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September 16, 2025European PsychiatryOpen Access

Incidents of violence and proportionality of restrictive practices: a D-FOREST study

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Cohort study assesses violence severity and restrictive practices in forensic psychiatric units, highlighting proportionality.

Restrictive interventions increase with the severity of incidents, indicating a proportional response.
Analysis of 411 data lines identified 85 incidents of violence, including 63 seclusions in psychiatric wards.
Prospective cohort analysis utilizing DASA and DRILL scales to measure incidents and interventions effectively.
Findings suggest potential for developing effective, less restrictive interventions based on predictive behaviour assessments.

Leahy et al. (2025) studied this question.

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