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Article Abstract
Objective: The study examined multimodal technologies to identify correlates of violence among inpatients with serious mental illness.
Methods: Twenty-eight high-risk inpatients were provided with smartphones adapted for data collection. Participants recorded their thoughts and behaviors by using self-report software. Sensors embedded in each device (microphone and accelerometers) and throughout the inpatient unit (Bluetooth beacons) captured patients' activity and location.
Results: Self-reported delusions were associated with violent ideation (odds ratio [OR]=3.08), damaging property (OR=8.24), and physical aggression (OR=12.39). Alcohol and cigarette cravings were associated with violent ideation (OR=5.20 and OR=6.08, respectively), damaging property (OR=3.71 and OR=4.26, respectively), threatening others (OR=3.62 and OR=3.04, respectively), and physical aggression (OR=6.26, and OR=8.02, respectively). Drug cravings were associated with violent ideation (OR=2.76) and damaging property (OR=5.09). Decreased variability in physical activity and noisy ward conditions were associated with violent ideation (OR=.71 and OR=2.82, respectively).
Conclusions: Identifiable digital correlates may serve as indicators of increased risk of violence.
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| http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5891222 | PMC |
| http://dx.doi.org/10.1176/appi.ps.201700077 | DOI Listing |
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