TY - JOUR PY - 1999// TI - Assessing risk for violence among psychiatric patients: the HCR-20 violence risk assessment scheme and the Psychopathy Checklist: Screening Version JO - Journal of consulting and clinical psychology A1 - Douglas, K. S. A1 - Ogloff, James R. P. A1 - Nicholls, Tonia L. A1 - Grant, Igor SP - 917 EP - 930 VL - 67 IS - 6 N2 - This study evaluated the predictive validity of the HCR-20 (Historical, Clinical, and Risk Management) violence risk assessment scheme and the Psychopathy Checklist: Screening Version (PCL:SV). Files of 193 civilly committed patients were coded. Patients were followed up in the community for an average of 626 days. Receiver operating characteristic analyses with the HCR-20 yielded strong associations with violence (areas under curve [AUCs] = .76-.80). Persons scoring above the HCR-20 median were 6 to 13 times more likely to be violent than those scoring below the median. PCL:SV AUCs were more variable (.68-.79). Regression analyses revealed that the HCR-20 added incremental validity to the PCL:SV and that only HCR-20 subscales predicted violence. Implications for risk assessment research, and the clinical assessment and management of violence, are discussed.

Language: en

LA - en SN - 0022-006X UR - http://dx.doi.org/ ID - ref1 ER -