Measuring the Risk of Violence in Forensic Psychiatry 1379
Doctor of Psychology, Head of the Laboratory of the psychohygiene and psychoprophylaxis, Federal State Budgetary Institution "V. Serbsky National Medical Research Centre for Psychiatry and Narcology" of the Ministry of Health of the Russian Federation, Moscow, Russia
The article describes the understanding of the term "risk of violence" by foreign forensic psychiatrists, which sometimes is translated as "the risk of aggressive actions". The reasons for the existing problem of successful prediction of socially dangerous acts (SDAs) in patients with severe mental disorders are discussed. The following aspects of risk assessment were considered: clinical, legal and methodological. The risk of violence assessment is a complex analysis of multiple sources of information on various characteristics of the patient and his/her life circumstances. The issue of reliability of such forecasts is discussed. The general and specific goals of violence risk assessment are described. A list of characteristics used by professionals in assessing the risk of violence is provided. Brief description of the strengths and weaknesses of the two approaches currently existing in the field of risk assessment: discretionary and non-discretionary, is provided.
Keywords: risk of violence assessment, mentally ill individuals who committed SDA, actuarial tools, forecast accuracy, clinical judgment, discretionary and non-discretionary approaches.
Column: Juridical Psychology
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