@article{ref1,
title="Predicting violence in female forensic inpatients with substance use disorders - the utility of a gender-responsive assessment",
journal="Frontiers in psychiatry",
year="2024",
author="Wolf, Viviane and Mayer, Juliane and Steiner, Ivonne and Franke, Irina and Klein, Verena and Streb, Judith and Dudeck, Manuela",
volume="15",
number="",
pages="e1346815-e1346815",
abstract="INTRODUCTION: Given that risk assessment tools are commonly based on male samples, the applicability to justice-involved women remains to be clarified. This study aimed at assessing (1) the predictive validity of the HCR-20 V3, the prevailing, yet primarily male-based violence risk assessment instrument, and (2) the incremental validity of the FAM, a gender-responsive supplement, for both inpatient violence and violent recidivism in justice-involved women. <br><br>METHODS: The sample included 452 female forensic inpatients with substance use disorder discharged from German forensic psychiatric care between 2001 and 2018. <br><br>RESULTS: ROC analyses revealed good predictive accuracy for the HCR-20 V3 while the FAM failed to provide incremental validity. Further, binary logistic regression determined several predictors of violence including personality disorder, covert/manipulative behavior, suicidal behavior/self-harm, and problematic intimate relationship. <br><br>DISCUSSION: These findings support the applicability of the HCR-20 V3 in justice-involved women with substance use disorder, while highlighting the clinical relevance of the FAM in supporting a gender-informed risk management.<p /> <p>Language: en</p>",
language="en",
issn="1664-0640",
doi="10.3389/fpsyt.2024.1346815",
url="http://dx.doi.org/10.3389/fpsyt.2024.1346815"
}