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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.