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Table 8 HCR-20 items related to outcomes

From: Susceptibility (risk and protective) factors for in-patient violence and self-harm: prospective study of structured professional judgement instruments START and SAPROF, DUNDRUM-3 and DUNDRUM-4 in forensic mental health services

  Harm to others 13/98 Harm to self 7/98
  AUC 95% CI p OR 95% CI p AUC 95% CI p OR 95% CI p
   lower upper    lower upper    lower upper    lower upper  
H1 Previous violence .467 .291 .643 .705 0.140 0.008 2.381 0.174 .434 .193 .675 .561 0.065 0.004 1.176 0.064
H2 Young age at first violent incident .627 .459 .796 .140 2.238 0.820 6.105 0.116 .730 .552 .909 .043 5.510 1.096 27.704 0.038
H3 Relationship instability .648 .511 .785 .086 3.536 0.901 13.872 0.070 .644 .467 .820 .207 5.510 1.096 27.704 0.038
H4 Employment problems .758 .649 .867 .003 11.005 1.529 79.186 0.017 .713 .558 .867 .061 5.350 0.769 37.219 0.090
H5 Substance misuse problems .666 .525 .807 .055 3.278 0.909 11.827 0.070 .613 .406 .820 .321 1.856 0.520 6.632 0.341
H6 Major mental illness .436 .257 .616 .461 0.472 0.112 1.826 0.277 .446 .209 .683 .636 0.547 0.101 2.970 0.485
H7 psychopathy                 
H8 Early maladjustment .714 .576 .852 .013 3.769 1.216 11.683 0.022 .686 .484 .887 .102 2.858 0.734 11.131 0.130
H9 Personality disorder .643 .464 .822 .098 2.529 1.090 5.855 0.030 .711 .482 .940 .063 3.731 1.226 11.358 0.020
H10 Prior supervision failure .705 .581 .829 .017 4.787 1.211 18.929 0.026 .635 .458 .812 .235 2.461 0.632 9.578 0.194
C1 Lack of insight .666 .515 .816 .055 2.737 0.960 7.804 0.060 .716 .559 .872 .058 5.793 0.792 42.383 0.084
C2 Negative attitudes .772 .639 .905 .002 3.492 1.632 7.468 0.001 .752 .581 .923 .027 2.990 1.145 7.812 0.025
C3 Active symptoms of major mental illness .650 .491 .810 .081 1.946 0.953 3.976 0.068 .701 .513 .889 .077 2.618 0.898 7.633 0.078
C4 Impulsivity .744 .566 .921 .005 4.393 2.046 9.425 0.001 .700 .458 .943 .078 3.192 1.280 7.962 0.013
C5 Unresponsiveness to treatment .745 .588 .902 .005 3.888 1.534 9.851 0.004 .791 .594 .988 .010 6.145 1.403 26.920 0.016
R1 Plans lack feasibility .687 .534 .840 .030 2.284 1.122 4.650 0.023 .666 .498 .834 .145 1.876 0.757 4.646 0.174
R2 Exposure to destabilisers .662 .491 .833 .060 3.061 1.169 8.017 0.023 .678 .450 .906 .117 3.477 1.070 11.301 0.038
R3 Lack of personal support .647 .492 .802 .088 2.095 0.885 4.960 0.093 .560 .353 .767 .598 1.239 0.383 4.008 0.721
R4 Non-compliance with remediation attempts .760 .610 .909 .003 4.537 1.873 10.992 0.001 .711 .499 .923 .063 3.206 1.126 9.134 0.029
R5 Stress .740 .595 .886 .005 4.798 1.725 13.347 0.003 .735 .515 .955 .039 4.686 1.266 17.344 0.021
  1. Note that item H7 ‘psychopathy’ was omitted.