Structured Assessment Of Violence Risk In Youth Research Articles

Recidivism risk factors among Mississippi justice-involved youth: latent class analysis of the SAVRY

ABSTRACT The Structured Assessment of Violence Risk in Youth (SAVRY) instrument is a popular risk-need-responsivity tool for justice-involved youth. This study conducted a multi-group (based on sex) latent class analysis model of the SAVRY items to explore heterogeneity in risk/needs among youths involved in the juvenile court in Mississippi between 2017 and 2021. Results indicated a three-class solution best with the data, with Very Low, Low, and Bimodal classes. Generally, these groups were similar across sex, though the Bimodal subgroup was proportionally larger for females than males. Subsequent analyses indicated the Bimodal group was significantly younger and more involved in future one-year recidivism. These findings suggest subgroups of risk exist and should be examined further to assess future recidivism and other risks.

The structured assessment of violence risk in youth demonstrates measurement invariance between Black and White justice-referred youths.

Identification and implementation of effective methods for reducing racial/ethnic bias and disparities in legal settings are paramount in the United States and other countries. One procedure originally thought to reduce bias in legal decisions is the use of risk assessment instruments, which is now being heavily scrutinized. Measurement invariance, a latent trait technique, is a robust method for assessing one form of bias. Measurement invariance involves determining whether risk items in an instrument appear to be functioning the same between racial or other groups. Thus, the present study examined measurement invariance of the Structured Assessment of Violence Risk in Youth (SAVRY) between non-Latino Black and White youths to examine racial bias. We expected the SAVRY to be invariant (lacking measurement bias) between Black and White youths. The sample included 687 Black and 361 White youths, and the study used a large, multistate data set of SAVRYs conducted by probation officers. We conducted measurement invariance testing in a series of hierarchical steps including testing configural and scalar invariance. The SAVRY demonstrated scalar invariance (equal thresholds for ratings from "low" to "moderate" and "moderate" to "high") for all items except one-community disorganization. The findings lend further credibility to the SAVRY, and the structured professional judgment approach, as a method to assess violence risk and case planning needs among youths involved in the legal system. These findings provide more confidence that significant differences in SAVRY risk level or items between Black and White youths are not based in measurement bias, with the exception of the community disorganization item. Potential fixes discussed include eliminating or deemphasizing this item in final risk level ratings. (PsycInfo Database Record (c) 2024 APA, all rights reserved).

Longitudinal Cohort Study: Predictive Validity of the Structured Assessment of Violence Risk in Youth Individual/Clinical Risk Factor on Recidivism Among Mississippi Justice-Involved Youth

Many juvenile justice agencies have moved toward risk-need-responsivity and risk-need-assessment approaches to manage youth and reduce future risk of recidivism. The Structured Assessment of Violence Risk in Youth (SAVRY) instrument is a popular tool to assess risk and protective factors among justice-involved youth. The present study explored the consistency of the Individual/Clinical Risk measure, comprised of eight items (e.g., anger, negative attitudes, empathy), as a single latent factor across five years (2017–2021) of juvenile court data in Mississippi. Further, this study examined gender (male vs. female) and race (Black vs. non-Black) invariance in this risk factor and the predictive validity of the risk factor for one-year recidivism. Findings support the existence of a single factor of Individual/Clinical Risk and consistency across time. The risk factor was invariant across gender and race. Further, the risk factor significantly predicted recidivism in years 2019–2021, and near significantly predicted recidivism for 2017. These findings recommend the continued use of the SAVRY as an evidence-based measure of risk.

A proof of concept study of promotive, mixed, and risk effects using the SAVRY assessment tool items with youth with sexual offenses.

There is currently a lack of consensus about the nature of strengths in forensic assessments. With 273 justice-involved male youth and a fixed 3-year follow-up, this study adopted the approach of Farrington and colleagues to investigating the nature of associations between trichotomized variables, representing risks and strengths, and outcomes using pairs of odds ratios (ORs) and percentage point changes from base rates. Items from the Structured Assessment of Violence Risk in Youth (SAVRY), a structured professional judgment tool used to assess risk and protective factors in justice-involved youth, were employed for this purpose. In the literature, the accuracy of SAVRY summed totals for its Risk Factor item sets (each item rated using a trichotomy) has been generally in the moderate range in predicting future violence. But the total for its summed Protective Factor items (each rated using a dichotomy) has been less consistently encouraging. In this study, contrary to their labels, the majority of SAVRY Risk and Protective Factors (rated using trichotomies) exerted a risk effect at one end of their trichotomy (risk item ratings of 2, protective item ratings of 0) and a promotive effect at the other end (risk item ratings of 0, protective factor ratings of 2) for a new violent (including sexual) offense and any new offense. Subsets of items conservatively weighted using ORs (capturing risk and strength) were statistically significantly more accurate in predicting outcomes than their originally rated counterpart subsets. Implications for understanding the nature of strengths and for applied assessment practices are discussed. (PsycInfo Database Record (c) 2023 APA, all rights reserved).

