Convergent and predictive properties of three risk assessment instruments in a Canadian forensic mental health sample
The use of risk assessment instruments is essential for the assessment, treatment, and management of violence risk; it is thus critical to examine their properties when implemented in novel settings with diverse forensic subpopulations. This study evaluated the convergent and predictive properties o...
Autores principales: | ; ; ; |
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Tipo de documento: | Electrónico Artículo |
Lenguaje: | Inglés |
Publicado: |
2025
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En: |
The journal of forensic psychiatry & psychology
Año: 2025, Volumen: 36, Número: 4, Páginas: 526-549 |
Acceso en línea: |
Volltext (lizenzpflichtig) |
Journals Online & Print: | |
Verificar disponibilidad: | HBZ Gateway |
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100 | 1 | |a Cheng, Jeremy Chi Yeung |e VerfasserIn |0 (DE-588)1316961109 |0 (DE-627)1878711091 |4 aut | |
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520 | |a The use of risk assessment instruments is essential for the assessment, treatment, and management of violence risk; it is thus critical to examine their properties when implemented in novel settings with diverse forensic subpopulations. This study evaluated the convergent and predictive properties of three risk assessment instruments in a sample of 109 forensic patients found Not Criminally Responsible on Account of Mental Disorder (NCR). A retrospective longitudinal cohort design was employed to examine the Historical Clinical Risk Management-20 Version 3 (HCR-20V3), Revised Violence Risk Appraisal Guide (VRAG-R), and Level of Service/Case Management Inventory (LS/CMI) rated from archived hospital records. LS/CMI risk scores and risk bands predicted general (area under the curve [AUC] = .70–.73) and violent (AUC = .76–.91) recidivism with moderate to large effects and performed similarly to the VRAG-R and HCR-20V3. Calibration analyses demonstrated that LS/CMI scores overpredicted the risk of general recidivism in Moderate to Very High risk bands. Results supported the convergent validity and discrimination properties of study measures; however, mixed evidence was found for the calibration properties of the LS/CMI. The potential utility of risk instruments in the appraisal and management of offending behavior among forensic mental health patients is discussed. | ||
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