Background: Structured violence risk assessment is an essential part of treatment planning for violent young people. The Structured Assessment of Violence Risk in Youth (SAVRY) has been shown to have good reliability and validity in a range of settings but has hardly been studied in adolescent mental health services.
Aims: This study aimed to evaluate the long-term predictive validity of the SAVRY in adolescent psychiatry settings.
Methods: In a prospective study, 200 SAVRY assessments of adolescents were acquired from psychiatric, forensic and correctional settings. Re-offending records from the Finnish National Crime Register were collected. Receiver operating curve statistics were applied.
Results: High SAVRY total and individual subscale scores and low values on the protective factor subscale were significantly associated with subsequent adverse outcomes, but the predictive value of the total score was weak. At the risk item level, those indicating antisocial lifestyle, absence of social support and pro-social involvement were strong indicators of subsequent criminal convictions, with or without violence. The SAVRY summary risk rating was the best indicator of likelihood of being convicted of a violent crime. After allowing for sex, age, psychiatric diagnosis and treatment setting, for example, conviction for a violent crime was over nine times more likely among those young people given high SAVRY summary risk ratings.
Conclusions: The SAVRY is a valid and useful method for assessing both short-term and long-term risks of violent and non-violent crime by young people in psychiatric as well as criminal justice settings, adding to a traditional risk-centred assessment approach by also indicating where future preventive treatment efforts should be targeted. The next steps should be to evaluate its role in everyday clinical practice when using the knowledge generated to inform and monitor management and treatment strategies.
Download full-text PDF |
Source |
|---|---|
| http://dx.doi.org/10.1002/cbm.1921 | DOI Listing |
Publication Analysis
Top Keywords
Similar Publications
Intimate partner sexual violence is associated with unhealthy alcohol use among Kenyan women engaged in sex work.
Drug Alcohol Depend Rep
March 2025
Department of Medicine, University of Washington, Seattle, WA, USA.
Aim: Unhealthy alcohol use is often correlated with experiences of intimate partner violence (IPV). We investigated how different types of IPV (sexual, physical, emotional, and financial) were associated with unhealthy alcohol use among women engaged in sex work in Mombasa, Kenya.
Methods: This cross-sectional study included 283 HIV-negative women who engaged in sex work recruited from an ongoing cohort study.
Neurodivergence and Threat: A Case Study on the Risk of Violent Fixations in Autism Spectrum Disorder.
Cureus
December 2024
Child and Adolescent Inpatient Unit, Tower Behavioral Health, Reading, USA.
Mass shootings have increasingly captured public attention in recent decades, prompting closer examination of the mental health of those responsible. This scrutiny often focuses on individuals with neurodevelopmental disorders, such as autism spectrum disorder (ASD). While epidemiological evidence is mixed on whether these individuals are more likely to commit acts of violence than the general public, certain behavioral characteristics may make them more vulnerable to extremist ideations.
View Article and Find Full Text PDFDeveloping a model for prioritizing occupational risk prevention practices in industries: a Delphi study.
J Inj Violence Res
January 2025
Department of Medical Informatics, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran. Email:
Background: Occupational accidents, injuries, and diseases remain critical health concerns. Designing and implementing checklists for occupational risk prevention are key strategies to mitigate these accidents and their adverse effects. However, due to the diverse nature of occupational hazards, these checklists tend to encompass a substantial number of prevention practices, making their full implementation challenging in terms of financial and human resources.
View Article and Find Full Text PDFRisk stratification for violent behavior in critically ill patients: Current assessment tools.
Intensive Crit Care Nurs
January 2025
Clinic for Intensive Care, Department of Acute Medicine, University Hospital Basel, Basel, Switzerland; Medical Faculty, University of Basel, Basel, Switzerland; Department of Clinical Research, University of Basel, Basel, Switzerland.
Background: Workplace violence (WPV) presents challenges in intensive care units (ICUs) calling for reliable prediction of violence. This narrative review aimed to identify and evaluate risk assessment tools from acute care settings which are or might be used to predict violent behavior in adult ICU patients focusing on their performance and clinical utility.
Methods: A screening of PubMed, Scopus and Google Scholar was conducted to identify risk scores used in the acute care setting such as emergency departments, hospitals and ICUs.
Want AI Summaries of new PubMed Abstracts delivered to your In-box?
Enter search terms and have AI summaries delivered each week - change queries or unsubscribe any time!