The Aggression and Vulnerability Scale (AVS) for the Measurement of Inpatient Behaviors: A Demonstration of Reliability

Background: The accurate and consistent recording of problematic incidents for in-patient behaviour is important in monitoring patient's treatment and needs, and for comparing behaviour across different settings. Methods: The Aggression and Vulnerability Scale (AVS) classifies individual incidents into 10 categories covering aggression (Physical Aggression against Other People, Verbal Aggression, Aggression against Property, Non-Compliant Behaviour) and vulnerabilities (Self-Harm/Suicide Attempt, Self-Neglect, Victimized/Exploited, Sexual Vulnerability, Absconding Behaviour and Accident) and rates severity of the incident. Twenty raters (10 naïve and 10 experienced) rated 28 vignettes drawn from nursing records. Results: The AVS had high reliability for both classification category and severity in both experienced and inexperienced raters. Conclusion: The AVS is a reliable scheme for the coding of problematic behavior in an in-patient setting. The AVS is available free from the authors.