Protective Factors for Violence Risk in Forensic Psychiatric Patients: A Retrospective Validation Study of the SAPROF

2011 ◽  
Vol 10 (3) ◽  
pp. 178-186 ◽  
Author(s):  
Michiel de Vries Robbé ◽  
Vivienne de Vogel ◽  
Eva de Spa
Keyword(s):  
Protective Factors ◽  
Validation Study ◽  
Psychiatric Patients ◽  
Violence Risk ◽  
Forensic Psychiatric Patients ◽  
Forensic Psychiatric

The role of psychosocial treatment in decreasing of future violence behavior risk in forensicly treated psychiatric patients

2011 ◽  
Vol 26 (S2) ◽  
pp. 783-783
Author(s):  
S. Jonovska ◽  
V.Š. Jengić ◽  
L. Safner ◽  
G. Bošković ◽  
S. Zudenigo
Keyword(s):  
Psychiatric Patients ◽  
Violent Behavior ◽  
Psychosocial Treatment ◽  
Violence Risk ◽  
Forensic Psychiatric Patients ◽  
Forensic Treatment ◽  
Aggression Questionnaire ◽  
Schizophrenic Group ◽  
Forensic Psychiatric ◽  
In The Beginning

The main aim of this study was to establish to what extent psychosocial treatment as a part of complex, multicomponent forensic treatment has an influence on decreasing of the future violence behavior risk in population of forensic psychiatric patients. We examinated 13 patients treated on Department of Forensic Psychiatry of Psychiatric Hospital Rab in Rab, Croatia. 9 of them were males and 4 of them females, 25–60 years of age, all of them were compulsory hospitalized because of committed criminal act connected with violent behavior. All of them have diagnosis of schizophrenic group of diseases with different duration of forensic treatment (from few months to few years). During 2010. all of them participated in psychosocial programe workshops once a week, for 6 months.MethodsViolence Risk Screening-10 (V-RISK-10), subjective measure of the programme chairmen performed in the beginning and in the end of the programme. The Aggression Questionnaire and Daily Spiritual Experience Scale as self-assesment scales were performed in the end of the programme. Results point on decreasing of V-RISK-10 results in the end of the programe in all participants. Interested observation was that mentioned results and those on self-assesment scales were not always been correlated positively. We also proved negative correlation between aggressivity and spirituality. As a conclusion, we have indications to believe that is real to expect that comining psychosocial treatment with targeted psuchopharmacological interventions could leed to decreasing the risk of future violent bihevior in forensicly treated psuchiatric patients.

scholarly journals Longitudinal Network Structure and Changes of Clinical Risk and Protective Factors in a Nationwide Sample of Forensic Psychiatric Patients

2020 ◽  
Vol 64 (15) ◽  
pp. 1533-1550
Author(s):  
Stefan Bogaerts ◽  
Marinus Spreen ◽  
Erik Masthoff ◽  
Marija Jankovic
Keyword(s):  
Protective Factors ◽  
Network Structure ◽  
Psychiatric Patients ◽  
Risk And Protective Factors ◽  
Time Points ◽  
Clinical Risk ◽  
Forensic Psychiatric Patients ◽  
Forensic Psychiatric ◽  
Dynamic Relationships ◽  
Time Of Admission

In this study, we investigated network configurations of 14 Clinical risk and protective factors in a sample of 317 male forensic psychiatric patients across two time points: at the time of admission to the forensic psychiatric centers (T1) and at the time of unconditional release (T2). In terms of network structure, the strongest risk edge was between “hostility–violation of terms” at T1, and between “hostility–impulsivity” at T2. “Problem insight–crime responsibility” was the strongest protective edge, and “impulsivity–coping skills” was the strongest between-cluster edge, at both time points, respectively. In terms of strength centrality, “cooperation with treatment” had the highest strength centrality at both measurement occasions. This study expands the risk assessment field toward a better understanding of dynamic relationships between individual clinical risk and protective factors and points to the highly central risk and protective factors, which would be the best for future treatment targets.

scholarly journals Gender-Sensitive Violence Risk Assessment: Predictive Validity of Six Tools in Female Forensic Psychiatric Patients

2019 ◽  
Vol 46 (4) ◽  
pp. 528-549 ◽  
Author(s):  
Vivienne de Vogel ◽  
Mieke Bruggeman ◽  
Marike Lancel
Keyword(s):  
Risk Assessment ◽  
Risk Management ◽  
Predictive Validity ◽  
Predictive Accuracy ◽  
Psychiatric Patients ◽  
Violence Risk ◽  
Clinical Risk Management ◽  
Violence Risk Assessment ◽  
Forensic Psychiatric Patients ◽  
Forensic Psychiatric

