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DOI: 10.1177/009385402236736 Transcending The Actuarial Versus Clinical Polemic In Assessing Risk for ViolenceSt. Joseph's Healthcare, Hamilton
McMaster University
University of Toronto Much energy has been expended over recent years in debating the relative merits of actuarial versusclinical approaches to violence risk prediction. Although it has gradually become apparentthat scores based on more or less static factors obtainable from the record do indeed associatewith outcome violence over years of follow-up, there is no reason to suppose that, at least potentially,dynamic variables do not hold as much or more promise when it comes to projections overweeks or months. Clinicians involved in release decision-making might wish to consider the following,in order of importance: (a) the legal framework within which the decision is being made,(b) the thoroughness with which scientific methods have been applied to the particular case atissue, (c) the precision of the individualized statement of violence risk being offered, (d) thesteps which could be taken to reduce that risk, and (e) if available, the individual's violence riskassessment score in relation to already amassed pertinent statistical data.
Key Words: violence risk actuarial clinical
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