ABSTRACT In forensic psychiatry, secondary prevention implies avoiding offences in individuals who are at high risk but have not committed serious offenses in the past. For this purpose, the forensic prevention outpatient clinic at the Ansbach District Hospital was established to provide risk assessment and treatment. To test the treatment effect of the forensic prevention outpatient clinic in terms of dynamic risk factors and global level of functioning, an observational study with a prospective longitudinal design (up to two years) was conducted, which included treatment (n = 70) and control (n = 52) groups. After Holm-Bonferroni correction, the treatment interaction effect (time × group) was significant for one of the three dependent variables (i.e., the Historical Clinical Risk Management-20 [HCR-20] Clinical and Risk as well as the Global Assessment of Functioning’s [GAF] subtotals). The dynamic risk operationalized by the R-scale of the HCR-20 decreased at a significantly higher rate across time in the treatment than in the control group. However, this effect was not robust against propensity score matching. The findings highlight the potential of secondary prevention for individuals who are at a high risk of committing serious offenses. Replications in larger samples are needed, ideally in randomized controlled trials.

中文翻译：

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法医预防门诊：一项治疗评估研究

摘要 在法医精神病学中，二级预防意味着避免对处于高风险但过去没有犯下严重罪行的个人犯罪。为此，安斯巴赫地区医院设立了法医预防门诊，以提供风险评估和治疗。为了测试法医预防门诊在动态风险因素和整体功能水平方面的治疗效果，进行了一项前瞻性纵向设计（长达两年）的观察性研究，其中包括治疗（n = 70）和控制(n = 52) 组。在 Holm-Bonferroni 校正后，治疗交互效应（时间 × 组）对于三个因变量之一（即，历史临床风险管理-20 [HCR-20] 临床和风险以及全球功能评估 [GAF] 小计）。由 HCR-20 的 R 量表操作的动态风险在治疗中随时间推移以明显高于对照组的速度下降。然而，这种效果对于倾向得分匹配并不稳健。调查结果强调了二级预防对犯下严重罪行的高风险个人的潜力。需要在更大样本中进行复制，最好是在随机对照试验中。调查结果强调了二级预防对犯下严重罪行的高风险个人的潜力。需要在更大样本中进行复制，最好是在随机对照试验中。调查结果强调了二级预防对犯下严重罪行的高风险个人的潜力。需要在更大的样本中进行复制，最好是在随机对照试验中。