ABSTRACT Assessing and managing level of violence risk among forensic mental health patients is a primary role of clinical staff. Forensic risk assessments are typically focused on risk factors and deficits, whereas patient protective factors are either partially included or excluded by clinicians. The Structured Assessment of Protective Factors for Violence Risk (SAPROF) is a recently developed measure of protective factors designed to augment the conventional use of risk assessment tools with a correctional/forensic population. In the current study, the psychometric properties of the SAPROF were examined in a sample of 50 forensic inpatients and outpatients found Not Criminally Responsible (NCR) at a psychiatric hospital in Ontario, Canada. The SAPROF was found to have adequate internal, intrarater, and interrater reliability. Using a subsample of inpatients only, incremental predictive validity was demonstrated for institutional misconducts at six-month follow-up over the HCR-20 V3. Taken together, the results suggest that the SAPROF may be a useful addition to clinical practice and inform review board decisions about risk prediction, risk management, and treatment planning.

中文翻译：

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与法医精神健康患者一起验证 SAPROF

摘要 评估和管理法医精神健康患者的暴力风险水平是临床工作人员的主要职责。法医风险评估通常侧重于风险因素和缺陷，而临床医生部分包括或排除患者保护因素。暴力风险保护因素的结构化评估 (SAPROF) 是最近开发的保护因素措施，旨在增加对惩戒/法医人群的风险评估工具的常规使用。在当前的研究中，在加拿大安大略省的一家精神病院，对 50 名法医住院患者和门诊患者的样本进行了 SAPROF 的心理测量特性检查，这些患者在加拿大安大略省的一家精神病院中被发现没有刑事责任 (NCR)。发现 SAPROF 具有足够的内部、评估者内和评估者间的可靠性。仅使用住院患者的子样本，在 HCR-20 V3 的六个月随访中证明了机构不当行为的增量预测有效性。总之，结果表明 SAPROF 可能是临床实践的有用补充，并为审查委员会关于风险预测、风险管理和治疗计划的决策提供信息。