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Sylvia Lammers, Lot Kokkelink, Hein deHaan
The predictive validity of the Dutch risk assessment instrument HKT-30 was investigated with a quasi-prospective design in a sample of habitual offenders with a substance use disorder (SUD). The study is reported according to RAGEE guidelines. The HKT-30 is an extension of the HCR-20. Files of 89 patients were coded and recidivism data were requested from the Ministry of Justice. Total scale scores and scores of the Clinical and Future scales were significantly predictive of recidivism for 1 and 2 years of time at risk, respectively...
February 1, 2018: International Journal of Offender Therapy and Comparative Criminology
Hiroko Kashiwagi, Akiko Kikuchi, Mayuko Koyama, Daisuke Saito, Naotsugu Hirabayashi
Background: The Structured Assessment of PROtective Factors for violence risk (SAPROF) was recently developed as a strength-based addition to the risk assessment of future violent behavior. We examined the interrater reliability and predictive accuracy of the SAPROF for violence in forensic mental health inpatient units in Japan. Methods: This retrospective record study provides an initial validation of the SAPROF in a Japanese sample of 95 forensic psychiatric inpatients from a complete 2008-2013 cohort...
2018: Annals of General Psychiatry
Jonathon Adams, Stuart D M Thomas, Tobias Mackinnon, Damien Eggleton
BACKGROUND: Routine outcome measures are increasingly being mandated across mental health services in Australia and overseas. This requirement includes forensic mental health services, but their utility in such specialist services and the inter-relationships between the measures remain unclear. This study sought to characterise the risks, needs and stages of recovery of an entire cohort of forensic patients in one jurisdiction in Australia. METHODS: Local expert groups, comprising of members of the forensic patient treating teams, were formed to gather information about the status and needs of all forensic patients in the State of New South Wales, Australia...
February 7, 2018: BMC Psychiatry
Alina Haines, Andrew Brown, Syed Fahad Javaid, Fayyaz Khan, Steve Noblett, Oladipupo Omodunbi, Khurram Sadiq, Wahid Zaman, Richard Whittington
Violence risk assessment and management are key tasks in mental health services and should be guided by validated instruments covering both risk and protective factors. This article is part of an international effort to validate the Structured Assessment of Protective Factors (SAPROF) for violence. The SAPROF, Historical, Clinical, Risk Management-20 (HCR-20) and the Psychopathy Checklist-Screening Version (PCL-SV) were administered in a sample of 261 patients in U.K. forensic, general inpatient, and community mental health settings...
December 1, 2017: International Journal of Offender Therapy and Comparative Criminology
Joel K Cartwright, Sarah L Desmarais, Justin Hazel, Travis Griffith, Allen Azizian
Sexual offenders are at greater risk of nonsexual than sexual violence. Yet, only a handful of studies have examined the validity of risk assessments in predicting general, nonsexual violence in this population. This study examined the predictive validity of assessments completed using the Historical-Clinical-Risk Managment-20 Version 2 (HCR-20; Webster, Douglas, Eaves, & Hart, 1997), Short-Term Assessment of Risk and Treatability (START; Webster, Martin, Brink, Nicholls, & Desmarais, 2009), and Static-99R (Hanson & Thornton, 1999) in predicting institutional (nonsexual) aggression among 152 sexual offenders in a large secure forensic state hospital...
February 2018: Law and Human Behavior
John Tully
No abstract text is available yet for this article.
August 2017: Evidence-based Mental Health
Xiaomin Zhu, Wen Li, Xiaoping Wang
BACKGROUND: The incidence of the aggressive behavior is higher among the patients with severe mental disorder such as schizophrenia than the general population. The study of factors related to aggressive behavior has great meaning in designing prevention and intervention methods with this population of patients. AIMS: To understand the characteristics of assaultive behavior of male patients with schizophrenia who have been hospitalized. METHODS: Using a continuous sampling method, data from 75 male inpatients with a diagnosis of schizophrenia was collected at the psychiatric unit of Central South University Second Xiangya Hospital (Changsha, China) from August 2015 to February 2016...
