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客户当前的表现对犯罪再犯率具有最佳预测作用:对新西兰假释社区样本中的风险和再犯结果进行重复评估的联合建模。

Clients' current presentation yields best prediction of criminal recidivism: Jointly modeling repeated assessments of risk and recidivism outcomes in a community sample of paroled New Zealanders.

作者信息

Stone Ariel G, Spivak Benjamin L, Lloyd Caleb D, Papalia Nina L, Serin Ralph C

机构信息

Centre for Forensic Behavioural Science.

Department of Psychology.

出版信息

J Consult Clin Psychol. 2022 Nov;90(11):872-883. doi: 10.1037/ccp0000766. Epub 2022 Nov 10.

Abstract

OBJECTIVE

Clinicians often rely on readily observable intermediate outcomes (e.g., symptoms) to assess the likelihood of events that occur outside of treatment (e.g., relapse). Similarly, those monitoring clients with histories of criminal involvement attempt to prevent adverse outcomes considered likely and intervene when symptoms/risk factors fluctuate. Our aim was to develop a stronger understanding of associations between evolving symptoms/risk factors and case outcomes, yielding clearer practice implications.

METHOD

We used longitudinal, multiple reassessment risk data from 3,421 individuals paroled in New Zealand. We used joint modeling to test the association between individual trajectories of psychosocial risk factor scores, assessed using Dynamic Risk Assessment for Offender Re-entry, and recidivism (official records of parole violations or criminal charges resulting in reconviction). We examined whether recent clinically relevant features of risk presentation (e.g., current levels, recent rate of change) predicted recidivism better than the entirety of the risk assessment trajectory.

RESULTS

Although each model demonstrated similar predictive validity, measures of model fit indicated that models using current trajectory features outperformed those using the entire assessment history to predict recidivism.

CONCLUSIONS

Change in dynamic risk factors is consistently associated with recidivism outcomes. When using changeable factors to monitor clients' current risk for recidivism, practitioners should focus on current presentation rather than the entire assessment history, although differences in predictive discrimination are small. (PsycInfo Database Record (c) 2022 APA, all rights reserved).

摘要

目的

临床医生常常依靠易于观察的中间结果(如症状)来评估治疗之外发生的事件(如复发)的可能性。同样,那些对有犯罪史的客户进行监测的人员试图预防被认为可能出现的不良后果,并在症状/风险因素波动时进行干预。我们的目的是更深入地理解不断变化的症状/风险因素与案件结果之间的关联,从而得出更清晰的实践启示。

方法

我们使用了来自新西兰3421名假释人员的纵向、多次重新评估的风险数据。我们使用联合建模来测试使用罪犯重新进入动态风险评估所评估的心理社会风险因素得分的个体轨迹与再犯(假释违规或导致再次定罪的刑事指控的官方记录)之间的关联。我们研究了风险呈现的近期临床相关特征(如当前水平、近期变化率)是否比整个风险评估轨迹能更好地预测再犯。

结果

尽管每个模型都显示出相似的预测效度,但模型拟合度指标表明,使用当前轨迹特征的模型在预测再犯方面优于使用整个评估历史的模型。

结论

动态风险因素的变化始终与再犯结果相关。当使用可变因素监测客户当前的再犯风险时,从业者应关注当前呈现情况而非整个评估历史,尽管预测辨别力的差异很小。(PsycInfo数据库记录(c)2022美国心理学会,保留所有权利)

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