Use of assessment instruments in forensic evaluations of criminal responsibility in Norway

BMC Psychiatry

Table 7 Associations between use of assessment instruments and diagnostic conclusions, odds ratios (OR) estimated by GLMM

	F20.0–20.9 Schizophrenia	F21–29 Other psychotic disorders	F30–39 Affective disorders	F10–19 Substance use disorders	F60.0–60.9 Personality disorders	F70–79 Mental retardation	Others^a	None
Any instrument
OR	1	0.98	1.26	1.39	5.01	1.3	2.69	0.88	N = 500
95% CI	-	0.37–2.58	0.43–3.65	0.68–2.86	1.95–1.8	3.55–50.2	1.09–6.66	0.37–2.09	p < 0.001
p-value	-	0.97	0.68	0.37	0.001	< 0.001	0.032	0.77	ICC = 0.40
Structured interviews^b
OR	1	0.54	3.84	3.14	7.54	1.94	2.63	0.98	N = 500
95% CI	-	0.11–2.74	0.70–21.2	0.93–10.6	1.61–35.2	0.27–14.3	0.60–11.6	0.22–4.38	p = 0.10
p-value	-	0.46	0.12	0.065	0.010	0.51	0.20	0.98	ICC = 0.71
PANSS^c
OR	1	3.42	0.11	0.14	0.48	0.11	0.07	Empty	N = 441
95% CI	-	0.68–17.1	0.003–3.28	0.02–0.98	0.07–3.43	0.004–3.15	0.004–1.16	-	p = 0.10
p-value	-	0.13	0.20	0.047	0.47	0.19	0.063	-	ICC = 0.71
WAIS^d
OR	1	2.52	1.01	5.73	4.91	176	12.6	8.94	N = 500
95% CI	-	0.44–14.5	0.09–11.1	1.50–21.8	1.05–23.0	32.8–944	2.96–53.3	2.17–36.9	p < 0.001
p-value	-	0.30	0.99	0.011	0.043	< 0.001	0.001	0.002	ICC = 0.27
Risk assessment^e
OR	1	1.15	1.20	1.80	1.34	2.63	2.14	1.84	N = 500
95% CI		0.37–3.60	0.35–4.11	0.81–4.02	0.48–3.75	0.90–7.61	0.83–5.54	0.72–4.71	p = 0.62
p-value		0.81	0.77	0.15	0.58	0.08	0.12	0.21	ICC = 0.00
Total	100	45	34	126	56	31	52	59	500

^aOthers: Hyperkinetic disorder (F90-), Pervasive developmental disorders (F84-), Organic mental disorders (F0-), Diabetes Mellitus (E10), Parkinson disease (G20), Epilepsy (G40), Cerebral palsy (G80)
^bMini International Neuropsychiatric Interview or Structured Clinical Interview for DSM disorders I or Structured Clinical Interview for DSM disorders II or any combination of these
^cPositive And Negative Syndrome Scale
^dWechler Adult Intelligence Scale
^eHistorical Clinical Risk-20 or Sexual Violence Risk-20 or both

ISSN: 1471-244X