Factors Associated with Successful Completion of Juvenile Mental Health Court.

Justice-involved youth experience a high number of mental health symptoms. There has been an increased effort to address the mental health needs of these youth through specialized juvenile mental health courts (JMHC). To date, there have been few studies that examined characteristics related to successful completion of a JMHC program. This study is a retrospective case file review of 99 individuals ages 10 to 18 years who were involved in a JMHC program. Information collected included educational history, parental factors, psychiatric and abuse history, legal history, risk of removal from home, and risk and protective factors from the Structured Assessment of Violence Risk in Youth (SAVRY) measure. The primary outcome was successful completion of the program. Forty-eight participants (48.5%) successfully completed the program. Neglect, removal from the home, new charges, probation violation, and number of previous charges were negatively associated with successful completion. Positive attitude toward intervention was positively associated with successful completion. Measures that juvenile justice systems may use, such as the SAVRY risk factors and abuse and neglect screens, were not associated with completion. More studies are needed to identify factors associated with successful completion of a JMHC program and to develop interventions to improve outcomes.

Applying Item Response Theory Analysis to the SAVRY in Justice-Involved Youth.

This study investigated item- and test-level functioning of the Structured Assessment of Violence Risk in Youth (SAVRY) and differential item functioning (DIF) across gender and race/ethnicity in justice-involved youth (JIY) using item response theory analysis. Participants were 868 JIY (23.7% female; 26.9% White, 50.9% Black, and 22.2% Hispanic) in pre-trial detention centers in Connecticut. Results obtained from the application of the graded response model showed that the SAVRY items were not equally discriminating JIY with varying levels of the latent trait, with "Poor compliance" as the most discriminating item and "History of self-harm or suicide attempts" as the least discriminating item. At the test level, the SAVRY provided precise (reliable) information about the latent trait for the majority of JIY whose latent trait between two standard deviations below and above the mean. Results of DIF revealed that six items operated inconsistently between White, Black, and Hispanic JIY, among which two items also functioned differentially across gender.

Violence risk and personality assessment in adolescents by Structured Assessment of Violence Risk in Youth (SAVRY) and high school personality questionnaire (HSPQ): Focus on protective factors strengthening.

Adolescents are most at risk of engaging in violent interaction. Targeting violence risk and protective factors is essential for correctly understanding and assessing their role in potential violence. We aimed to use the Structured Assessment of Violence Risk in Youth (SAVRY) tool within the sample of adolescents to capture violence risk and protective factors and personality variables related to risk and protective factors. We further aimed to identify which violence risk and protective factors were positively or negatively related to violence within personal history and if any personality traits are typical for violent and non-violent adolescents. Identifying broader or underlying constructs within the SAVRY tool factor analysis can enable appropriate therapeutic targeting. We used the Czech standardized version of the SAVRY tool. The study sample comprised 175 men and 226 women aged 12-18 years divided into two categories according to the presence or absence of violence in their personal history. Mann-Whitney U test was used to compare numerical variables between the two groups. SAVRY factor analysis with varimax rotation was used to determine the item factors. We administered the High School Personality Questionnaire (HSPQ) to capture adolescents' personality characteristics. In our sample, there were 151 participants with violence in their personal histories and 250 non-violent participants. Non-violent adolescents had higher values for all six SAVRY protective factors. The strongest protective factor was P3, Strong attachment and bonds across gender or a history of violence. Using factor analysis, we identified three SAVRY internal factors: social conduct, assimilation, and maladaptation. The SAVRY protective factors were significantly positively related to several factors in the HSPQ questionnaire. The results highlight the significance of protective factors and their relationship with violence prevalence. HSPQ diagnostics could be helpful in clinically targeting personality-based violence risks and protective factors. The therapeutic focus should be on tension, peer rejection, and anxiety. It is also essential to foster positive attitudes toward authority, prosocial behavior, and attitudes toward school. These strategies can help strengthen protective factors of the SAVRY.

