The Report Form for Aggressive Episodes (REFA) in the treatment of violent psychotic patients

  • Stål Bjørkly


Precise measurement of aggression is fundamental. The deficiencies of standard hospital report routines, such as ward communication books, incident reports and hospital charts for the reporting of aggressive incidents have repeatedly been emphasized1,2. Thus, the need for valid, reliable instruments capable of quantifying the nature and frequency of aggressive behaviour is clear. It is proposed here that these instruments should meet pertinent clinical and research requirements such as: 1) accurate operational criteria for the definition of aggression, 2) adequate emphasis on assessing situational variables, and 3) being easy to use and in the interest of nurses.


Aggressive Behaviour Interrater Reliability Physical Assault Psychotic Patient Situational Variable 
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Copyright information

© Springer Science+Business Media New York 2001

Authors and Affiliations

  • Stål Bjørkly
    • 1
  1. 1.Faculty of Health SciencesMolde University CollegeMoldeNorway

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