Abstract
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 language | English |
|---|---|
| Pages (from-to) | 528-549 |
| Number of pages | 22 |
| Journal | Criminal Justice and Behavior |
| Volume | 46 |
| Issue number | 4 |
| DOIs | |
| Publication status | Published - 1 Apr 2019 |
| Externally published | Yes |
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Keywords
- female forensic psychiatric patients
- gender
- mortality
- recidivism
- risk assessment
Cite this
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Gender-Sensitive Violence Risk Assessment : Predictive Validity of Six Tools in Female Forensic Psychiatric Patients. / de Vogel, Vivienne; Bruggeman, Mieke; Lancel, Marike.
In: Criminal Justice and Behavior, Vol. 46, No. 4, 01.04.2019, p. 528-549.Research output: Contribution to Journal › Article › Academic › peer-review
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
VL - 46
SP - 528
EP - 549
JO - Criminal Justice and Behavior
JF - Criminal Justice and Behavior
SN - 0093-8548
IS - 4
ER -