The Historical Clinical and Risk Management scale (HCR-20) is a structured clinical judgment tool used to assess risk of violence in secure settings. But the scale does not account for difficulties typical of patients with autism spectrum disorder, which are thought to contribute to their engagement in violent behaviors. The present study is a preliminary investigation of the association between risk assessment and physical and verbal violence in patients with autism spectrum disorder in a secure psychiatric hospital. Scores from the third version of HCR-20 (HCR-20V3) and violent episodes at three and six months following the initial assessment were extracted from an electronic record. The results support the use of the HCR-20V3 to assess the risk of overall and physical violence but not verbal aggression. Future studies are needed to identify which factors are associated with violent behaviors in patients with autism spectrum disorder.

中文翻译：

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评估自闭症谱系障碍中住院暴力的风险。

历史临床和风险管理量表（HCR-20）是一种结构化的临床判断工具，用于评估安全环境中的暴力风险。但是该量表并未解决自闭症谱系障碍患者的典型困难，认为这些障碍有助于他们参与暴力行为。本研究是对一家安全的精神病医院自闭症谱系障碍患者风险评估与身体和言语暴力之间关系的初步调查。从电子记录中提取了第三版HCR-20（HCR-20V3）和最初评估后三个月和六个月的暴力事件的得分。结果支持使用HCR-20V3评估整体暴力和人身暴力的风险，但不能评估言语侵略的风险。