Predictive validity of the SAVRY, YLS/CMI, and PCL:YV is poor for intimate partner violence perpetration among adolescent offenders.

Despite advances in developing structured risk assessment instruments, there is currently no instrument to assess and manage the risk of intimate partner violence perpetration among adolescents. Given the empirical link between many forms of antisocial behavior, we tested whether structured tools commonly used by professionals to evaluate adolescents' risk of engaging in general violence and offending could be used to identify adolescents at risk for perpetrating intimate partner violence. Because researchers have not yet examined whether risk assessment tools for general violence and offending predict intimate partner violence perpetration, we did not have a priori hypotheses regarding the predictive validity of these tools for this purpose. Research assistants rated 156 adjudicated youth on the Structured Assessment of Violence Risk in Youth (SAVRY), Youth Level of Service/Case Management Inventory (YLS/CMI), and Psychopathy Checklist: Youth Version (PCL:YV) and recorded charges for intimate partner violence perpetration, any violent reoffending, and any reoffending over a 2-year follow-up period. Receiver operating characteristic analysis indicated that total scores and summary risk ratings on the SAVRY and YLS/CMI and total scores on the PCL:YV were significantly predictive of any violent reoffending and any reoffending, with moderate to large effect sizes, but were nonsignificantly associated with intimate partner violence perpetration. Further, penalized logistic regression analysis indicated that the SAVRY, YLS/CMI, and PCL:YV did not significantly add incremental validity to age, gender, race/ethnicity, and prior intimate partner violence perpetration and victimization for predicting future intimate partner violence perpetration. These findings suggest that the SAVRY, YLS/CMI, and PCL:YV could have limitations for assessing and managing intimate partner violence perpetration among adolescents. (PsycInfo Database Record (c) 2022 APA, all rights reserved).

Gender Differences in the Prevalence and Predictive Validity of Protective Factors in a Sample of Justice-Involved Youth

Research on strengths and violent behavior in justice-involved youth suggests that the prevalence and predictive validity of strength factors vary as a function of gender. Interviews conducted between 2009 and 2012 with 185 justice-involved Canadian youth ( N female = 84, N male = 101; 67% violent index offence) were coded retrospectively using two strength measures for violence prediction: the protective domain of the Structured Assessment of Violence Risk in Youth (SAVRY), and the Structured Assessment of Protective Factors-Youth Version (SAPROF-YV). Males exhibited more protective factors than females across measures. Both tools were strong predictors of general recidivism in males but not females. The SAVRY protective domain was predictive of violent recidivism in males, but the SAPROF-YV was not; neither was predictive of violent recidivism in females. This study demonstrates gender differences in the prevalence and predictive validity of strengths in justice-involved youth and highlights the need for more female-focused research and measures.

Dynamic violence risk, protective factors, and therapeutic change in a gender and ethnoculturally diverse sample of court-adjudicated youth.

The present study examined the predictive properties of three youth forensic measures-the Violence Risk Scale-Youth Version (VRS-YV), Structured Assessment of Violence Risk in Youth (SAVRY), and the Structured Assessment of Protective Factors-Youth Version (SAPROF-YV)-in a diverse court-adjudicated sample of 257 youth referred for assessment and intervention services at an outpatient mental health facility, and followed up an average of 9.4 years in the community. Study measures were rated from court and clinical files, along with treatment participation, and recidivism outcome data were obtained from official criminal records. The three measures had strong interrater and convergent validity, and moderate to high predictive accuracy for violent, nonviolent, and general recidivism. The measures significantly predicted outcome across male, female, Indigenous, and non-Indigenous groups; however, prediction magnitudes showed some variability with respect to specific risk/protection domains and outcome types. Cox regression survival analyses demonstrated incremental predictive validity for each violence risk measure, but not protection measures, with respect to each of the three recidivism outcomes. Moreover, pre-/posttreatment measurements of change on the VRS-YV dynamic factors were significantly associated with decreased nonviolent recidivism, controlling for baseline risk and protection. Violence risk (VRS-YV) and protection (SAPROF-YV) scores have the potential to be integrated in meaningful ways to capture the potential risk-mitigating effects of protective factors. Implications for integrating risk, protection, and treatment change information in clinical-forensic service delivery to diverse and violent youth populations are discussed. (PsycInfo Database Record (c) 2022 APA, all rights reserved).

