TY  - JOUR
PY  - 2019//
TI  - The predictive properties of psychiatric diagnoses, dynamic risk and dynamic risk change assessed by the VRS-SO in forensically admitted and released sexual offenders
JO  - Frontiers in psychiatry
A1  - Eher, Reinhard
A1  - Hofer, Sandra
A1  - Buchgeher, Anna
A1  - Domany, Stefan
A1  - Turner, Daniel
A1  - Olver, Mark E.
SP  - e922
EP  - e922
VL  - 10
IS  - 
N2  - Psychiatric diagnoses, static risk factors, and criminogenic needs at time of admission and release were examined in a mentally ill sample of psychiatrically detained sexual offenders. Although clinically found to be at low or even very low risk at discharge, 12% reoffended sexually over an average follow-up of 7 years. Psychotic disorders were present in only 5% of offenders, whereas 93% had a personality disorder diagnosis and 76% a paraphilic disorder diagnosis. Only exhibitionism and alcohol misuse were associated with relapse. Static risk factors captured by the Static-99 also did not significantly predict recidivism; however, the VRS-SO-a structured risk assessment tool that assesses criminogenic needs and changes in risk from treatment or other change agents, rated retrospectively on the present sample-predicted sexual recidivism as well as any new imprisonment or psychiatric placement. In particular, the sexual deviance factor of the VRS-SO had large in magnitude predictive associations with sexual reoffending, while treatment related changes assessed on this factor were significantly related to non-reoffending. <br><br>FINDINGS corroborate the advantages of structured risk assessment and structured change monitoring, particularly for complex clientele such as mentally ill sexual offenders.<br><br>Copyright © 2020 Eher, Hofer, Buchgeher, Domany, Turner and Olver.<p />  <p>Language: en</p>
LA  - en
SN  - 1664-0640
UR  - http://dx.doi.org/10.3389/fpsyt.2019.00922
ID  - ref1
ER  -