10-item risk assessment inventory
Data on treatment experiences were provided from a 10-item
risk assessment inventory of patients’ past experiences. The
10 items on this inventory were drawn from the literature on
variables related to suicide attempts of patients with schizophrenia
(Potkin et al. 2003, Ran et al. 2007, Simms et al.
2007, Novick et al. 2010). These 10 items were assessed in
interviews with patients or their caregivers (five items) and
retrieved from official NHI records (five items). To assess
patients’ past experiences, community-based nurses asked
patients or their caregivers five simple questions about suicide-
related and treatment experiences during the previous
year.
These items assessed (1) the accompanist, (2) medicine
compliance, (3) number of suicide attempts, (4) number of
self-harm incidents and (5) number of violent incidents
towards others. Item 1 (Who accompanies the patient to see
psychiatrists when needed?) has five possible responses: self,
family/relatives, neighbours/friends, and police/social worker/
community nurse, and others. Item 2 (What is the status of
patient adherence to taking medicines?) has five possible
responses: regularly takes medicine by self, regularly takes
medicine with help from others, irregularly takes medicine,
refuses to take medicine and unknown. Items 3–5 (How
many times did patient attempt suicide? How many self-harm
incidents occurred? How many times did patient act violently
towards others?) are reported as number of occurrences.
The definition for suicide attempts was behaviours related
to attempted suicide with/without any plan. A self-harm
incident was defined as a self-injurious act to make a physical
wound. Such an act might be motivated by a need to cope
with psychological distress, for example, cutting to cope with
feelings.
The other five items from NHI records were all measured
over the previous year and included (1) number of involuntary
hospitalisations, (2) days in acute wards, (3) days in
rehabilitation wards, (4) days in day-care treatment settings
and (5) number of follow-ups by mental health clinics.
Involuntary hospitalisation was defined as receiving treatment
in an acute ward against the patients’ will because of
the immediate danger of their behaviours to self or others.
10-item risk assessment inventoryData on treatment experiences were provided from a 10-itemrisk assessment inventory of patients’ past experiences. The10 items on this inventory were drawn from the literature onvariables related to suicide attempts of patients with schizophrenia(Potkin et al. 2003, Ran et al. 2007, Simms et al.2007, Novick et al. 2010). These 10 items were assessed ininterviews with patients or their caregivers (five items) andretrieved from official NHI records (five items). To assesspatients’ past experiences, community-based nurses askedpatients or their caregivers five simple questions about suicide-related and treatment experiences during the previousyear.These items assessed (1) the accompanist, (2) medicinecompliance, (3) number of suicide attempts, (4) number ofself-harm incidents and (5) number of violent incidentstowards others. Item 1 (Who accompanies the patient to seepsychiatrists when needed?) has five possible responses: self,family/relatives, neighbours/friends, and police/social worker/community nurse, and others. Item 2 (What is the status ofpatient adherence to taking medicines?) has five possibleresponses: regularly takes medicine by self, regularly takesmedicine with help from others, irregularly takes medicine,refuses to take medicine and unknown. Items 3–5 (Howmany times did patient attempt suicide? How many self-harmincidents occurred? How many times did patient act violentlytowards others?) are reported as number of occurrences.The definition for suicide attempts was behaviours relatedto attempted suicide with/without any plan. A self-harmincident was defined as a self-injurious act to make a physicalwound. Such an act might be motivated by a need to copewith psychological distress, for example, cutting to cope withfeelings.The other five items from NHI records were all measuredover the previous year and included (1) number of involuntaryhospitalisations, (2) days in acute wards, (3) days inrehabilitation wards, (4) days in day-care treatment settingsand (5) number of follow-ups by mental health clinics.Involuntary hospitalisation was defined as receiving treatmentin an acute ward against the patients’ will because ofthe immediate danger of their behaviours to self or others.
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