Trauma and institutional risk in a secure developmental disorder service: does the SAVRY inflate risk in adolescents exposed to ACEs?

PurposeAdverse childhood experiences (ACEs) are highly prevalent in people with developmental disorders who engage in offending behaviour. Many violence-based risk assessment tools include items pertaining to ACEs, and may inflate risk scores in trauma-exposed groups. This paper aims to explore the relationships between ACEs, risk assessment scores, incidents of risk and restrictive practices, in adolescents with developmental disorders in a forensic inpatient setting.Design/methodology/approachSecondary analysis was conducted on clinical data for 34 adolescents detained to a developmental disorder service. Data were extracted for Structured Assessment of Violence Risk in Youth (SAVRY) risk scores and risk behaviours and restrictive practices, as measures of observed risk.FindingsParticipants exposed to more ACEs had higher SAVRY risk scores (p < 0.001, two-tailed), with elevations specifically on the historical subscale (p < 0.001, two-tailed). Neither ACEs nor risk scores were associated with the frequency of risk behaviours. Nevertheless, participants exposed to four or more ACEs were secluded more frequently (p = 0.015, two-tailed), indicating a potential association between trauma and risk severity. Those with more complex developmental disorders experienced fewer ACEs (p = 0.02, two-tailed) and engaged in self-harm behaviours less frequently (p = 0.04, two-tailed).Research limitations/implicationsThe inclusion of ACEs in risk assessment tools may lead to the inadvertent stigmatization of trauma-exposed individuals. Further investigation is necessary to offer clarity on the impact of early adversity on risk assessment accuracy and levels of institutional risk, and the role of developmental disorders in this relationship.Originality/valueTo the best of the authors’ knowledge, this study is the first to explore the relative associations between ACEs, risk assessment scores and observed institutional risk and does so in a highly marginalized population.

Examination of the Structured Assessment of Protective Factors for Violence Risk - Youth Version (SAPROF-YV) in Canadian Adolescents

The Structured Assessment of Protective Factors for Violence Risk - Youth Version (SAPROF-YV) is a new measure of protective factors. It is used with a risk-focused tool, such as the Structured Assessment of Violence Risk in Youth (SAVRY), to provide a more balanced and comprehensive assessment of violence risk in adolescents. Our study investigated the relationship between the SAPROF-YV and aggression in a sample of 69 adolescents. Using a retrospective follow-up study design, we reviewed files at an inpatient treatment centre and a probation office. The SAPROF-YV showed good convergent and discriminant validity with the SAVRY. The SAPROF-YV was predictive of the absence of minor verbal aggression. While the SAPROF-YV added incremental predictive validity to SAVRY Protective factors for minor verbal aggression, it did not add incrementally to SAVRY Risk factors in the prediction of any type of aggression. We discuss implications for future research and clinical applications.

Assessing Violence Risk in Adolescents in the Pediatric Emergency Department: Systematic Review and Clinical Guidance.

IntroductionViolence risk assessment is one of the most frequent reasons for child and adolescent psychiatry consultation with adolescents in the pediatric emergency department (ED). Here we provide a systematic review of risk factors for violence in adolescents using the risk factor categories from the MacArthur Violence Risk Assessment study. Further, we provide clinical guidance for assessing adolescent violence risk in the pediatric ED.MethodsFor this systematic review, we used the preferred reporting items for systematic reviews and meta-analyses (PRISMA) 2009 checklist. We searched PubMed and PsycINFO databases (1966–July 1, 2020) for studies that reported risk factors for violence in adolescents.ResultsRisk factors for adolescent violence can be organized by MacArthur risk factor categories. Personal characteristics include male gender, younger age, no religious affiliation, lower IQ, and Black, Hispanic, or multiracial race. Historical characteristics include a younger age at first offense, higher number of previous criminal offenses, criminal history in one parent, physical abuse, experiencing poor child-rearing, and low parental education level. Among contextual characteristics, high peer delinquency or violent peer-group membership, low grade point average and poor academic performance, low connectedness to school, truancy, and school failure, along with victimization, are risk factors. Also, firearm access is a risk factor for violence in children and adolescents. Clinical characteristics include substance use, depressive mood, attention deficit hyperactivity disorder, antisocial traits, callous/unemotional traits, grandiosity, and justification of violence.ConclusionUsing MacArthur risk factor categories as organizing principles, this systematic review recommends the Structured Assessment of Violence Risk in Youth (SAVRY) risk- assessment tool for assessing adolescent violence risk in the pediatric ED.

