SciELO - Scientific Electronic Library Online

 
vol.22 número1Diabetes diagnosticada y control óptimo de la enfermedad en presos de CataluñaEvaluación del impacto de las relaciones familiares sobre la salud de las personas privadas de libertad en España índice de autoresíndice de materiabúsqueda de artículos
Home Pagelista alfabética de revistas  

Servicios Personalizados

Revista

Articulo

Indicadores

Links relacionados

  • En proceso de indezaciónCitado por Google
  • No hay articulos similaresSimilares en SciELO
  • En proceso de indezaciónSimilares en Google

Compartir


Revista Española de Sanidad Penitenciaria

versión On-line ISSN 2013-6463versión impresa ISSN 1575-0620

Resumen

FERNANDEZ-GARCIA-ANDRADE, R et al. Mental illness and social exclusion: assessment of the risk of violence after release. Rev. esp. sanid. penit. [online]. 2020, vol.22, n.1, pp.23-31.  Epub 11-Mayo-2020. ISSN 2013-6463.  https://dx.doi.org/10.18176/resp.0004.

Objectives:

To examine the predictive validity of the HCR-20 (The Historical Clinical Risk Management-20) to predict future violent incidents in a representative sample of patients with severe mental disorders and with a history of previous admission to prison, who after release are in a situation of extreme social exclusion.

Material and method:

The study sample was selected from the 235 patients treated by the Mental Health Street Team of Madrid (ECASAM) from June 2014 to June 2017, including those with a previous history of a previous internment in a penitentiary (about which, the HCR-20 was completed).

Results:

Of the 44 patients included, 29.6% (n=13) ended up participating in a violent incident after the release. The ROC curves (Receiver Operating Characteristic) analysis indicated that the total score of HCR-20 (AUC 0.98, p=0.01) has a high predictive validity.

Conclusions:

The social and medical changes that take place after the release of patients with severe mental illness justify the need to reassess the risk of violence. In this evaluation, the HCR-20 guide is a useful tool for predicting the risk of involvement in future violent incidents, and the inclusion of factors such as social exclusion and its consequences, as well as problems with substance use is especially important.

Palabras clave : mental health; mental disorders; social marginalization; violence; risk management.

        · resumen en Español     · texto en Inglés     · Español ( pdf ) | Inglés ( pdf )