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首页> 外文期刊>The journal of forensic psychiatry & psychology >Evaluation of a model of violence risk assessment (HCR-20) among adult patients discharged from a gazetted psychiatric hospital in Hong Kong
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Evaluation of a model of violence risk assessment (HCR-20) among adult patients discharged from a gazetted psychiatric hospital in Hong Kong

机译：从香港宪报精神病院出院的成年患者中评估暴力风险评估模型（HCR-20）

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Background: Structured professional judgement (SPJ) method has been considered as a useful approach to violent risk assessment. However, an unstructured clinical model of violence risk assessment, the Priority Follow-up (PFU) system is employed in Hong Kong. The Historical/Clinical/Risk Management - 20 (HCR-20) is the SPJ instrument that had been most researched but has not been previously validated in a Chinese population. Study design and methods: HCR-20 was completed for 110 discharged general adult or forensic psychiatric patients with a PFU status and also for the same number of demographically matched controls. Violence was determined from case notes at 6- and 12-month after the HCR-20 rating. Results: HCR-20 was rated with acceptable interrater reliability. The predictive validity of the structured final risk judgement was significant, yielding moderate to large effect sizes, for all of the violent outcomes at 6 and 12 months. When compared with the PFU system, the final risk judgement yields no significant differences.
机译：背景：结构化专业判断（SPJ）方法被认为是暴力风险评估的一种有用方法。但是，香港采用了一种非结构化的暴力风险评估临床模型，即优先跟进（PFU）系统。历史/临床/风险管理-20（HCR-20）是SPJ仪器，研究最多，但尚未在中国人群中得到验证。研究设计和方法：HCR-20已针对110名PFU出院的普通成人或法医精神病患者以及相同数量的人口统计学匹配对照完成。根据HCR-20评分后6个月和12个月的病例记录确定暴力。结果：HCR-20被评定为具有可接受的跨度可靠性。结构性最终风险判断的预测效度显着，对于6个月和12个月的所有暴力结果均产生中等至较大的影响量。与PFU系统相比，最终风险判断没有显着差异。

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