有什么风险?通过暴力风险情景规划镜头了解法医精神科住院病人的攻击行为

IF 1.3 4区 医学 Q3 CRIMINOLOGY & PENOLOGY
Dylan T. Gatner, H. Moulden, Mini Mamak, G. Chaimowitz
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引用次数: 1

摘要

摘要暴力风险评估是法医心理健康服务的一个重要组成部分,旨在帮助减轻和管理暴力的再次发生。尽管有大量证据支持结构化风险评估,但没有关于情景规划的经验证据——这是暴力风险评估结构化专业判断方法的一个具体组成部分。本研究的目的是调查住院患者攻击场景的基本发生率和并发有效性,以提供有关风险场景的信息。在大量具有代表性的法医精神病患者样本中(N = 1240),通过对住院患者攻击性的变化进行回顾性编码来调查风险情景(重复、升级、扭曲和改善情景)的患病率。研究结果表明,包括继续停止侵略在内的改进方案很常见。攻击场景与《历史临床风险管理-20》和《精神病检查表——修订版》具有显著的关联模式。总体而言,本研究提供了与暴力风险情景规划相关的初步经验证据。这些发现的启示包括在法医心理健康评估中,情景规划如何与评估者的偏见交叉。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
At Risk of What? Understanding Forensic Psychiatric Inpatient Aggression through a Violence Risk Scenario Planning Lens
Abstract Violence risk assessment is an essential component of forensic mental health services designed to help mitigate and manage the re-occurrence of violence. Although there is large body of evidence supporting structured risk assessments, there is no empirical evidence regarding scenario planning—a specific component of the structured professional judgment approach to violence risk assessment. The purpose of this study was to investigate the base rates and concurrent validity of inpatient aggression scenarios to provide information about risk scenarios. Among a large representative sample of forensic psychiatric patients (N = 1240), the prevalence of risk scenarios (Repeat, Escalation, Twist, and Improvement scenarios) was investigated by retrospectively coding changes in inpatient aggression. The results suggested that Improvement scenarios, including a continued desistance of aggression, were common. Aggression scenarios shared significant pattern of associations with the Historical-Clinical-Risk Management-20 and the Psychopathy Checklist—Revised. Overall, this study presents initial empirical evidence related to violence risk scenario planning. Implications from these findings include how scenario planning may intersect with evaluator bias in forensic mental health assessments.
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来源期刊
CiteScore
2.80
自引率
7.10%
发文量
24
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