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Considerable research has attempted to delineate the demographic and clinical characteristics of high-risk psychiatric patients and identify salient modifiable aspects of aggression prone environments. Recently, there has also been increased interest in the development and testing of structured schemes for the assessment of risk for aggression within inpatient psychiatric settings. Although some of these methods show acceptable predictive validity, their ability to inform day-to-day treatment and management decisions is limited. The current research was designed to identify existing and novel risk factors that would assist staff to identify and manage the risk for aggression in psychiatric inpatient populations. Results showed that assessments supported by structured risk measures were more accurate than unaided clinical judgements based only on nurses' clinical experience and knowledge of the patient alone. Seven test items emerged that were maximally effective at identifying acute psychiatric patients at risk for engaging in inpatient violence within 24 hours; these items have been combined in the development of the Dynamic Appraisal of Situational Aggression. Empirical analyses and clinical experience support the efficacy of the instrument in assisting clinical staff in the identification and management of inpatient aggression.

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This meta‐analysis examined whether psychological treatments with adult violent offenders in correctional and forensic mental health settings are effective in preventing community recidivism and institutional (hospital/prison) misconduct. A total of 27 controlled studies containing 7,062 violent offenders were obtained via a comprehensive search strategy that yielded more than 13,000 records. Overall, treatments with violent offenders significantly reduced violent and general/nonviolent recidivism. The average effect for violent and general/nonviolent institutional misconduct did not attain statistical significance. Moderator analyses indicated numerous trends; however, most effects were nonsignificant following alpha‐level corrections. Findings regarding the impact of psychological treatments are promising and suggest that multimodal treatments are associated with the strongest treatment effects. However, the extant evidence base is limited by a small number of well‐controlled outcome studies and inconsistent/incomplete reporting of the evaluations. More high‐quality research is needed to investigate the effectiveness of violent offender treatment on outcomes and mechanisms of action, and to determine which treatment components are effective, in what combination, and for which offenders.

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Although violence risk assessment knowledge and practice has advanced over the past few decades, it remains practically difficult to decide which measures clinicians should use to assess and make decisions about the violence potential of individuals on an ongoing basis, particularly in the short to medium term. Within this context, this study sought to compare the predictive accuracy of dynamic risk assessment measures for violence with static risk assessment measures over the short term (up to 1 month) and medium term (up to 6 months) in a forensic psychiatric inpatient setting. Results showed that dynamic measures were generally more accurate than static measures for short- to medium-term predictions of inpatient aggression. These findings highlight the necessity of using risk assessment measures that are sensitive to important clinical risk state variables to improve the short- to medium-term prediction of aggression within the forensic inpatient setting. Such knowledge can assist with the development of more accurate and efficient risk assessment procedures, including the selection of appropriate risk assessment instruments to manage and prevent the violence of offenders with mental illnesses during inpatient treatment.

Objective: The influence of anger experience, expression, and control on aggressive behavior has been the focus of much theoretical and empirical attention. The influence of other emotions and emotional processing facets on aggression has received less consideration. This study sought to determine whether failing to attend to upsetting emotions, including anger, is associated with aggression, beyond the effects of poor anger control. Method: Participants (n = 64) were criminal offenders who were mandated to attend Community Corrections Offices across Melbourne, Australia. Participants completed measures of anger experience, expression and control, attention to emotions, past aggression, and verbal intelligence. Results: Results indicate that participants reporting difficulty attending to their emotions had more extensive histories of aggression than those who did not report such difficulties. This relationship remained significant even after controlling for trait anger and the ability to control the outward expression of anger. Conclusions: These findings are discussed in the context of current approaches to violent offender treatment. In particular, it is recommended that intervention programs should seek to emphasize the importance of controlling aggressive behavior in the face of anger, while attending to (rather than avoiding or suppressing) the anger experience itself.