Violence risk assessment for young adults receiving treatment for early psychosis.
Violence risk assessment for young adults receiving treatment for early psychosis.
复制标题
DOI：
10.1016/j.ijlp.2021.101701
复制
发表时间：
2021-05
影响因子：
2.3
通讯作者：
Dixon LB
中科院分区：
文献类型：
--
作者：
Rolin SA;Bareis N;Bradford JM;Rotter M;Rosenfeld B;Pauselli L;Compton MT;Stroup TS;Appelbaum PS;Dixon LB
尽管对于患有精神疾病的人来说，暴力的绝对风险很小，但似乎遭受暴力风险较高的特定人群包括正在经历精神病或早期精神病的年轻人。之前的研究已经确定了该人群中暴力的风险因素，但之前没有使用正式的风险评估工具进行研究。本研究使用历史临床风险管理-20 第 3 版 (HCR-20) 来确定患有早期精神病的年轻人样本中未来暴力的风险以及该人群特有风险的相关预测因素。 HCR-20 是对在 OnTrackNY 站点注册的早期精神病年轻人样本 (N=53) 进行的，该站点是全州范围内计划的一部分，为首次出现非情感性精神病发作的年轻人提供早期干预服务。进行了验证性因素分析 (CFA)，以探讨 HCR-20 项目对该人群的相对重要性。参与者的平均年龄为 21.9 岁（SD 3.6 岁），大多数为男性（69.8%，n=37）。根据案件优先级汇总风险评级，大多数患者被评估为未来暴力的低风险（67.9%，n=36）。终审法院在该样本中确定了 4 项在识别暴力风险方面不具有相对预测价值的项目：物质使用史（项目 H5）、重大精神障碍史（项目 H6）、生活状况（项目 R2）和个人支持（项目 R3）。本研究提出了一种评估暴力风险较高人群的暴力风险的正式方法，证明了在早期干预服务中使用标准化风险评估工具的可行性，并确定了与预测该人群暴力相关的特别重要的因素。未来的研究应该使用 HCR-20 等结构化工具来实施暴力风险评估，并评估其在预测这种情况下未来暴力行为的准确性。
Although the absolute risk of violence is small for individuals with mental illnesses, a specific subgroup of individuals who appear to be at increased risk for violence includes young people experiencing emerging or early psychosis. Prior research has identified risk factors for violence in this population, though no prior studies using a formal risk assessment tool have been identified. This study used the Historical Clinical Risk Management-20, version 3 (HCR-20) to identify risk of future violence among a sample of young adults with early psychosis and relevant predictors of risk unique to this population. The HCR-20 was administered to a sample of young adults with early psychosis (N=53) enrolled at one OnTrackNY site, part of a statewide program providing early intervention services to young adults presenting with a first episode of non-affective psychosis. A Confirmatory Factor Analysis (CFA) was conducted to explore the relative importance of the HCR-20 items for this population. The average age of participants was 21.9 years (SD 3.6 years) and most were male (69.8%, n=37). Most patients were assessed to be at low risk for future violence based on the Case Prioritization summary risk rating (67.9%, n=36). The CFA identified 4 items that were not of relative predictive value in identifying the risk of violence in this sample: history of substance use (item H5), history of major mental disorder (item H6), living situation (item R2), and personal support (item R3). This study presents a formal approach to assessing violence risk in a population at elevated risk of violence, demonstrates the feasibility of using a standardized risk assessment tool in early intervention services, and identifies factors of particular importance associated with predicting violence in this population. Future research should implement violence risk assessment with a structured tool such as the HCR-20 and assess its accuracy in predicting future violent behavior in this setting.
登录
查看更多内容
影响因子：
64.3
作者：
Fazel, Seena;Wolf, Achim;Palm, Camilla;Lichtenstein, Paul
通讯作者：
Lichtenstein, Paul
DOI：
10.1002/cbm.688
发表时间：
2008-01-01
期刊：
Criminal behaviour and mental health : CBMH
影响因子：
--
作者：
Goethals, Kris;Willigenburg, Lisette;Van Marle, Hjalmar
通讯作者：
Van Marle, Hjalmar
影响因子：
6.6
作者：
Hodgins, Sheilagh
通讯作者：
Hodgins, Sheilagh
影响因子：
10.5
作者：
Haddock, Gillian;Barrowclough, Christine;Tarrier, Nicholas
通讯作者：
Tarrier, Nicholas
影响因子：
5.9
作者：
Douglas, KS;Ogloff, JRP;Grant, I
通讯作者：
Grant, I