Predictive validity of the HKT-R Risk Assessment Tool: two and 5-Year violent recidivism in a nationwide sample of Dutch forensic psychiatric patients

This study has examined the predictive validity of the Historical Clinical Future [Historisch Klinisch Toekomst] Revised risk assessment scheme in a cohort of 347 forensic psychiatric patients, which were discharged between 2004 and 2008 from any of 12 highly secure forensic centers in the Netherlan...

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Bibliographic Details
Main Author: Bogaerts, Stefan (Author)
Contributors: Spreen, Marinus ; Horst, Paul ter
Format: Electronic Article
Language:English
Published: 2018
In: International journal of offender therapy and comparative criminology
Year: 2018, Volume: 62, Issue: 8, Pages: 2259-2270
Online Access: Volltext (Resolving-System)
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Keywords:
Clinical decision making
HKT-R
Netherlands
Predictive validity
Violent recidivism
Description
Summary:This study has examined the predictive validity of the Historical Clinical Future [Historisch Klinisch Toekomst] Revised risk assessment scheme in a cohort of 347 forensic psychiatric patients, which were discharged between 2004 and 2008 from any of 12 highly secure forensic centers in the Netherlands. Predictive validity was measured 2 and 5 years after release. Official reconviction data obtained from the Dutch Ministry of Security and Justice were used as outcome measures. Violent reoffending within 2 and 5 years after discharge was assessed. With regard to violent reoffending, results indicated that the predictive validity of the Historical domain was modest for 2 (area under the curve [AUC] = .75) and 5 (AUC = .74) years. The predictive validity of the Clinical domain was marginal for 2 (admission: AUC = .62; discharge: AUC = .63) and 5 (admission: AUC = .69; discharge: AUC = .62) years after release. The predictive validity of the Future domain was modest (AUC = .71) for 2 years and low for 5 (AUC = .58) years. The total score of the instrument was modest for 2 years (AUC = .78) and marginal for 5 (AUC = .68) years. Finally, the Final Risk Judgment was modest for 2 years (AUC = .78) and marginal for 5 (AUC = .63) years time at risk. It is concluded that this risk assessment instrument appears to be a satisfactory instrument for risk assessment.
ISSN:1552-6933
DOI:10.1177/0306624X17717128