The domain of inattention and omission errors was related to occupational/vocational therapy engagement as well as a higher risk of present and future violence as measured by the HCR-20.
<b>Purpose and aim:</b> Out from the sparse literature on risk assessment for violence committed by women the Female Additional Manual (FAM) was developed to be a complement to the HCR-20v2.
This study investigated the differential predictive validity and potential for disparate impact of both juvenile (the Structured Assessment of Violence Risk for Youth and Youth Level of Service/Case Management Inventory) and adult risk assessment instruments (the Historical-Clinical-Risk Management-20 [HCR-20] and the Violence Risk Appraisal Guide [VRAG]) with this age group (ages 16-24), relative to adolescents (ages 12-15) or older adults (ages 25-40).
Violence risk ratings (measured by the Historical Clinical Risk Management-20 [HCR-20]) and psychopathy ratings (measured by the Psychopathy Checklist-Revised [PCL-R]) depended on the presence of a prior criminal record, such that those with a prior criminal record were perceived as a greater violence risk and as exhibiting more psychopathic traits than their clean-record counterparts.
Patient progress was evaluated using the DUNDRUM-3, a measure of patient ability to participate and benefit from multi-modal psychosocial programs and the HCR-20 dynamic items, a measure of violence proneness.
Patients scoring above the mean on the S-RAMM (>20-point cut-off) had a five times increased risk of suicide related events (OR = 5.05, 95% CI = 2.6-9.7) and sevenfold risk of violence in the HCR-20 (>21-point cut-off) (OR = 7.13, 95% CI = 2.0-21.2) than those scoring below the mean.
Area under the curve analyses suggested that the HCR-20 total score is a good predictor of violence in this cohort, with the clinical and risk sub-scales showing good predictive accuracy, but the historical sub-scale not doing so.