Risk-Need-Responsivity Meets Mental Health: Implementation Challenges in Probation Case Planning

This study examined the feasibility of and fidelity to risk/needs assessment, mental health screening, and risk-need-responsivity (RNR)-based case planning within juvenile probation in two states. The researcher-guided implementation effort included the Massachusetts Youth Screening Instrument-2 (MAYSI-2), Structured Assessment of Violence Risk in Youth (SAVRY), and policies to prioritize criminogenic needs while using mental health services only when warranted. Data from 53 probation officers (POs) and 553 youths indicated three of five offices had high fidelity to administration and case planning policies. The interrater reliability ( n = 85; intraclass correlation coefficient [ICC][A, 1] = .92 [Northern state] and .80 [Southern state]) and predictive validity ( n = 455; Exp[B] = 1.83) of SAVRY risk ratings were significant. There was an overreliance on mental health services; 48% of youth received these referrals when only 20% screened as having mental health needs. Barriers to fidelity to RNR practices in some offices included assessments not being conducted before disposition, lack of service availability, and limited buy-in from a few stakeholders.

Exposure to Family Violence and Risk Factors for Recidivism in Juvenile Offenders

ABSTRACT A better understanding of the relationship between exposure to family violence and criminal recidivism is essential in order to develop interventions which target the specific needs of juvenile offenders. Using the Structured Assessment of Violence Risk in Youth (SAVRY), we explored the differences in historical, social/contextual, and individual risk and protective factors for delinquency among youth males exposed (n = 253) and not exposed to family violence (n = 497) in Spain. Chi-square test shows that most of the risk factors assessed were present in the group exposed to family violence, especially a history of child maltreatment. Logistic regression analysis show that peer delinquency was a common predictor of recidivism in youth both exposed and not exposed to family violence. Early initiation of violence predicted recidivism in young offenders without exposure to family violence, while the absence of strong social support predicted recidivism in young offenders with this exposure. Professionals in juvenile justice services need to work on peer relationships, but also to keep in mind and to address the specific needs of young offenders both with and without exposure to family violence if the aim is to avoid recidivism.

Predictive validity of the Structured Assessment of Violence Risk in Youth (SAVRY) among a sample of Asian Canadian youth on probation.

Although past studies suggest that the Structured Assessment of Violence Risk in Youth (SAVRY; Borum et al., 2006) has moderate predictive validity, its predictive validity with Asian youth in Western countries is unknown. We therefore compared the SAVRY's predictive validity in a sample of Asian Canadian versus White Canadian youth. Given that the SAVRY is normed on samples comprising mostly youth who are White, we expected its predictive validity for recidivism would be lower for Asian Canadians than White Canadians. We examined youth probation officers' SAVRY assessments for 573 youth (445 White Canadians, 56 East/Southeast Asian Canadians, and 72 South Asian Canadians) on community supervision (i.e. probation) in a Canadian province. Youth were prospectively followed for an average of 1.97 years (SD = 0.56 years) to determine if they were subsequently charged with violent or nonviolent offenses. Asian Canadians scored significantly lower on risk total scores compared to White Canadians. Predictive validity for violent and nonviolent recidivism fell in the medium to large range for East/Southeast Asian Canadians (AUCs = .69 to .89) and South Asian Canadians (AUCs = .64 to .83). In comparison, predictive validity for White Canadians was generally lower (AUCs = .63 to .77; small to large range). Risk total scores and nonviolent risk ratings significantly predicted nonviolent recidivism better for East/Southeast Asian Canadians (AUCs = .89 and .87, respectively) than White Canadians (AUCs = .77 and .71, respectively). Despite few significant differences between Asian subgroups, predictive validity for nonviolent risk ratings was significantly higher in East/Southeast Asian Canadians (AUC = .87) than South Asian Canadians (AUC = .64). The SAVRY may be a useful tool for predicting recidivism with Asian Canadians. However, future research should examine the SAVRY's predictive validity for youth of Asian descent in different countries and contexts. (PsycInfo Database Record (c) 2021 APA, all rights reserved).

Risk Assessment in Juvenile and Young Adult Offenders: Predictive Validity of the SAVRY and SAPROF-YV.

