Patients with autism spectrum disorder (ASD) are overrepresented in forensic samples. However, research on risk assessment in forensic patients with ASD is scarce. The purpose of this paper was to examine the prevalence of short-term inpatient aggression and explore the risk and protective factors for aggression in forensic psychiatric patients with ASD (N = 32).,The association between two commonly used violence risk assessment instruments (HKT-R and SAPROF) and physical aggression during ten weeks of inpatient stay was examined in a Dutch forensic psychiatric hospital.,Results showed no significant association between HKT-R and SAPROF and incidents of physical aggression. This suggests that the commonly used assessment instruments may be of limited use for assessing the risk of short-term inpatient aggression in patients with ASD.,Limitations to the current study include the relatively small sample size and the lack of information on index offenses. Further research with a larger, more homogeneous sample and longer follow-up is indicated to confirm the results of this study. Future research should also include the possible association between aggressive behavior of people with ASD and other factors that might be relevant, such as social cognition deficits, cognitive and sensory impairments, deficient empathy and emotion regulation problems.,To the authors’ knowledge, this is the first study to directly examine the prevalence of inpatient aggression of forensic psychiatric patients with ASD and its association with risk and protective factors.

中文翻译：

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自闭症谱系障碍法医精神病患者的住院攻击性：风险和保护因素的作用

自闭症谱系障碍（ASD）患者在法医样本中所占比例过高。然而，法医自闭症患者的风险评估研究很少。本文旨在研究短期住院患者侵略的患病率，并探讨法医精神病性自闭症患者的侵略风险和保护因素（N = 32）。两种常用的暴力风险评估工具（HKT）之间的关联在荷兰法医精神病医院检查了住院十周期间的-R和SAPROF）和身体攻击行为。结果显示HKT-R和SAPROF与身体攻击事件之间没有显着关联。这表明，常用的评估工具在评估ASD患者短期住院侵略风险方面可能用途有限。当前研究的局限性包括样本量相对较小以及缺乏有关索引违规行为的信息。进一步的研究表明，更大，更均匀的样本和更长的随访时间可以证实这项研究的结果。未来的研究还应包括自闭症患者的攻击行为与其他可能相关的因素之间的可能联系，例如社会认知缺陷，认知和感觉障碍，同情心不足和情绪调节问题。据作者所知，这是第一项研究直接检查法医精神病患者ASD住院侵略的发生率及其与风险和保护因素的关系。进一步的研究表明，更大，更均匀的样本和更长的随访时间可以证实这项研究的结果。未来的研究还应包括自闭症患者的攻击行为与其他可能相关的因素之间的可能关联，例如社会认知缺陷，认知和感官障碍，同理不足和情绪调节问题。据作者所知，这是第一项研究直接检查法医精神病患者ASD住院侵略的发生率及其与风险和保护因素的关系。进一步的研究表明，更大，更均匀的样本和更长的随访时间可以证实这项研究的结果。未来的研究还应包括自闭症患者的攻击行为与其他可能相关的因素之间的可能联系，例如社会认知缺陷，认知和感觉障碍，同情心不足和情绪调节问题。据作者所知，这是第一项研究直接检查法医精神病患者ASD住院侵略的发生率及其与风险和保护因素的关系。