{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,22]],"date-time":"2026-10-22T20:41:33Z","timestamp":1792701693826,"version":"4.5.0"},"reference-count":39,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2025,3,20]],"date-time":"2025-03-20T00:00:00Z","timestamp":1742428800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["J intellect Disabil Res"],"published-print":{"date-parts":[[2025,6]]},"abstract":"<jats:title>ABSTRACT<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>The integration of systematic risk assessments into care settings for offenders with intellectual disabilities (IDs) is a growing priority, yet evidence on the validity of existing tools in this population remains limited. The Br\u00f8set Violence Checklist (BVC) is widely used to assess short\u2010term violence risk, but its predictive accuracy in individuals with IDs remains uncertain. This study investigates the predictive validity of the BVC in a specialized institutional context for offenders with IDs, focusing on its performance across different shifts and demographic subgroups.<\/jats:p><\/jats:sec><jats:sec><jats:title>Method<\/jats:title><jats:p>A retrospective observational design was used to analyse 153\u2009262 BVC assessments and 1325 documented severe violent incidents over 2.5\u2009years in a secured Danish institution for offenders with IDs. Sensitivity, specificity, positive predictive value (PPV) and negative predictive value (NPV) were calculated across different BVC thresholds. Generalized linear mixed models (GLMMs) were applied to assess the influence of sex and time of day on predictive performance.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>The BVC demonstrated high specificity and NPV across all shifts, confirming its utility in identifying low\u2010risk scenarios. However, sensitivity and PPV were limited, particularly during night shifts and at higher score thresholds. Predictive accuracy was highest during evening shifts, aligning with periods of increased staff\u2013resident interactions. GLMM analyses indicated that the relationship between BVC scores and violence risk was moderated by sex and time of day, with female residents and low\u2010activity periods presenting unique challenges to prediction.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>The findings underscore the need for population\u2010specific adaptations to the BVC, particularly to address contextual and demographic factors influencing aggression in ID populations. Recommendations include supplemental assessment strategies for low\u2010activity shifts, sex\u2010specific behavioural indicators and the development of tailored tools for ID care settings. This study advances the understanding of violence risk dynamics in ID populations and informs interventions to enhance safety for residents and staff.<\/jats:p><\/jats:sec>","DOI":"10.1111\/jir.13233","type":"journal-article","created":{"date-parts":[[2025,3,23]],"date-time":"2025-03-23T07:38:05Z","timestamp":1742715485000},"page":"518-526","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Predictive Validity of the Br\u00f8set Violence Checklist in a Secured Institution for Offenders With Intellectual Disabilities"],"prefix":"10.1111","volume":"69","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-9495-9786","authenticated-orcid":false,"given":"Jacob","family":"Hvidhjelm","sequence":"first","affiliation":[{"name":"Psychiatric Research Unit Mental Health Services  Region Zealand Denmark"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"S\u00f8ren","family":"Holst","sequence":"additional","affiliation":[{"name":"Department of Sociology and Social Work Aalborg University  Aalborg Denmark"},{"name":"The Secured Social Residential Unit Kofoedsminde  Region Zealand Denmark"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2025,3,20]]},"reference":[{"key":"e_1_2_10_2_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365\u20102850.2004.00733.x"},{"key":"e_1_2_10_3_1","first-page":"208","article-title":"The Br\u00f8set Violence Checklist (BVC) and the Prediction of Inpatient Violence: Some Preliminary Results","volume":"5","author":"Almvik R.","year":"1998","journal-title":"Psychiatry Care"},{"key":"e_1_2_10_4_1","doi-asserted-by":"publisher","DOI":"10.1177\/088626000015012003"},{"key":"e_1_2_10_5_1","unstructured":"Arbejdstilsynet. 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