TY  - JOUR
PY  - 2019//
TI  - Assessing inpatient victimization risk among insanity acquittees using the HCR-20<sup>V3</sup>
JO  - The journal of the American Academy of Psychiatry and the Law
A1  - Grossi, Laura M.
A1  - Green, Debbie
A1  - Griswold, Hali
A1  - Cabeldue, Mollimichelle
A1  - Belfi, Brian
SP  - ePub
EP  - ePub
VL  - ePub
IS  - ePub
N2  - Victimization of individuals with mental illness may involve serious emotional or physical injury to already vulnerable persons. Further, victimization may contribute to subsequent victimization experiences, exacerbate psychiatric symptoms, and prolong hospitalization, among other undesirable secondary outcomes. Nonetheless, limited prior research has focused on predicting victimization in forensic psychiatric settings, and no research has attempted to do so with the Historical, Clinical, Risk Management-20 Version 3 (HCR-20<sup>V3</sup>) tool. This study involved retrospective ratings of the HCR-20<sup>V3</sup> for 169 hospitalized insanity acquittees and examined the utility of HCR-20<sup>V3</sup> ratings in predicting victimization. Although the HCR-20<sup>V3</sup> was not explicitly developed to aid in evaluations of victimization risk, other structured professional judgment tools intended to predict violence risk have demonstrated potential for predicting victimization, due to the existence of common risk factors and overlap between patients who engage in violence and those who are victimized. <br><br>RESULTS from this study suggest that evaluators may consider the Clinical scale score of the HCR-20<sup>V3</sup> and elevations on its items assessing violent ideation or intent, instability, and treatment or supervision response in identifying those at increased risk for future victimization. The Historical and Risk Management scales were less relevant in predicting victimization.<br><br>© 2019 American Academy of Psychiatry and the Law.<p />  <p>Language: en</p>
LA  - en
SN  - 1093-6793
UR  - http://dx.doi.org/10.29158/JAAPL.003843-19
ID  - ref1
ER  -