Assessing risk for violence among psychiatric patients: The HCR-20 violence risk assessment scheme and the psychopathy checklist: Screening version
Assessing risk for violence among psychiatric patients: The HCR-20 violence risk assessment scheme and the psychopathy checklist: Screening version
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DOI：
10.1037/0022-006x.67.6.917
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发表时间：
1999-12-01
影响因子：
5.9
通讯作者：
Grant, I
中科院分区：
文献类型：
--
作者：
Douglas, KS;Ogloff, JRP;Grant, I
本研究评估了HCR-20（历史、临床和风险管理）暴力风险评估方案和精神病检查表：筛查版（PCL:SV）的预测有效性。对193例民事犯罪患者的档案进行编码。在社区对患者进行了平均626天的随访。用HCR-20进行的受试者工作特征分析显示与暴力行为有很强的相关性（曲线下面积[auc] = 0.76 - 0.80）。得分高于HCR-20中位数的人比得分低于中位数的人暴力的可能性高6到13倍。PCL:SV auc变化更大（0.68 - 0.79）。回归分析显示，HCR-20增加了PCL:SV的增量效度，并且只有HCR-20分量表预测暴力。对风险评估研究，临床评估和暴力管理的影响进行了讨论。
This study evaluated the predictive validity of the HCR-20 (Historical, Clinical, and Risk Management) violence risk assessment scheme and the Psychopathy Checklist: Screening Version (PCL:SV). Files of 193 civilly committed patients were coded. Patients were followed up in the community for an average of 626 days. Receiver operating characteristic analyses with the HCR-20 yielded strong associations with violence (areas under curve [AUCs] =.76-.80). Persons scoring above the HCR-20 median were 6 to 13 times more likely to be violent than those scoring below the median. PCL:SV AUCs were more variable (.68-.79). Regression analyses revealed that the HCR-20 added incremental validity to the PCL:SV and that only HCR-20 subscales predicted violence. Implications for risk assessment research, and the clinical assessment and management of violence, are discussed.