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Research ArticleARTICLES

Dangerousness Commitments: Indices of Future Violence Potential?

Robert A. Zeiss, Elizabeth Decker Tanke, Howard H. Fenn and Jerome A. Yesavage
Journal of the American Academy of Psychiatry and the Law Online June 1996, 24 (2) 247-253;
Robert A. Zeiss
PhD
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Elizabeth Decker Tanke
PhD
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Howard H. Fenn
MD
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Jerome A. Yesavage
MD
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Abstract

This study examines the accuracy of long-term clinical predictions of dangerousness among psychiatric inpatients and explores factors influencing the levels of such accuracy. Hospital and state criminal history records of all psychiatric patients (N = 31) for whom, during a four-year period, treatment staff pursued extended civil commitments based on dangerousness under the Postcertification for the Imminently Dangerous statute (California Welfare and Institutions Code § 5300) were reviewed. A matched control group consisted of 31 patients who had been placed on 14-Day Certifications for Dangerousness to Others, but who were not subsequently placed on 180-Day Postcertifications. Sixty-one percent of patients in the postcertification group engaged in documented physically assaultive behavior during the extended one- to five-year follow-up period, compared with 26 percent of patients in the matched control group, suggesting that inclusion in the extended commitment group was indicative of greater long-term potential for assault. Differences in assaultiveness did not emerge during the first year of followup, but became clear and significant over subsequent years. Accuracy of prediction differed as a function of patient ethnic group.

  • Copyright © 1996, The American Academy of Psychiatry and the Law
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Journal of the American Academy of Psychiatry and the Law Online: 24 (2)
Journal of the American Academy of Psychiatry and the Law Online
Vol. 24, Issue 2
1 Jun 1996
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Dangerousness Commitments: Indices of Future Violence Potential?
Robert A. Zeiss, Elizabeth Decker Tanke, Howard H. Fenn, Jerome A. Yesavage
Journal of the American Academy of Psychiatry and the Law Online Jun 1996, 24 (2) 247-253;

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Dangerousness Commitments: Indices of Future Violence Potential?
Robert A. Zeiss, Elizabeth Decker Tanke, Howard H. Fenn, Jerome A. Yesavage
Journal of the American Academy of Psychiatry and the Law Online Jun 1996, 24 (2) 247-253;
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