Citation

Robinat AP, Justes SM, Gómez-Durán EL. Med. Clin. 2014; 142(Suppl 2): 16-23.

Vernacular Title

Valoración forense del riesgo de violencia.

Affiliation

Departamento de Medicina. Facultad de Medicina y Ciencias de la Salud. Universitat Internacional de Catalunya. Barcelona. España; Servicio de Responsabilidad Profesional. Área de Praxis. Colegio de Médicos de Barcelona. Consejo de Colegios de Médicos de Cataluña. Barcelona. España; Unidad de Psiquiatría. Fundació Sociosanitaria de Barcelona. Barcelona. España.

Copyright

(Copyright © 2014, Elsevier Publishing)

DOI

10.1016/S0025-7753(14)70067-3

PMID

24913749

Abstract

Over the last 20 years there have been steps forward in the field of scientific research on prediction and handling different violent behaviors. In this work we go over the classic concept of "criminal dangerousness" and the more current of "violence risk assessment". We analyze the evolution of such assessment from the practice of non-structured clinical expert opinion to current actuarial methods and structured clinical expert opinion. Next we approach the problem of assessing physical violence risk analyzing the HCR-20 (Assessing Risk for Violence) and we also review the classic and complex subject of the relation between mental disease and violence. One of the most problematic types of violence, difficult to assess and predict, is sexual violence. We study the different actuarial and sexual violence risk prediction instruments and in the end we advise an integral approach to the problem. We also go through partner violence risk assessment, describing the most frequently used scales, especially SARA (Spouse Assault Risk Assessment) and EPV-R. Finally we give practical advice on risk assessment, emphasizing the importance of having maximum information about the case, carrying out a clinical examination, psychopathologic exploration and the application of one of the described risk assessment scales. We'll have to express an opinion about the dangerousness/risk of future violence from the subject and some recommendations on the conduct to follow and the most advisable treatment.

Language: es