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Gender-Sensitive Violence Risk Assessment: Predictive Validity of Six Tools in Female Forensic Psychiatric Patients

de Vogel, V., Bruggeman, M. & Lancel, M., Apr-2019, In : Criminal Justice and Behavior. 46, 4, p. 528-549 22 p.

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  • Gender-Sensitive Violence Risk Assessment: Predictive Validity of Six Tools in Female Forensic Psychiatric Patients

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DOI

Most violence risk assessment tools have been validated predominantly in males. In this multicenter study, the Historical, Clinical, Risk Management-20 (HCR-20), Historical, Clinical, Risk Management-20 Version 3 (HCR-20(V3)), Female Additional Manual (FAM), Short-Term Assessment of Risk and Treatability (START), Structured Assessment of Protective Factors for violence risk (SAPROF), and Psychopathy Checklist-Revised (PCL-R) were coded on file information of 78 female forensic psychiatric patients discharged between 1993 and 2012 with a mean follow-up period of 11.8 years from one of four Dutch forensic psychiatric hospitals. Notable was the high rate of mortality (17.9%) and readmission to psychiatric settings (11.5%) after discharge. Official reconviction data could be retrieved from the Ministry of Justice and Security for 71 women. Twenty-four women (33.8%) were reconvicted after discharge, including 13 for violent offenses (18.3%). Overall, predictive validity was moderate for all types of recidivism, but low for violence. The START Vulnerability scores, HCR-20(V3), and FAM showed the highest predictive accuracy for all recidivism. With respect to violent recidivism, only the START Vulnerability scores and the Clinical scale of the HCR-20(V3) demonstrated significant predictive accuracy.

Original languageEnglish
Pages (from-to)528-549
Number of pages22
JournalCriminal Justice and Behavior
Volume46
Issue number4
Publication statusPublished - Apr-2019

    Keywords

  • risk assessment, gender, female forensic psychiatric patients, recidivism, mortality, SELF-HARM, PSYCHOPATHY, OFFENDERS, WOMEN, RECIDIVISM, AGGRESSION, ACCURACY, PREVALENCE, HCR-20(V3), RELEASE

ID: 118602952