Evaluation of risk by patients' and with clinicians' ratings: a CORE-OM and CORE-A investigation.
While Whewell and Bonanno reported significant relationships between therapists' ratings of risk and patients' ratings of categorized Clinical Outcome in Routine Evaluation-Outcome Measures (CORE-OM) risk items, Rowsell and Stennett-Cox found that only two non-risk items of the total 34 CORE-OM items correlated significantly with reported risk behaviours. The current study of 870 patients examined the intercorrelations of the CORE-OM item matrix, including the 28 non-risk items, and their correlations with the Risk domain items. Additionally, CORE-Assessment clinicians' risk ratings were compared with the patients' risk self-ratings. The results differed from the findings of Rowsell and Stennett-Cox and provided validatory evidence supplementing that of Whewell and Bonanno. The Harm to Self items appeared to be of particular behavioural significance.
Bedford
Alan
A
Department of Psychological Therapies, The Old Chapel, York, UK. alanbedford65@hotmail.com
Lukic
Goran
G
Tibbles
Jennifer
J
D000328:Adult; D003617:Dangerous Behavior; D059026:Diagnostic Self Evaluation; D005260:Female; D005555:Forensic Psychiatry / Q000379:methods; D006801:Humans; D008297:Male; D001523:Mental Disorders / Q000175:diagnosis*; D011581:Psychological Tests; D015203:Reproducibility of Results; D018570:Risk Assessment; D016728:Self-Injurious Behavior / Q000517:prevention & control; D018709:Statistics, Nonparametric; D006113:United Kingdom; D014754:Violence / Q000517:prevention & control; D000092864:Suicide Prevention