Article Figures & Data
Tables
Variables N % Demographic variables Gender Males 114 81.4 Females 26 18.6 Race Black 61 43.6 Caucasian 31 22.1 Hispanic 26 18.6 Asian 4 2.9 Other 14 10.0 Not reported 4 2.9 Marital status Never married 96 68.6 Married 13 9.3 Divorced/separated 24 17.1 Widowed 5 3.6 Not reported 2 1.4 Years of education Did not graduate/obtain GED 62 44.1 Graduated high school/obtained GED 67 25.7 Completed some college 17 12.1 Completed 4-years of college 7 5.0 Attended graduate school 4 2.8 Not reported 14 0.8 Clinical variables at the time of coded evaluation Psychotic disorder 99 70.8 Mood disorder 22 16.1 Other disorder 13 9.4 Criminal history and NGRI variables At least one prior arrest 94 67.1 NGRI offense charge Murder/manslaughter 48 34.3 Attempted murder/attempted manslaughter 35 25.0 Aggravated assault or other assault 20 14.3 Arson 10 7.1 Robbery 6 4.3 Other crimes 21 15.0 Recommitted patients 37 26.4 N = 140.
Scale and Item ICC 95% CI Historical (N = 74 paired ratings) H1. Violence 1.00 1.00–1.00 H2. Other antisocial behavior 0.85** 0.77–0.91 H3. Relationships 0.52* 0.23–0.70 H4. Employment 0.59** 0.34–0.74 H5. Substance abuse 0.95** 0.91–0.97 H6. Major mental illness 0.83** 0.73–0.89 H7. Personality disorder 0.92** 0.88–0.95 H8. Traumatic experiences 0.80** 0.69–0.88 H9. Violent attitudes 0.50* 0.21–0.69 H10. Treatment or supervision response 0.81** 0.69–0.88 Historical Total 0.87** 0.79–0.92 Clinical (N = 74 paired ratings) C1. Insight 0.92** 0.88–0.95 C2. Violent ideation or intent 0.62** 0.40–0.76 C3. Symptoms of major mental disorder 0.86** 0.78–0.91 C4. Instability 0.79** 0.67–0.87 C5. Treatment or supervision response 0.84** 0.75–0.90 Clinical Total 0.88** 0.81–0.92 Risk Management (N = 74 paired ratings) R1. Professional services and plans 0.76** 0.61–0.85 R2. Living situations 0.60** 0.36–0.75 R3. Personal support 0.74** 0.59–0.84 R4. Treatment or supervision response 0.79** 0.66–0.87 R5. Stress and coping 0.62** 0.39–0.76 Risk Management Total 0.87** 0.79–0.92 - Table 3
Means and Comparisons of HCR-20V3 Items and Scale Scores by Evaluator Opinion Status
Scale and Item Transfer (n = 57) M Retain (n = 83) M p Cohen's d Historical H1. Violence 1.98 2.00 0.32 1.43 H2. Other antisocial behavior 0.91 1.16 0.12 0.28 H3. Relationships 1.65 1.81 0.09 0.31 H4. Employment 1.04 1.34 <0.05 0.44 H5. Substance abuse 1.44 1.64 0.15 0.25 H6. Major mental illness 1.95 1.94 0.88 -0.04 H7. Personality disorder 1.14 1.24 0.50 0.12 H8. Traumatic experiences 1.49 1.64 0.20 0.23 H9. Violent attitudes 0.57 0.86 <0.05 0.37 H10. Treatment or supervision response 1.66 1.81 0.14 0.28 Historical Total 13.70 15.37 <0.01 0.57 Clinical C1. Insight 0.65 1.72 <.001 1.70 C2. Violent ideation or intent 0.04 0.42 <.001 0.74 C3. Symptoms of major mental disorder 0.59 1.37 <.001 1.09 C4. Instability 0.34 1.02 <.001 0.94 C5. Treatment or supervision response 0.34 1.42 <.001 1.76 Clinical Total 1.95 5.96 <.001 1.90 Risk Management R1. Professional services and plans 0.49 1.65 <.001 1.87 R2. Living situations 1.02 1.80 <.001 1.28 R3. Personal support 0.98 1.63 <.001 0.98 R4. Treatment or supervision response 0.84 1.72 <.001 1.68 R5. Stress and coping 0.93 1.73 <.001 1.45 Risk Management Total 4.25 8.53 <.001 1.97 - Table 4
Regression Model of Significant Covariates and Evaluator Opinions Regarding Transfer Versus Retention
χ2 df p Nagelkerke R2 98.29 5 <.001 0.69 Predictors B SE p Exp(B) Constant −6.63 1.88 <.001 0.001 Months Since the Index Offense 0.00 0.003 0.98 1.00 Violence in the Hospital −1.81 0.82 0.03 0.16 HCR-20V3 Historical Total 0.14 0.11 0.20 1.15 HCR-20V3 Clinical Total 0.61 0.17 <.001 1.83 HCR-20V3 Risk Management Total 0.48 0.15 .001 1.62 Violence in the hospital refers to acts that took place since the previous evaluation of dangerousness (M = 15.64; SD = 6.31 months). Exp(B) is the odds ratio for the predictor and indicates how likely an outcome is to occur.
Months Since the Index Offense Violence in the Hospital HCR-20V3 Historical Total HCR-20V3 Clinical Total HCR-20V3 Risk Management Total Months Since the Index Offense – .23** .41** .30** .25** Violence in the Hospital – .22** .41** .31** HCR-20V3 Historical Total – .32** .30** HCR-20V3 Clinical Total – .76** HCR-20V3 Risk Management Total – ↵** p < .001.