One instrument that has been given special attention is the HCR violence risk assessment scheme. However, little attention has been paid to the clinical applicability of this tool, i. The present study was a true prospective study into the utilization of the HCR as a clinical routine.
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As part of a clinical routine all patients were assessed for risk of future violence utilizing the structured professional judgement model, the HCR Outcome measures were aggressive episodes during hospitalization and new convictions post discharge. The predictive validity of the HCR was lower compared with previous findings. It is argued that this does not necessarily indicate poor predictive accuracy of the HCR Rather, it may indicate that the HCR is suitable for guiding risk management in order to prevent violent behaviour.
Skip to Main Content. Search in: This Journal Anywhere. No studies relevant to Swedish society have analyzed whether the reliability of the methods varies from one ethnic group to another. Both clinical evaluations and checklists of predefined instruments may be used in making risk assessments moderately strong scientific evidence.
The uncertainty inaccuracy of forecasts based on instrumentalized assessments is 25—30 percent. Given that the purpose of assessing risk is to take effective action for the prevention of violence, more knowledge is required about risk factors that are controllable, as well as those that women face. Research on neurobiological risk factors and markers may improve forecasting tools. Additional studies are needed to establish whether currently available methods are able to forecast the risk for violent acts in the community over the short term days or weeks. More evaluations of risk assessment methods are required in settings representative for the kinds of conditions that exist in Sweden.
There is a great need for controlled studies on various monotherapies and combination therapies. Quality registers are lacking for both general and forensic psychiatry. If risk assessments are to be based on more reliable information and knowledge, such registers must be set up as quickly as possible. New York : Guilford Press ; Google Scholar. Dangerous and long-term offenders: An assessment guide. Release decision making. Mossman, D. Understanding prediction instruments. Textbook of forensic psychiatry.
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Evaluation of a Model of Violence Risk Assessment Among Forensic Psychiatric Patients
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