Protective factors in structured risk assessment of dangerous behaviour in persons with mental disorders
Suggested citation:
Makushkina OA, Avdonina SM. [Protective factors in structured risk assessment of dangerous behaviour in persons with mental disorders]. Rossiiskii psikhiatricheskii zhurnal [Russian Journal of Psychiatry]. 2018;(4):4-14. Russian
In the scientific article, in order to analyze the impact of protective parameters on the definition of the potential social danger of persons with mental disorders, a modern view on the problem of assessing the risk of violence is highlighted. It is shown that the joint consideration of risk factors and protective factors increases the reliability of the forecast. The results of several observational studies carried out using the original domestic method of structured risk assessment of dangerous behavior are presented. The prognostic significance of the tool is shown, the values of quantitative coefficients for protective factors are given, their gender specificity and dynamic changes in the process of treatment and rehabilitation influence are described.
Keywords persons with mental disorders; prevention of dangerous actions; risk assessment; structured professional judgments; risk factors; protective factors; methods of structured risk assessment of dangerous behavior
1. Kotov VP, Maltseva MM. Preduprezhdenie opasnyh dejstvij lic s psihicheskoj patologiej [Prevention of dangerous acts of persons with mental pathology]. In: [Handbook of Forensic Psychiatry]. Moscow, 2004; Part 5: p. 428–507. Russian. 2. Makushkina OA. Prognozirovanie riska obshchestvennoj opasnosti u lic s psihicheskimi rasstrojstvami: problemy, otraslevye zadachi [Prediction of the risk of public danger in persons with mental disorders: problems, sectoral problems]. Rossiiskii psikhiatricheskii zhurnal [Russian journal of psychiatry]. 2015;(4):56–65. Russian. 3. Haque Q. Implеmentation of Violence Risk Assessment Instruments in Mental Health Settings. In: International Perspectives on Violence Risk Assessment. Ed. by Jay P. Singh, Stål Bjørkly, Seena Fazel. Oxford, New York: Oxford University Press; 2016; p. 40–1. 4. Monahan J. A Jurisprudence of Risk Assessment: Forecasting Harm among Prisoners, Predators, and Patients. Virginia Law Review. 2006;92(3):405–6. 5. Rice ME, Harris GT, Lang C. Validation of and Revision to the VRAG and SORAG: The Violence Risk Appraisal Guide-Revised (VRAG-R). Psychological Assessment. 2013;25(3):951–65. 6. Boer DP, Hart SD, Kropp PR, et al. Manual for the sexual violence Risk-20: Professional guidelines for assessing risk of sexual violence. Burnaby, Canada: Mental Health Law and Policy Institute, Simon Fraser University; 1997; 23 p. 7. Douglas KS et al. HCR-20 V3: Assessing Risk for Violence – User Guide. Burnaby, Canada: Mental Health Law and Policy Institute, Simon Fraser University; 2013; 34 p. 8. Singh JP, Desmarais SL, Hurducas C, et al. International Perspectives of the Practical Application of Violence Risk Assessment: A Global Survey of 44 Countries. International Journal of Forensic Mental Health. 2014;13:193–206. 9. de Ruiter C, Nickolls TL. Protective Factors in Forensic Mental Health: A New Frontier. International Journal of Forensic Mental Health. 2011;10(3):160–70. 10. Hart SD, Cooke DJ. Another Look at the (Im-)precision of Individual Risk Estimates Made Using Actuarial Risk Assessment Instruments. Behavioral Sciences and the Law. 2013;31(1):81–102. DOI: 10.1002/bsl.2049. 11. Buchanan A. Risk of Violence by Psychiatric Patients: Beyond the «Actuarial Versus Clinical» Assessment Debate. Psychiatric Services. 2008;59:184–90. 