Ethicality forms a challenge in the implementation of structured violence risk screening: a qualitative study of an intervention in two Swedish emergency psychiatric units - Summary - MDSpire

Ethicality forms a challenge in the implementation of structured violence risk screening: a qualitative study of an intervention in two Swedish emergency psychiatric units

  • By

  • Rose-Marie Lindkvist

  • Anders Håkansson

  • Lars Garpenhag

  • June 24, 2026

  • 0 min

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Objective:

To assess the ethical acceptability of the intervention introducing routine use of Violence risk screening-10 (V-RISK-10) in two psychiatric emergency units in Malmö, Sweden.

Approach:
  • Methodology: Semi-structured interviews with developers and staff (n=6) were analyzed using content analysis, focusing on ethics and ethicality based on a theoretical framework of acceptability.
Key Findings:
  • Respondents expressed positive views on V-RISK-10's potential for uniform and fair assessments.
  • Concerns were raised regarding the accuracy and interpretation of results and their implications for risk management.
  • The ethical acceptability of the intervention was perceived as dependent on balancing individual and collective interests.
Interpretation:

The findings indicate an ethical complexity surrounding routine violence risk screening in psychiatric settings, aligning with the ethical values of staff in emergency care.

Limitations:
  • The study's sample size was limited to six respondents, which may affect the generalizability of the findings.
  • The focus was primarily on ethical considerations, which may overlook other practical aspects of implementation.
Conclusion:

Careful implementation is necessary to ensure knowledge dissemination and clear guidelines for using screening results.

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