De Vries Robbé Michiel, de Vogel Vivienne, Douglas Kevin S, Nijman Henk L I
Department of Research, Van der Hoeven Clinic.
Department of Psychology, Simon Fraser University.
Law Hum Behav. 2015 Feb;39(1):53-61. doi: 10.1037/lhb0000089. Epub 2014 Jun 16.
Empirical studies have rarely investigated the association between improvements on dynamic risk and protective factors for violence during forensic psychiatric treatment and reduced recidivism after discharge. The present study aimed to evaluate the effects of treatment progress in risk and protective factors on violent recidivism. For a sample of 108 discharged forensic psychiatric patients pre- and posttreatment assessments of risk (HCR-20) and protective factors (SAPROF) were compared. Changes were related to violent recidivism at different follow-up times after discharge. Improvements on risk and protective factors during treatment showed good predictive validity for abstention from violence for short- (1 year) as well as long-term (11 years) follow-up. This study demonstrates the sensitivity of the HCR-20 and the SAPROF to change and shows improvements on dynamic risk and protective factors are associated with lower violent recidivism long after treatment.
实证研究很少探讨在法医精神病治疗期间动态风险及暴力保护因素的改善与出院后再犯率降低之间的关联。本研究旨在评估风险和保护因素的治疗进展对暴力再犯的影响。对108名出院的法医精神病患者样本进行了治疗前和治疗后风险（HCR - 20）及保护因素（SAPROF）评估，并进行比较。这些变化与出院后不同随访时间的暴力再犯情况相关。治疗期间风险和保护因素的改善对短期（1年）和长期（11年）随访中的暴力戒除显示出良好的预测效度。本研究证明了HCR - 20和SAPROF对变化的敏感性，并表明动态风险和保护因素的改善与治疗后很长时间的较低暴力再犯率相关。
