HCR-20 violence risk assessments as a guide for treating and managing violence risk in a forensic psychiatric setting

Pedersen, Liselotte; Ramussen, Kirsten; Elsass, Peter

doi:10.1080/1068316x.2010.548814

Cited by 15 publications

(15 citation statements)

References 19 publications

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“…For example, the HCR-20 (especially the clinical scale) was useful in assessing risk for inpatient IPV and AIG in forensic psychiatric settings (Hogan & Ennis, 2010; McDermott, Edens, Quanbeck, Busse, & Scott, 2008; Mudde et al, 2011; Wilson, Desmarais, Nicholls, Hart, & Brink, 2013). Contrary to these findings, the predictive validity of the HCR-20 for IPV in forensic units was poor in field validity studies (Jeandarme, Pouls, De Laender, Oei, & Bogaerts, 2016; Neal, Miller, & Shealy, 2015; Pedersen, Ramussen, & Elsass, 2012; Vojt, Thomson, & Marshall, 2013). Along with the HCR-20, Hogan and Ennis (2010) found that the Hare psychopathy scales were predictive of AIG.…”

Section: Risk Assessment Instruments Predicting Inpatient Violence Incontrasting

confidence: 58%

“…Also, in contrast to other research (McDermott, Edens, et al, 2008; Mudde et al, 2011), the HCR total and subscales were not associated with the severity of IPV. One of the explanations for this finding could be that the HCR-20 scores in this study were field validity scores, which are poor to even non-significant predictors of inpatient violence (Jeandarme et al, 2016; Neal et al, 2015; Pedersen et al, 2012; Vojt et al, 2013). In the literature, the association of psychopathy with institutional violence is well established, although some studies found no association (e.g., Rasmussen & Levander, 1996) or showed a more nuanced picture.…”

Section: Discussionmentioning

confidence: 80%

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Risk Factors Associated With Inpatient Violence During Medium Security Treatment

Jeandarme

Wittouck²,

Laenen³

et al. 2016

J Interpers Violence

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Violence is a common phenomenon both in regular and forensic psychiatric settings, and has a profound impact on staff and other patients. Insight into the individual risk factors associated with violence in forensic psychiatric settings is rare and is therefore the subject of this research. A retrospective file study in three medium security units in Flanders was conducted to compare non-violent inpatients with inpatients who engaged in (verbal and physical) violent behavior. Binary logistic regression analyses were used to examine which variables contributed independently to the risk of violence. The results showed that absconding during treatment was independently associated with physical violence. A personality disorder diagnosis and general non-compliance with treatment were associated with verbal violence. Both types of violence predicted early termination of treatment. Contrary to previous research, the results from the risk assessment tools were not associated with inpatient violence. Clinical implications are discussed and include, among others, that clinicians should remain vigilant for early warning signs of non-compliance during treatment.

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Section: Risk Assessment Instruments Predicting Inpatient Violence Incontrasting

confidence: 58%

Section: Discussionmentioning

confidence: 80%

Risk Factors Associated With Inpatient Violence During Medium Security Treatment

Jeandarme

Wittouck²,

Laenen³

et al. 2016

J Interpers Violence

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“…The results showed that the incidence of aggression decreased substantially in the treatment units, with little change in the control units. Two other studies found that the risk factors from the HCR-20 validly predict risk level and that intense management of moderate- and high-risk patients reduces violent outcome (Dernevik et al, 2002; Pedersen et al, 2012; see also Torrey et al, 2008).…”

Section: Resultsmentioning

confidence: 99%

Managing aggression and violence: The clinician’s role in contemporary mental health care

Allnutt

Ogloff

Adams

et al. 2013

Aust N Z J Psychiatry

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There is a modest yet statistical and clinically significant association between certain types of mental illness and violence. Debate about the appropriateness of clinician involvement in violence risk assessment is sometimes based on a misunderstanding about the central issues and the degree to which this problem can be effectively managed. The central purpose of risk assessment is the prevention rather than the prediction of violence. Violence risk assessment is a process of identifying patients who are at greater risk of violence in order to facilitate the timing and prioritisation of preventative interventions. Clinicians should base these risk assessments on empirical knowledge and consideration of case-specific factors to inform appropriate management interventions to reduce the identified risk.

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“…Kriminalinės rizikos vertinimas yra svarbus uždavinys tiek siekiant apsaugoti visuomenę nuo pakartotinio nusikalstamumo, tiek ir sudarant tinkamas elgesio korekcijos galimybes nusikaltusiems asmenims (Pedersen et al, 2012). Šis procesas intensyviai tyrinėjamas jau keletą dešimtmečių, todėl mokslinėje literatūroje galima rasti aprašomas net keturias rizikos vertinimo instrumentų kartas (Blomberg et al, 2010).…”

Section: įVadasunclassified

“…Nemažiau aktualus klausimas moksliniuose tyrimuose buvo ir paties kriminalinio elgesio pobūdis. Ypač didelis dėmesys per keletą pastarųjų dešim-tmečių buvo skiriamas smurtinio elgesio pasireiškimo veiksniams bei smurto rizikos ir valdymo instrumentų kūrimui (Pedersen et al, 2012). Šiuo atveju vienas geriausiai žinomų ir plačiausiai naudojamų instrumentų smurtinio elgesio rizikai vertinti yra HCR-20 1 (Webster ir kt., 2007;Strub et al, 2014).…”

Section: įVadasunclassified

Smurtinio elgesio rizikos vertinimas: HCR-20 prognostinis validumas už smurtinius nusikaltimus teistų asmenų imtyje

Čėsnienė¹,

Klimukienė²

2015

CrimLithuan

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HCR-20 violence risk assessments as a guide for treating and managing violence risk in a forensic psychiatric setting

Cited by 15 publications

References 19 publications

Risk Factors Associated With Inpatient Violence During Medium Security Treatment

Risk Factors Associated With Inpatient Violence During Medium Security Treatment

Managing aggression and violence: The clinician’s role in contemporary mental health care

Smurtinio elgesio rizikos vertinimas: HCR-20 prognostinis validumas už smurtinius nusikaltimus teistų asmenų imtyje

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