TY - JOUR
T1 - Gender-Sensitive Violence Risk Assessment
T2 - Predictive Validity of Six Tools in Female Forensic Psychiatric Patients
AU - de Vogel, Vivienne
AU - Bruggeman, Mieke
AU - Lancel, Marike
PY - 2019/4/1
Y1 - 2019/4/1
N2 -
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.
AB -
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.
KW - female forensic psychiatric patients
KW - gender
KW - mortality
KW - recidivism
KW - risk assessment
UR - http://www.scopus.com/inward/record.url?scp=85060675661&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=85060675661&partnerID=8YFLogxK
U2 - 10.1177/0093854818824135
DO - 10.1177/0093854818824135
M3 - Article
AN - SCOPUS:85060675661
VL - 46
SP - 528
EP - 549
JO - Criminal Justice and Behavior
JF - Criminal Justice and Behavior
SN - 0093-8548
IS - 4
ER -