Duits Nils, Doreleijers Theo A H, van den Brink Wim
Netherlands Institute of Forensic Psychiatry and Psychology, Amsterdam, The Netherlands.
Int J Law Psychiatry. 2008 Jun-Jul;31(3):236-40. doi: 10.1016/j.ijlp.2008.04.007. Epub 2008 Jun 5.
Assessment of violence risk in youth for juvenile court needs to be improved.
To determine which items of the Structured Assessment of Violence Risk in Youth (SAVRY) are recorded in pre-trial mental health evaluations and which of these items are associated with the clinical judgment of the risk of violent recidivism.
A total of one hundred forensic diagnostic juvenile court files were rated with regard to the presence or absence of the thirty SAVRY risk items: ten historical, six contextual and eight individual items, and six protective items. Univariate and multivariate logistic regression analysis were used to examine the relationship between SAVRY risk items and the clinical judgment of violence risk.
Most SAVRY-items had been recorded in the files. However, five historical items and the contextual item 'rejection by peers' did not appear in 25-62% of the files. Especially SAVRY items like 'negative-attitudes' and 'psychopathic traits' were the most powerful predictors for clinical judgment of high violence risk. Unexpectedly, historical items played a minor role in clinical judgment.
Prospective research is needed with the use of SAVRY-items to improve evidence based violence risk assessment in court ordered mental health evaluations of youngsters.
青少年法庭对青少年暴力风险的评估需要改进。
确定青少年暴力风险结构化评估（SAVRY）中的哪些项目记录在审前心理健康评估中，以及这些项目中哪些与暴力再犯风险的临床判断相关。
对总共100份法医诊断青少年法庭档案进行评分，看是否存在30个SAVRY风险项目：10个历史项目、6个背景项目、8个个体项目和6个保护项目。使用单变量和多变量逻辑回归分析来检验SAVRY风险项目与暴力风险临床判断之间的关系。
大多数SAVRY项目已记录在档案中。然而，25%-62%的档案中未出现5个历史项目和背景项目“被同龄人排斥”。特别是“消极态度”和“精神病态特征”等SAVRY项目是高暴力风险临床判断的最有力预测因素。出乎意料的是，历史项目在临床判断中作用较小。
需要使用SAVRY项目进行前瞻性研究，以改进法庭下令对青少年进行心理健康评估时基于证据的暴力风险评估。
