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首页> 外文期刊>The journal of forensic psychiatry & psychology >Do review tribunals consider protective factors in their decisions about patients found not criminally responsible?
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Do review tribunals consider protective factors in their decisions about patients found not criminally responsible?

机译：审查法庭是否考虑了对发现没有刑事责任的患者的决定中的保护因素？

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摘要

Violence risk assessment has been a routine part of clinical practice for several decades, and there are a number of risk factors that have been empirically demonstrated to predict recidivism. While research demonstrates their ability to predict future violence, risk factors are not always included in decision-making discussions regarding treatment or movement through the forensic system. Recently, research has demonstrated that protective factors provide incremental predictive validity over risk factors alone. We aimed to determine how or if these protective factors are being used by review boards for individuals found NCRMD (Not Criminally Responsible on Account of Mental Disorder). Using a random sample of 116 cases, and a retrospective file review design, we coded hospital reports and review board reasons documents for references to items from the Structured Assessment of Protective Factors (SAPROF). Results indicated that, on average, less than half of the SAPROF items are mentioned, but that hospital reports do mention more items than reasons documents. In addition, more items were referenced when individuals were moved to less secure settings. Protective factors may have some impact on decision-making however many protective factors are not being considered. Implications for the use of protective factors in clinical settings are discussed.
机译：暴力风险评估是常规部分的临床实践几十年的常规部分，并且有许多经验证明预测常规的危险因素。虽然研究表明他们预测未来暴力的能力，但危险因素并不总是通过法医系统治疗或运动的决策讨论。最近，研究表明，保护因素仅提供危险因素的增量预测有效性。我们旨在确定如何通过发现NCRMD的个人的审核委员会使用这些保护因素（不是由于精神障碍的刑事责任）。使用116个案例的随机样本和回顾性文件审查设计，我们编写了医院报告和审查牌原因文件，以便从结构化因素的结构化评估（SAPROF）中的项目评估。结果表明，按照少于一半的SAPROF项目，但该医院报告确实提及了比文件的原因更多的物品。此外，当个人移动到更少的安全设置时，将引用更多项目。保护因素可能对决策产生一些影响，但不考虑许多保护因素。讨论了在临床环境中使用保护因子的影响。

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