Structured professional psychological judgment for assessing the risk of public danger in persons with mental disorders
The results of the approbation of the Protocol of structured professional judgment developed for the assessment of psychological factors influencing the formation of socially dangerous behavior in persons with severe mental disorders are presented. In order to determine psychometric properties and p...
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| Format: | Article |
| Language: | Russian |
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Federal State Budget Scientific Institution National Medical Research Center for Psychiatry and Neurology n.a. V.M. Bekhterev Ministry of Health of the Russian Federation
2023-12-01
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| Series: | Обозрение психиатрии и медицинской психологии имени В.М. Бехтерева |
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| Online Access: | https://www.bekhterevreview.com/jour/article/view/887 |
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| author | O. A. Makushkina E. V. Leurda |
| author_facet | O. A. Makushkina E. V. Leurda |
| author_sort | O. A. Makushkina |
| collection | DOAJ |
| description | The results of the approbation of the Protocol of structured professional judgment developed for the assessment of psychological factors influencing the formation of socially dangerous behavior in persons with severe mental disorders are presented. In order to determine psychometric properties and prognostic reliability, 160 patients of both sexes with persistent illegal and law-abiding behavior, average age 40 ±13 years, were examined using the Protocol. The respondents were assessed for affective rigidity, extrapunitive orientation of frustration reaction, cognitive rigidity, low self-esteem, internal locus of control, lack of empathy, egocentrism, ability to reflect on life experience. Each feature was assigned a score, the scores were summed up, the amount was compared with the threshold value. Prognostic reliability was assessed using ROC analysis (Receiver Operating Characteristics). Sensitivity and specificity were 98.1% and 88.1%, respectively. The area under the ROC curve is 0.97±0.01 with 95% CI: 0.951-0.989. The resulting model was statistically significant (p<0.001). This Protocol is not an independent tool, but serves as an addition to the methodology of Structured Risk Assessment of Dangerous Behavior (SOROP) and clinical assessment. Its integration into the risk determination procedure will ensure the implementation of a comprehensive multidisciplinary approach in making judgments about the potential public danger of the patient, will increase its objectivity and evidence. |
| format | Article |
| id | doaj-art-40d0b79a204e4e4ab6b073bbb029087f |
| institution | DOAJ |
| issn | 2313-7053 2713-055X |
| language | Russian |
| publishDate | 2023-12-01 |
| publisher | Federal State Budget Scientific Institution National Medical Research Center for Psychiatry and Neurology n.a. V.M. Bekhterev Ministry of Health of the Russian Federation |
| record_format | Article |
| series | Обозрение психиатрии и медицинской психологии имени В.М. Бехтерева |
| spelling | doaj-art-40d0b79a204e4e4ab6b073bbb029087f2025-08-20T02:49:19ZrusFederal State Budget Scientific Institution National Medical Research Center for Psychiatry and Neurology n.a. V.M. Bekhterev Ministry of Health of the Russian FederationОбозрение психиатрии и медицинской психологии имени В.М. Бехтерева2313-70532713-055X2023-12-01574667410.31363/2313-7053-2023-801518Structured professional psychological judgment for assessing the risk of public danger in persons with mental disordersO. A. Makushkina0E. V. Leurda1Serbsky National Medical Research Centre for Psychiatry and NarcologySerbsky National Medical Research Centre for Psychiatry and NarcologyThe results of the approbation of the Protocol of structured professional judgment developed for the assessment of psychological factors influencing the formation of socially dangerous behavior in persons with severe mental disorders are presented. In order to determine psychometric properties and prognostic reliability, 160 patients of both sexes with persistent illegal and law-abiding behavior, average age 40 ±13 years, were examined using the Protocol. The respondents were assessed for affective rigidity, extrapunitive orientation of frustration reaction, cognitive rigidity, low self-esteem, internal locus of control, lack of empathy, egocentrism, ability to reflect on life experience. Each feature was assigned a score, the scores were summed up, the amount was compared with the threshold value. Prognostic reliability was assessed using ROC analysis (Receiver Operating Characteristics). Sensitivity and specificity were 98.1% and 88.1%, respectively. The area under the ROC curve is 0.97±0.01 with 95% CI: 0.951-0.989. The resulting model was statistically significant (p<0.001). This Protocol is not an independent tool, but serves as an addition to the methodology of Structured Risk Assessment of Dangerous Behavior (SOROP) and clinical assessment. Its integration into the risk determination procedure will ensure the implementation of a comprehensive multidisciplinary approach in making judgments about the potential public danger of the patient, will increase its objectivity and evidence.https://www.bekhterevreview.com/jour/article/view/887persons with mental disordersillegal behaviorsocially dangerous actionsprevention risk assessmentpsychological risk factorsprotective factorsprotocol of structured professional psychological judgment |
| spellingShingle | O. A. Makushkina E. V. Leurda Structured professional psychological judgment for assessing the risk of public danger in persons with mental disorders Обозрение психиатрии и медицинской психологии имени В.М. Бехтерева persons with mental disorders illegal behavior socially dangerous actions prevention risk assessment psychological risk factors protective factors protocol of structured professional psychological judgment |
| title | Structured professional psychological judgment for assessing the risk of public danger in persons with mental disorders |
| title_full | Structured professional psychological judgment for assessing the risk of public danger in persons with mental disorders |
| title_fullStr | Structured professional psychological judgment for assessing the risk of public danger in persons with mental disorders |
| title_full_unstemmed | Structured professional psychological judgment for assessing the risk of public danger in persons with mental disorders |
| title_short | Structured professional psychological judgment for assessing the risk of public danger in persons with mental disorders |
| title_sort | structured professional psychological judgment for assessing the risk of public danger in persons with mental disorders |
| topic | persons with mental disorders illegal behavior socially dangerous actions prevention risk assessment psychological risk factors protective factors protocol of structured professional psychological judgment |
| url | https://www.bekhterevreview.com/jour/article/view/887 |
| work_keys_str_mv | AT oamakushkina structuredprofessionalpsychologicaljudgmentforassessingtheriskofpublicdangerinpersonswithmentaldisorders AT evleurda structuredprofessionalpsychologicaljudgmentforassessingtheriskofpublicdangerinpersonswithmentaldisorders |