12. de Vries Robbé M, de Vogel V, Douglas KS. Risk Factors and Protective Factors: A Two-sided Dynamic Approach to Violence Risk Assessment. International Journal of Forensic Psychiatry and Psychology. 2013;24(4):440–57. 13. Stouthamer-Loeber M, et al. Risk and promotive effects in the explanation of persistent serious delinquency in boys. Journal of consulting and clinical psychology. 2002;70(1):111. 14. Jessor R, et al. Adolescent problem behavior in China and the United States: A cross-national study of psychosocial protective factors. Journal of Research on adolescence. 2003;13(3):329–60. 15. Douglas KS, Yeomans M, Boer DP. Comparative validity analysis of multiple measures of violence risk in a sample of criminal offenders. Criminal Justice and Behavior. 2005;32(5):479–510. 16. de Vries Robbé M, de Vogel V, Stam J. Protective Factors for Violence Risk: The Value of Clinical Practice. Psychology. 2012;3(12A):1259–63. 17. Fonagy P, et al. The development of violence and crime as it relates to security of attachment. Children in a violent society. 1997;150–77. 18. Vance JE, et al. Risk and protective factors as predictors of outcome in adolescents with psychiatric disorder and aggression. Journal of the American Academy of Child & Adolescent Psychiatry. 2002;41(1):36–43. 19. Tangney JP, Baumeister RF, Boone AL. High self-control predicts good adjustment, less pathology, better grades, and interpersonal success. Journal of personality. 2004;72(2):271–324. 20. de Vogel V, et al. Assessing Protective Factors in Forensic Psychiatric Practice: Introducing the SAPROF. International Journal of Forensic Mental Health. 2011;10(3):171–7. 21. Webster ChD, Nicholls TL, Martin M-L et al. Short-Term Assessment of Risk and Treatability (START): the case for a new structured professional judgment scheme. Behavioral Sciences and Law. 2006;24(6):747–66. 22. Borum R et al. Structured Assessment of Violence Risk in Youth (SAVRY). In: Otto R.K., Douglas K.S. (Eds). Handbook of Violence Risk Assessment. N.Y., London: Routledge, 2010; p. 63–79. 23. Kotov VP, Maltseva MM. Diagnostika potencial'noj obshchestvennoj opasnosti [Diagnosis of potential public danger]. In: [Functional diagnosis in forensic psychiatry]. Moscow, 2001; p. 148–66. Russian. 24. Makushkina OA, Golland VB, Yahimovich LA. Monitoring i znachimye pokazateli vnebol'nichnoj profilaktiki obshchestvenno opasnyh dejstvij psihicheski bol'nyh v Rossijskoj Federacii [Monitoring and significant indicators of community-acquired prevention of socially dangerous actions of mentally ill people in the Russian Federation]. Rossiiskii psikhiatricheskii zhurnal [Russian Journal of Psychiatry]. 2011;(5):4–10. Russian. 25. Makushkina OA, Muganceva LA. Metodika strukturirovannoj ocenki riska opasnogo povedeniya lic, stradayushchih psihicheskimi rasstrojstvami [Methods a structured risk assessment behavior of persons with mental disorders]. Psihicheskoe zdorov'e [Russian Journal of Mental health]. 2016;(10):18–26. Russian. 26. Makushkina OA, Muganceva LA. Strukturirovannaya ocenka riska opasnogo povedeniya u lic, stradayushchih psihicheskimi rasstrojstvami [Structured assessment of the risk of dangerous behavior in persons with mental disorders]. Psihiatriya i psihofarmakoterapiya [Psychiatry and psychopharmacotherapy]. 2016;18(6):60–64. Russian. 27. Makushkina OA, Berezkin AS, Durneva MYu, et al. Aprobatsiya I vnedrenie metodiki strukturirovannoi otsenki riska opasnogo povedeniya u lits s psihicheskimi rasstroistvami [Validation and verification of the methods of structured risk assessment of dangerous behavior in persond with mental disorders]. Sotsialnaya I klinicheskaya psihiatriya [Social and clinical psychiatry]. 2017;27(4):18–24. Russian.
DOI: http://dx.doi.org/10.24411/1560-957X-2018-1%25x
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