ABSTRACT In this study, we examined the psychometric properties of the French Health of the Nation Outcome Scale-Secure (HoNOS-Secure) in a Belgian Community and Medium Secure Unit sample of patients with psychotic disorders (n = 189). Results suggests that individual HoNOS-Secure items have poor interrater reliability. HoNOS-Secure Behavior and Impairment subscales have good reliability, while others fell far below the acceptable cutoff (Secure and Social subscales). The Security and items subscale showed acceptable but not optimal convergence with risk assessment measures. The Behavior subscale appeared to perform as equally well as the Security subscale regarding convergent validity. The HoNOS-Secure Symptoms and Impairment subscales showed good convergence with clinical measures. However, correlations between the Security items and risk assessment tools, and psychopathy requires further examination. Although outperformed by the DUNDRUM Toolkit and the Camberwell Assessment of Needs-Forensic Version-S, the HoNOS-Secure appears to be able to differentiate between security levels.

中文翻译：

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HoNOS-Secure在比利时社区和精神病法医患者中

摘要在这项研究中，我们检查了比利时社区和中度精神病患者（n = 189）样本中法国国家健康结局量表（HoNOS-Secure）的心理测量特性。结果表明，单个HoNOS-Secure物品的人间可靠性差。HoNOS-安全行为和损害量表具有良好的可靠性，而其他的则远低于可接受的临界值（安全和社会量表）。“安全”和“项目”子量表显示与风险评估措施的可接受但非最佳收敛。行为子量表在收敛效度方面的表现与安全子量表相当。HoNOS-安全症状和损害分量表显示与临床措施的良好融合。然而，安全项目和风险评估工具之间的相关性以及精神病需要进一步检查。尽管在DUNDRUM工具包和Camberwell需求评估（法证版）S的帮助下，HoNOS-Secure似乎能够区分安全级别。