First, violence envisioned by MHPs differed depending on their professional role and varied in its congruence with patients' reported violence. Second, patients' violence was organized by dimensions of domesticity and substance relatedness; women's violent incidents were more domestic than were men's. Third, when MHPs envisioned violence that was highly conditional on psychiatric deterioration and medication noncompliance, violence often did not occur.
authors.affiliation: Department of Psychology and Social Behavior, University of California, Irvine, 92697, USA. skeem@uci.edu
authors.forename: Jennifer L
authors.initials: JL
authors.lastname: Skeem
authors.forename: Edward P
authors.initials: EP
authors.lastname: Mulvey
authors.forename: Candice
authors.initials: C
authors.lastname: Odgers
authors.forename: Carol
authors.initials: C
authors.lastname: Schubert
authors.forename: Stephanie
authors.initials: S
authors.lastname: Stowman
authors.forename: William
authors.initials: W
authors.lastname: Gardner
authors.forename: Charles
authors.initials: C
authors.lastname: Lidz
mesh_terms: D000328:Adult; D001291:Attitude of Health Personnel; D005260:Female; D005544:Forecasting; D006801:Humans; D008297:Male; D011369:Professional-Patient Relations; D018570:Risk Assessment; D012938:Social Perception; D013997:Time Factors; D014754:Violence / Q000706:statistics & numerical data*