Should we always look on the bright side of life?: the role of protective factors in forensic risk assessment and management

Jansen, Krista (2017) Should we always look on the bright side of life?: the role of protective factors in forensic risk assessment and management. DForenPsy thesis, University of Nottingham.

[img] PDF (Thesis - as examined) - Repository staff only - Requires a PDF viewer such as GSview, Xpdf or Adobe Acrobat Reader
Download (1MB)


This thesis will aim to identify the role of protective factors in clinical risk prediction and management of inpatients in secure services. Chapter one provides an introduction to the field of forensic risk assessment, and a justification for the importance of including protective factors to create a more balanced assessment of patient risk.

Chapter two presents a systematic review exploring the role of protective factors in various risk assessment tools. The aims of this review is to identify risk assessment tools that incorporate a measure of protective strengths, and the predictive validity of these tools for the outcome of inpatient aggression or violence.

Chapter three provides a critical review of the START, specifically focused on its strengths and weaknesses as a risk prediction tool, demonstrating good validity, reliability, in addition to excellent inter-rater reliability. Findings will be reported in terms of the clinical utility of this tool.

Chapter four presents the findings from a research project that aimed to identify the predictive validity of the START in female forensic inpatients, highlighting the efficacy of the specific risk estimates.

Chapter five utilises a case study to identify how promoting protective factors in the form of coping skills can reduce self-harming behaviours. This case study aims to demonstrate that focusing treatment on promoting patient strengths can be effective in reducing adverse outcomes.

Finally, chapter six discusses the overall findings and clinical implications from the present thesis. Future research directions will also be discussed.

Item Type: Thesis (University of Nottingham only) (DForenPsy)
Supervisors: Egan, Vincent
Keywords: Clinical risk prediction, Forensic risk assessment, Protective strengths, Coping skills
Subjects: W Medicine and related subjects (NLM Classification) > WM Psychiatry
Faculties/Schools: UK Campuses > Faculty of Medicine and Health Sciences > School of Medicine
Item ID: 42909
Depositing User: Jansen, Krista
Date Deposited: 11 Oct 2017 14:05
Last Modified: 06 May 2020 09:48

Actions (Archive Staff Only)

Edit View Edit View