Folino Elisa, Arbach Karin
Magister en Salud Mental Forense. Dirección General de Salud Penitenciaria, Ministerio de Justicia de la Provincia de Buenos Aires, Argentina.
Doctora en Psicología Clínica y de la Salud. Instituto de Investigaciones Psicológicas, Consejo Nacional de Investigaciones Científicas y Tecnológicas, Facultad de Psicología, Universidad Nacional de Córdoba. E-mail:
Vertex. 2021 Mar;XXXII(151):32-44. doi: 10.53680/vertex.v32i151.23.
This study provides evidence on the inter-rater reliability and concurrent validity of the Historical, Clinical and Risk Management-20, Version 3 (HCR-20V3) in a sample of 35 patients admitted to a forensic psychiatric unit in Argentina. The HCR-20V3 showed significant correlations with the VRAG-R and the PCL: SV. HCR-20V3 was independently coded by two evaluators in 15 patients. The inter-rater reliability indices were moderate to excellent in the coding of presence of risk factors and in the estimation of the summary risk ratings of future violence and imminent violence, although ICC were non-significant for the summary risk rating of serious physical damage. These findings have implications for the HCR-20V3 implementation in local professional contexts and raise future research possibilities which could be relevant for decision-making in violence risk management with patients committed to legal security measures.
本研究提供了关于历史、临床及风险管理-20(第3版,HCR-20V3)在阿根廷一家法医精神病科收治的35例患者样本中的评分者间信度和同时效度的证据。HCR-20V3与VRAG-R和PCL:SV显示出显著相关性。15例患者的HCR-20V3由两名评估者独立编码。在危险因素存在的编码以及未来暴力和即将发生暴力的总体风险评级估计方面,评分者间信度指数为中等至优秀,尽管严重身体伤害的总体风险评级的组内相关系数不显著。这些发现对HCR-20V3在当地专业环境中的实施具有启示意义,并提出了未来可能与受法律安全措施约束患者的暴力风险管理决策相关的研究可能性。