Comparative validity analysis of multiple measures of violence risk in a sample of criminal offenders

This study compared the predictive validity of multiple indices of violence risk among 188 general population criminal offenders: Historical-Clinical-Risk Management-20 (HCR-20) Violence Risk Assessment Scheme, Violence Risk Appraisal Guide (VRAG), Violent Offender Risk Assessment Scale (VORAS), Hare Psychopathy Checklist-Revised (PCL-R), and Screening Version (PCL:SV). Several indices were related to violent recidivism with large statistical effect sizes: HCR-20 (Total, Clinical and Risk Management scales, structured risk judgments), VRAG, and behavioral scales of psychopathy measures. Multivariate analyses showed that HCR-20 indices were consistently related to violence and that the VRAG entered some analyses. Findings are inconsistent with a position of strict actuarial superiority, as HCR-20 structured risk judgments-an index of structured professional or clinical judgment-were as strongly related to violence.