Gray, Nicola S., Taylor, John and Snowden, Robert Jefferson ORCID: https://orcid.org/0000-0001-9900-480X 2008. Predicting violent reconvictions using the HCR-20. British Journal of Psychiatry 192 (5) , pp. 384-387. 10.1192/bjp.bp.107.044065 |
Abstract
Background Risk assessment of future violent acts is of great importance for both public protection and care planning. Structured clinical assessments offer a method by which accurate assessments could be achieved. Aims To test the efficacy of the Historical, Clinical and Risk Management Scales (HCR–20) structured risk assessment scheme on a large sample of male forensic psychiatric patients discharged from medium secure units in the UK. Method In a pseudo-prospective study, 887 male patients were followed for at least 2 years. The HCR–20 was completed using only pre-discharge information, and violent and other offending behaviour post-discharge was obtained from official records. Results The HCR–20 total score was a good predictor of both violent and other offences following discharge. The historical and risk sub-scales were both able to predict offences, but the clinical sub-scale did not produce significant predictions. The predictive efficacy was highest for short periods (under 1 year) and showed a modest fall in efficacy over longer periods (5 years). Conclusions The results provide a strong evidence base that the HCR–20 is a good predictor of both violent and non-violent offending following release from medium secure units for male forensic psychiatric patients in the UK.
Item Type: | Article |
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Date Type: | Publication |
Status: | Published |
Schools: | Psychology |
Subjects: | B Philosophy. Psychology. Religion > BF Psychology |
Publisher: | Royal College of Psychiatrists |
ISSN: | 0007-1250 |
Last Modified: | 20 Oct 2022 08:28 |
URI: | https://orca.cardiff.ac.uk/id/eprint/28461 |
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