October 25, 2016: Shanghai Archives of Psychiatry
Amelia Jewell, Kimberlie Dean, Tom Fahy, Alexis E Cullen
BACKGROUND: Previous studies have investigated factors associated with outcome at Mental Health Review Tribunals (MHRTs) in forensic psychiatric patients; however, dynamic variables such as treatment compliance and substance misuse have scarcely been examined, particularly in UK samples. We aimed to determine whether dynamic factors related to behaviour, cooperation with treatment, and activities on the ward were prospectively associated with outcome at MHRT. METHODS: At baseline, demographic, clinical, behavioural, and treatment-related factors were ascertained via electronic medical records and census forms completed by the patient's clinical team...
January 17, 2017: BMC Psychiatry
Marlene Macinnes, Gary Macpherson, Jessica Austin, Matthias Schwannauer
Previous research has found an association between childhood trauma and insecure attachment and psychological distress, risk of violence and engagement in therapy. The aim of this study was to investigate the relationships between these factors in a forensic population. Sixty-four participants from three secure psychiatric hospitals completed the Childhood Trauma Questionnaire (CTQ), the Relationship Scales Questionnaire (RSQ) and the Clinical Outcomes in Routine Evaluation - Outcome Measure (CORE-OM). Overall scores from participants' Historical Clinical Risk Management Violence Risk Assessment Scheme, (HCR-20) were calculated...
December 30, 2016: Psychiatry Research
Jane L Ireland, Lee J Priday, Carol A Ireland, Simon Chu, Jennifer Kilcoyne, Caroline Mulligan
BACKGROUND: Risk assessment instruments have become a preferred means for predicting future aggression, claiming to predict long-term aggression risk. AIMS: To investigate the predictive value over 12 months and 4 years of two commonly applied instruments (Historical, Clinical and Risk Management - 20 (HCR-20) and Violence Risk Appraisal Guide (VRAG)). METHOD: Participants were adult male psychiatric patients detained in a high secure hospital...
January 2016: BJPsych Open
Alana N Cook, Heather M Moulden, Mini Mamak, Shams Lalani, Katrina Messina, Gary Chaimowitz
The Hamilton Anatomy of Risk Management-Forensic Version (HARM-FV) is a structured professional judgement tool of violence risk developed for use in forensic inpatient psychiatric settings. The HARM-FV is used with the Aggressive Incidents Scale (AIS), which provides a standardized method of recording aggressive incidents. We report the findings of the concurrent validity of the HARM-FV and the AIS with widely used measures of violence risk and aggressive acts, the Historical, Clinical, Risk Management-20, Version 3 (HCR-20(V3)) and a modified version of the Overt Aggression Scale...
July 14, 2016: Assessment
Kaoru Arai, Ayumi Takano, Takako Nagata, Naotsugu Hirabayashi
BACKGROUND: Most structured assessment tools for assessing risk of violence were developed in Western countries, and evidence for their effectiveness is not well established in Asian countries. AIMS: Our aim was to examine the predictive accuracy of the Historical-Clinical-Risk Management-20 (HCR-20) for violence in forensic mental health inpatient units in Japan. METHODS: A retrospective record study was conducted with a complete 2008-2013 cohort of forensic psychiatric inpatients at the National Center Hospital of Neurology and Psychiatry, Tokyo...
December 2017: Criminal Behaviour and Mental Health: CBMH
Andrea Sada, Rebeca Robles-García, Nicolás Martínez-López, Rafael Hernández-Ramírez, Carlos-Alfonso Tovilla-Zarate, Fernando López-Munguía, Enrique Suárez-Alvarez, Xochitl Ayala, Ana Fresán
INTRODUCTION: Assessing dangerousness to gauge the likelihood of future violent behaviour has become an integral part of clinical mental health practice in forensic and non-forensic psychiatric settings, one of the most effective instruments for this being the Historical, Clinical and Risk Management-20 (HCR-20). OBJECTIVE: To examine the HCR-20 factor structure in Mexican psychiatric inpatients and to obtain its predictive validity and reliability for use in this population...
