Abstract

Forensic Science & Addiction Research Clinical Risk Assessment-Organizing Information Using Criminological Theory Seems to Work Eva Lindstrom1, Mikael Olausson2, Eva Tuninger3 and Sten Levander4* 1Department of Neurosience, Uppsala University Hospital, Sweden 2Forensic Psychiatric Clinic, U-MAS, Sweden 3Clinical Sciences/Psychiatry, Lund University, Sweden 4Department of Criminology, Malmo University, Sweden *Corresponding author: Sten Levander, Department of Criminology, Malmo University, SE 20510 Malmo, Sweden Submission: February 16, 2018; Published: February 22, 2018 DOI: 10.31031/FSAR.2018.02.000544 ISSN: 2578-0042 Volume2 Issue4

Highlights

  • Scoring was rather problem-free given the rich documentation in Swedish forensic case history files

  • The patients displayed a wide array of problems assumed to be associated with criminal propensity

  • Risk assessments have been the subject of controversies since the mid 1960ies

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Summary

Introduction

Risk assessments have been the subject of controversies since the mid 1960ies. Before that, such assessments were essentially clinical and unstructured. After a short period of risk assessment nihilism in the 1970ies, actuarial predictions were shown to have some promise. Twenty years and many instruments later the predictive power (Area Under the Curve, AUC) rarely exceeds 75% of which 50% is the contribution from chance for dichotomous outcome measures [2,3,4,5]. Risk assessment and management is a necessary and integrated part of clinical work. Risk assessment methods developed in the legal context differ from those traditionally used in clinical work but have been used to an increasing degree in such contexts

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