Most violence risk assessment tools have been validated predominantly in males. In this multicenter study, the Historical, Clinical, Risk Management–20 (HCR-20), Historical, Clinical, Risk Management–20 Version 3 (HCR-20V3), Female Additional Manual (FAM), Short-Term Assessment of Risk and Treatability (START), Structured Assessment of Protective Factors for violence risk (SAPROF), and Psychopathy Checklist–Revised (PCL-R) were coded on file information of 78 female forensic psychiatric patients discharged between 1993 and 2012 with a mean follow-up period of 11.8 years from one of four Dutch forensic psychiatric hospitals. Notable was the high rate of mortality (17.9%) and readmission to psychiatric settings (11.5%) after discharge. Official reconviction data could be retrieved from the Ministry of Justice and Security for 71 women. Twenty-four women (33.8%) were reconvicted after discharge, including 13 for violent offenses (18.3%). Overall, predictive validity was moderate for all types of recidivism, but low for violence. The START Vulnerability scores, HCR-20V3, and FAM showed the highest predictive accuracy for all recidivism. With respect to violent recidivism, only the START Vulnerability scores and the Clinical scale of the HCR-20V3 demonstrated significant predictive accuracy.

scholarly journals On the Link Between Emotionally Driven Impulsivity and Aggression: Evidence From a Validation Study on the Dutch UPPS-P

2017 ◽  
Vol 62 (8) ◽  
pp. 2329-2344 ◽  
Author(s):  
A. M. C. Bousardt ◽  
E. O. Noorthoorn ◽  
A. W. Hoogendoorn ◽  
H. L. I. Nijman ◽  
J. W. Hummelen
Keyword(s):  
Factor Analysis ◽  
Confirmatory Factor Analysis ◽  
Validation Study ◽  
Psychiatric Patients ◽  
Student Groups ◽  
Aggression Management ◽  
Forensic Psychiatric Patients ◽  
Confirmatory Factor ◽  
Forensic Psychiatric ◽  
Behavioural Domain

The UPPS-P seems to be a promising instrument for measuring different domains of impulsivity in forensic psychiatric patients. Validation studies of the instrument however, have been conducted only in student groups. In this validation study, three groups completed the Dutch UPPS-P: healthy student ( N = 94) and community ( N = 134) samples and a forensic psychiatric sample ( N = 73). The five-factor structure reported previously could only be substantiated in a confirmatory factor analysis over the combined groups but not in the subsamples. Subgroup sample sizes might be too small to allow such complex analyses. Internal consistency, as assessed by Cronbach’s alpha, was high on most subscale and sample combinations. In explaining aggression, especially the initial subscale negative urgency (NU) was related to elevated scores on self-reported aggression in the healthy samples (student and community). The current study is the second study that found a relationship between self-reported NU and aggression highlighting the importance of addressing this behavioural domain in aggression management therapy.

scholarly journals A Latent Class Analysis of Forensic Psychiatric Patients in Relation to Risk and Protective Factors

2021 ◽  
Vol 12 ◽  
Author(s):  
Marija Janković ◽  
Erik Masthoff ◽  
Marinus Spreen ◽  
Peter de Looff ◽  
Stefan Bogaerts
Keyword(s):  
Protective Factors ◽  
Latent Class Analysis ◽  
Latent Class ◽  
Psychiatric Patients ◽  
Risk And Protective Factors ◽  
Criminal History ◽  
Class Analysis ◽  
Forensic Psychiatric Patients ◽  
Axis I ◽  
Forensic Psychiatric

Forensic psychiatric patients form a very heterogeneous population regarding psychopathology, criminal history, and risk factors for reoffending. Therefore, the present study aimed to investigate whether there are more homogeneous classes of forensic patients based on DSM-IV-TR Axis I and II diagnoses and previously committed offenses, by means of explorative latent class analysis (LCA). It was also investigated which risk and protective factors are significantly more prevalent in one class compared to other classes. The study sample contained 722 male forensic psychiatric patients who were unconditionally released between 2004 and 2014 from high-security forensic clinics. Data were retrospectively derived from electronic patient files. Five distinctive patient classes emerged: class with only Axis II diagnosis, class with multiple problems, antisocial class, psychotic class, and intellectually disabled class. These classes differed significantly in risk and protective factors. This study contributes to the understanding of patient classes and provides directions for future, class-tailored interventions.

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