August 2016: Nordic Journal of Psychiatry
Michael J Vitacco, Holly E Tabernik, Denis Zavodny, Karen Bailey, Christina Waggoner
The present study evaluates data from 116 forensic inpatients who underwent violent risk assessments, which included the Historical, Clinical, Risk-20 (HCR-20), from 2006 to 2013 as part of an opportunity to be conditionally discharged from state forensic facilities. Of the 116 inpatients, 58 were never released, 39 were released and returned to a hospital, and 19 were released and never returned. Results from analyses of variance and multinomial logistic regression found the risk management (R) scale of the HCR-20 successfully predicted group membership in that higher scores were associated with a greater likelihood of not being released from a forensic facility or returning to a forensic facility after release...
March 2016: Behavioral Sciences & the Law
Mary Davoren, Orla Byrne, Paul O'Connell, Helen O'Neill, Ken O'Reilly, Harry G Kennedy
BACKGROUND: Patients admitted to a secure forensic hospital are at risk of a long hospital stay. Forensic hospital beds are a scarce and expensive resource and ability to identify the factors predicting length of stay at time of admission would be beneficial. The DUNDRUM-1 triage security scale and DUNDRUM-2 triage urgency scale are designed to assess need for therapeutic security and urgency of that need while the HCR-20 predicts risk of violence. We hypothesized that items on the DUNDRUM-1 and DUNDRUM-2 scales, rated at the time of pre-admission assessment, would predict length of stay in a medium secure forensic hospital setting...
2015: BMC Psychiatry
Nathan D Gillard, Richard Rogers
Risk assessments for offenders often combine past records with current clinical findings from observations, interviews, and test data. Conclusions based on these risk assessments are highly consequential, sometimes resulting in increased criminal sentences or prolonged hospitalization. Therefore, many offenders are motivated to intentionally minimize risk factors and their negative consequences. Positive impression management (PIM) is especially likely to occur in offenders with high psychopathic traits because goal-directed deception is reflected in several of psychopathy's core traits of the disorder, such as manipulativeness, glibness, and superficial charm...
September 2015: International Journal of Law and Psychiatry
David Ivgi, Arie Bauer, Razek Khawaled, Paola Rosca, Joshua M Weiss, Alexander M Ponizovsky
BACKGROUND: Assessment of risk of violent behavior in forensic psychiatric practice is a complex and responsible clinical task and the use of a valid instrument can make the expert's work more effective. The Historical Clinical and Risk Management scale 20 (HCR-20) is a widely accepted measure of the risk of violence, sexual and criminal behavior. The aim of this study was to validate the HCR-20 in Israeli psychiatric inpatient settings. METHOD: In a prospective design, data were collected on 150 male patients aged 15-65, diagnosed with ICD-10 schizophrenia, who were hospitalized in three wards: an acute psychiatric ward (n=50), a high security ward (n=50), and an open ward (n=50)...
2015: Israel Journal of Psychiatry and related Sciences
Laura E O'Shea, Geoffrey L Dickens
OBJECTIVE: Periodic structured violence risk assessment is the principle method underlying treatment planning for mentally disordered offenders but little is known about how risk changes over time. We aimed to determine whether hospitalised patients underwent reliable clinical change in assessed risk. METHOD: We used a pseudo-prospective longitudinal study design. Demographic, clinical and risk assessment data of adult inpatients (N=480) who had been routinely assessed with the HCR-20 on two to four occasions over a mean period of 17 months (SD=2) were collated...
October 2015: Comprehensive Psychiatry
Ken O'Reilly, Gary Donohoe, Ciaran Coyle, Danny O'Sullivan, Arann Rowe, Mairead Losty, Tracey McDonagh, Lasairiona McGuinness, Yvette Ennis, Elizabeth Watts, Louise Brennan, Elizabeth Owens, Mary Davoren, Ronan Mullaney, Zareena Abidin, Harry G Kennedy
BACKGROUND: There is a broad literature suggesting that cognitive difficulties are associated with violence across a variety of groups. Although neurocognitive and social cognitive deficits are core features of schizophrenia, evidence of a relationship between cognitive impairments and violence within this patient population has been mixed. METHODS: We prospectively examined whether neurocognition and social cognition predicted inpatient violence amongst patients with schizophrenia and schizoaffective disorder (n = 89; 10 violent) over a 12 month period...
2015: BMC Psychiatry
Olav B Nielssen
No abstract text is available yet for this article.
November 2015: Australian and New Zealand Journal of Psychiatry
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