The Predictive Validity of the Short-Term Assessment of Risk and Treatability (START) for Multiple Adverse Outcomes in a Secure Psychiatric Inpatient Setting

Assessment
Laura E O'SheaGeoffrey L Dickens

Abstract

The Short-Term Assessment of Risk and Treatability (START) aims to assist mental health practitioners to estimate an individual's short-term risk for a range of adverse outcomes via structured consideration of their risk ("Vulnerabilities") and protective factors ("Strengths") in 20 areas. It has demonstrated predictive validity for aggression but this is less established for other outcomes. We collated START assessments for N = 200 adults in a secure mental health hospital and ascertained 3-month risk event incidence using the START Outcomes Scale. The specific risk estimates, which are the tool developers' suggested method of overall assessment, predicted aggression, self-harm/suicidality, and victimization, and had incremental validity over the Strength and Vulnerability scales for these outcomes. The Strength scale had incremental validity over the Vulnerability scale for aggressive outcomes; therefore, consideration of protective factors had demonstrable value in their prediction. Further evidence is required to support use of the START for the full range of outcomes it aims to predict.

References

Jan 1, 1986·The American Journal of Psychiatry·S C YudofskyD Williams
Apr 1, 1997·Journal of Psychiatric and Mental Health Nursing·K GournayG Thornicroft
Oct 12, 2000·Law and Human Behavior·R Rogers
Dec 16, 2000·The British Journal of Psychiatry : the Journal of Mental Science·M Dolan, M Doyle
Jun 25, 2002·Suicide & Life-threatening Behavior·Henk L I Nijman, Joost M L G à Campo
Apr 24, 2004·American Journal of Epidemiology·Margaret Sullivan PepePolly Newcomb
Oct 29, 2005·Law and Human Behavior·Marnie E Rice, Grant T Harris
Dec 22, 2005·Biological Psychiatry·Helena Chmura Kraemer, David J Kupfer
Jan 11, 2011·Journal of Psychiatric and Mental Health Nursing·D Stewart, L Bowers
Feb 22, 2012·International Journal of Mental Health Nursing·Karen JamesLen Bowers
Mar 23, 2013·The British Journal of Psychiatry : the Journal of Mental Science·N A C TroqueteD Wiersma
Jul 3, 2013·Law and Human Behavior·Catherine M WilsonJohann Brink
May 7, 2014·Psychological Assessment·Laura E O'Shea, Geoffrey L Dickens
Aug 12, 2014·Comprehensive Psychiatry·Laura E O'SheaGeoffrey L Dickens
Feb 17, 2015·Journal of Intellectual Disability Research : JIDR·L E O'SheaG L Dickens

❮ Previous
Next ❯

Citations

Mar 15, 2018·International Journal of Offender Therapy and Comparative Criminology·Erwin SchuringaStefan Bogaerts
Aug 4, 2015·Journal of Psychiatric and Mental Health Nursing·G L Dickens

❮ Previous
Next ❯

Software Mentioned

PASW Statistics
START
SPSS
MedCalc

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.