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Forensic Science & Addiction Research

Clinical Risk Assessment-Organizing Information Using Criminological Theory Seems to Work

  • Open or Close Eva Lindström1, Mikael Olausson2, Eva Tuninger3 and Sten Levander4*

    1Department of Neurosience, Uppsala University Hospital, Sweden

    2Forensic Psychiatric Clinic, U-MAS, Sweden

    3Clinical Sciences/Psychiatry, Lund University, Sweden

    4Department of Criminology, Malmö University, Sweden

    *Corresponding author: Sten Levander, Department of Criminology, Malmö University, SE 20510 Malmö, Sweden, Email:

Submission: February 16, 2018; Published: February 22, 2018

DOI: 10.31031/FSAR.2018.02.000544

ISSN: 2578-0042
Volume2 Issue4


Background: Risk assessment and management is a necessary and integrated part of clinical work. Risk assessment methods developed in the legal context differ from those traditionally used in clinical work but have been used to an increasing degree in such contexts.

Aim: In general, traditional clinical assessment methods can be improved by using structured instruments. With respect to risk management, wellestablished criminological theory is worth testing. EuRAX is a comprehensive and structured clinical risk management tool which integrates concepts from current criminological theories.

Method: 139 forensic psychiatric patients (stratified selection) were scored according to EuRAX.

Results: Scoring was rather problem-free given the rich documentation in Swedish forensic case history files. Construct and discriminant validity was good. The patients displayed a wide array of problems assumed to be associated with criminal propensity. The concepts of “social bonds” and “poor self-control”, as operationalized in EuRAX, displayed meaningful and discriminant patterns with respect to the other EuRAX variables, and to HCR and PCL scores.

Conclusion: The use of well-established high-order criminological concepts, rated in a structured way, seems to provide important information relevant to the task of clinical risk management.

Keywords: Risk; Psychiatric diagnoses; Criminality; Violence; Forensic; Criminological theory

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