Most juvenile risk assessment tools heavily rely on a risk-focused approach. Less attention has been devoted to protective factors. This study examines the predictive validity of protective factors in addition to risk factors, and developmental differences in psychometric properties of juvenile risk assessment. For a national Dutch sample of 354 juvenile and young adult offenders (16-26 years) risk and protective factors were retrospectively assessed at discharge from seven juvenile justice institutions, using the Structured Assessment of Violence Risk in Youth (SAVRY) and Structured Assessment of Protective Factors for violence risk – Youth Version (SAPROF-YV). Results show moderate validity for both tools predicting general, violent, and nonviolent offending at different follow-up times. The SAPROF-YV provided incremental predictive validity over the SAVRY, and predictive validity was stronger for younger offenders. Evidently both the SAVRY and SAPROF-YV seem valid tools for the assessment of recidivism risk in juvenile and young adult offenders. Results highlight the importance of protective factors, especially in juvenile offenders, emphasizing the need for a balanced risk assessment.

Probation Officer Assessments of Risk when the Youth Look Different: Contributions of Structured Professional Judgment to Concerns About Racial Bias

Various groups have expressed considerable concern about the potential for actuarial risk assessments to exacerbate racial disparities in justice settings. This study examined that potential when using a different approach to risk assessment, structured professional judgment (SPJ), by comparing risk decisions made by evaluators when the examinee’s race was different versus the same as theirs. A large sample of youth (N = 1,308) evaluated on the Structured Assessment of Violence Risk in Youth (SAVRY) by 137 juvenile probation officers (JPOs) in five states indicated the only moderation effect for the match or mismatch between JPOs’ and youths’ race/ethnicity was in the weight JPOs placed on five (out of 24) risk factors in their overall risk opinions. The match between JPOs' and youths' race had no bearing on JPOs’ final determination of youths’ risk levels. This study lends support for investigating the use of SPJ instruments as a method for minimizing racial bias.

Evaluating causes of algorithmic bias in juvenile criminal recidivism

In this paper we investigate risk prediction of criminal re-offense among juvenile defendants using general-purpose machine learning (ML) algorithms. We show that in our dataset, containing hundreds of cases, ML models achieve better predictive power than a structured professional risk assessment tool, the Structured Assessment of Violence Risk in Youth (SAVRY), at the expense of not satisfying relevant group fairness metrics that SAVRY does satisfy. We explore in more detail two possible causes of this algorithmic bias that are related to biases in the data with respect to two protected groups, foreigners and women. In particular, we look at (1) the differences in the prevalence of re-offense between protected groups and (2) the influence of protected group or correlated features in the prediction. Our experiments show that both can lead to disparity between groups on the considered group fairness metrics. We observe that methods to mitigate the influence of either cause do not guarantee fair outcomes. An analysis of feature importance using LIME, a machine learning interpretability method, shows that some mitigation methods can shift the set of features that ML techniques rely on away from demographics and criminal history which are highly correlated with sensitive features.

Predictive validity of the Structured Assessment of Violence Risk in Youth (SAVRY) with Indigenous and Caucasian female and male adolescents on probation.

Indigenous people and the courts have emphasized that it is important to examine whether scores from violence risk assessment tools are valid and appropriate for Indigenous youth. However, studies are scarce. Therefore, we examined the predictive validity of youth probation officers' Structured Assessment of Violence Risk in Youth (SAVRY) ratings for 744 Canadian youth, including 299 Indigenous youth (219 male, 80 female), and 445 Caucasian youth (357 male, 88 female) in a prospective field study. The SAVRY summary risk ratings and risk total scores significantly predicted violent and any reoffending for Indigenous female and male youth with medium effect sizes. Relatively few significant differences in the predictive validity emerged for Indigenous and Caucasian youth. However, Historical, Protective, and Risk Total scores predicted any recidivism better for Caucasian males than Indigenous males. Also, Indigenous youth scored significantly higher on all risk domains than Caucasian youth. Opposite to predictions, the rates of false positives were higher for Caucasian youth than for Indigenous youth. Based on the results, the SAVRY appears to be a reasonable tool to use for assessing risk in Indigenous youth. However, assessors should take steps to ensure that they use the SAVRY in a culturally appropriate manner, such as considering cultural factors in case formulations and treatment planning as the SAVRY does not ground assessments in an understanding of factors such as colonialism. In addition, future research should examine culturally salient risk factors (e.g., discrimination) and examine potential causes of higher risk scores in Indigenous youth, particularly the role of both past and present-day colonialism. (PsycInfo Database Record (c) 2020 APA, all rights reserved).