Predictive validity of the short-term assessment of risk and treatability (START) for aggression and self-harm in a secure mental health service: gender differences

Laura E. O'Shea, Geoffrey L. Dickens*

*Corresponding author for this work

    Research output: Contribution to journalArticlepeer-review

    20 Citations (Scopus)
    306 Downloads (Pure)

    Abstract

    The START predicts aggressive outcomes and to some extent self-harm. However, it is not known whether gender moderates its performance. This study used routinely collected data to investigate the predictive ability of the START for aggression and self-harm in secure psychiatric patients. Utility of the START was examined separately for men and women. The START was a stronger predictor of aggression and self-harm in women than men. The specific risk estimates produced large effect sizes for the prediction of aggression and self-harm in women; none of the AUC values reached the threshold for a large effect size in the male sample.
    Original languageEnglish
    Pages (from-to)132-146
    Number of pages15
    JournalInternational Journal of Forensic Mental Health
    Volume14
    Issue number2
    Early online date1 Jun 2015
    DOIs
    Publication statusPublished - 1 Jun 2015

    Keywords

    • Gender aggression
    • Self-harm
    • Risk assessment
    • START

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