Urbaniok F, Noll T, Rossegger A, Endrass J
Psychiatrisch-Psychologischer Dienst Justizvollzug, Kanton Zürich, 8090 Zurich, Switzerland.
Fortschr Neurol Psychiatr. 2007 Mar;75(3):155-9. doi: 10.1055/s-2006-932203. Epub 2006 Oct 10.
In Switzerland, the Hare Psychopathy Checklist-Revised (PCL-R) is administered rather restrictively for risk assessment of recidivism among violent and sexual offenders. The aim of the present study was a first-time evaluation of the predictive validity of the PCL-R for violent and sexual recidivism in Switzerland. The PCL-R scores of 96 violent and sex offenders were evaluated by collecting the data in their psychiatric expert opinions. The scores were then compared to the rates of recidivism as shown in the criminal records. Consistent with previous studies in North America and Europe, the determined predictive accuracy was satisfying. This degree of precision supports the use of the PCL-R for risk assessment of sexual and violent recidivism in Switzerland, as long as the instrument does not constitute the sole criterion to determine future recidivism, but is applied only in combination with a thorough clinical evaluation. The use of precise cut-off scores did not prove to be a valid criterion for the prognosis of recidivism and can therefore not be recommended for Swiss offenders.
在瑞士,《哈雷精神病态量表修订版》(PCL-R)在暴力和性犯罪者再犯风险评估中的应用受到严格限制。本研究的目的是首次评估PCL-R在瑞士对暴力和性犯罪再犯的预测效度。通过收集96名暴力和性犯罪者的精神病学专家意见中的数据,对他们的PCL-R得分进行了评估。然后将这些得分与犯罪记录中显示的再犯率进行比较。与北美和欧洲此前的研究一致,所确定的预测准确性令人满意。这种精确程度支持在瑞士将PCL-R用于性犯罪和暴力犯罪再犯的风险评估,前提是该工具不构成判定未来再犯的唯一标准,而仅与全面的临床评估结合使用。精确的临界分数并未被证明是再犯预后的有效标准,因此不建议用于瑞士的犯罪者。