© 2000 The Royal College of Psychiatrists
REVIEW ARTICLES |
Violence risk prediction
Clinical and actuarial measures and the role of the Psychopathy Checklist
Edenfield Centre, Mental Health Services of Salford
Correspondence: Dr Mairead Dolan, Edenfield Centre, Mental Health Services of Salford, Bury New Road, Prestwich, Manchester M25 3BL
Background Violence risk prediction is a priority issue for clinicians working with mentally disordered offenders.
Aims To review the current status of violence risk prediction research.
Method Literature search (Medline). Key words: violence, risk prediction, mental disorder.
Results Systematic/structured risk assessment approaches may enhance the accuracy of clinical prediction of violent outcomes. Data on the predictive validity of available clinical risk assessment tools are based largely on American and North American studies and further validation is required in British samples. The Psychopathy Checklist appears to be a key predictor of violent recidivism in a variety of settings.
Conclusions Violence risk prediction is an inexact science and as such will continue to provoke debate. Clinicians clearly need to be able to demonstrate the rationale behind their decisions on violence risk and much can be learned from recent developments in research on violence risk prediction.
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