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The role of psychopathic personality disorder in violence risk assessments using the HCR-20
Systems and Psychosocial Advances Research Center Publications and Presentations
  • Laura S. Guy, University of Massachusetts Medical School
  • Kevin S. Douglas, Simon Fraser University
  • Melissa C. Hendry, Simon Fraser University
UMMS Affiliation
Department of Psychiatry
Publication Date
Document Type

Antisocial and psychopathic traits are essential to evaluate when assessing risk for violence using the HCR-20. The role of the PCL-R on the HCR-20 was investigated using a series of meta-analytic tests. Across 34 samples in which both tools were rated, AUCs for violence were similar ( approximately .69), and exclusion of the psychopathy item (H7) did not reduce the HCR-20's accuracy. Quantitative synthesis of results from multivariate analyses conducted in 7 raw datasets that used both tools demonstrated that the average probability of observing violence for every point increase on the HCR-20 (without H7), while controlling for the PCL-R, was 23%, whereas for the PCL-R it was -1%. The HCR-20 (without H7) added incremental validity to the PCL-R, whereas the converse was not true, and only the HCR-20 (without H7) possessed unique predictive validity. Results suggest the HCR-20's predictive validity was not negatively impacted by excluding the PCL-R. Areas for future study are discussed, including research on various ways to assess and incorporate into risk assessment personality traits related to violence.

DOI of Published Version
J Pers Disord. 2010 Oct;24(5):551-80. Link to article on publisher's site
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Link to Article in PubMed
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Citation Information
Laura S. Guy, Kevin S. Douglas and Melissa C. Hendry. "The role of psychopathic personality disorder in violence risk assessments using the HCR-20" Vol. 24 Iss. 5 (2010) ISSN: 0885-579X (Linking)
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