Violence and Suicidal/Nonsuicidal Self-Injury Among Adolescents Undergoing Residential Treatment: An Examination of the Predictive Validity of the SAVRY, START:AV, and VRS-YV.

Using a retrospective study design, predictive validity of the Structured Assessment of Violence Risk in Youth, Short-Term Assessment of Risk and Treatability: Adolescent Version (START: AV), and the Violence Risk Scale-Youth Version (VRS-YV) was examined among 87 adolescents referred to a residential treatment program. With few exceptions, moderate to high accuracy was achieved for the three measures in predicting violence and suicidal/nonsuicidal self-injury occurring during the adolescents' time in treatment. Accuracy of the measures peaked within 90 days for violence and gradually increased over the 180-day follow-up for suicidal/nonsuicidal self-injury. Dynamic factors were more predictive of repeated events involving violence relative to static/historical factors, whereas only factors from the START: AV were predictive of repeated events involving suicidal/nonsuicidal self-injury. These results emphasize the need for further examining the risk of adverse outcomes beyond violence among adolescents.

Changes in J-SOAP-II and SAVRY Scores Over the Course of Residential, Cognitive-Behavioral Treatment for Adolescent Sexual Offending.

Although the Juvenile Sex Offender Assessment Protocol-II (J-SOAP-II) and the Structured Assessment of Violence Risk in Youth (SAVRY) include an emphasis on dynamic, or modifiable factors, there has been little research on dynamic changes on these tools. To help address this gap, we compared admission and discharge scores of 163 adolescents who attended a residential, cognitive-behavioral treatment program for sexual offending. Based on reliable change indices, one half of youth showed a reliable decrease on the J-SOAP-II Dynamic Risk Total Score and one third of youth showed a reliable decrease on the SAVRY Dynamic Risk Total Score. Contrary to expectations, decreases in risk factors and increases in protective factors did not predict reduced sexual, violent nonsexual, or any reoffending. In addition, no associations were found between scores on the Psychopathy Checklist:Youth Version and levels of change. Overall, the J-SOAP-II and the SAVRY hold promise in measuring change, but further research is needed.

The Predictive Validity of Savry Ratings for Assessing Youth Offenders in Singapore: A Comparison With YLS/CMI Ratings.

Empirical support for the usage of the SAVRY has been reported in studies conducted in many Western contexts, but not in a Singaporean context. This study compared the predictive validity of the SAVRY ratings for violent and general recidivism against the Youth Level of Service/Case Management Inventory (YLS/CMI) ratings within the Singaporean context. Using a sample of 165 male young offenders (Mfollow-up = 4.54 years), results showed that the SAVRY Total Score and Summary Risk Rating, as well as YLS/CMI Total Score and Overall Risk Rating, predicted violent and general recidivism. SAVRY Protective Total Score was only significantly predictive of desistance from general recidivism, and did not show incremental predictive validity for violent and general recidivism over the SAVRY Total Score. Overall, the results suggest that the SAVRY is suited (to varying degrees) for assessing the risk of violent and general recidivism in young offenders within the Singaporean context, but might not be better than the YLS/CMI.

Protective factors and recidivism in accused juveniles who sexually offended.

To date, research on juvenile sexual offender recidivism has tended to focus on risk factors rather than protective factors. Therefore, very little is known about protective factors in the population of juveniles who sexually offended. The aim of the present study was to examine the impact of protective factors on non-recidivism in a sample of accused juveniles who sexually offended (N = 71) in a mean follow-up period of 47.84 months. Protective factors were measured with the Protective Factor Scale of the Structured Assessment of Violence Risk in Youth (SAVRY), and the Structured Assessment of PROtective Factors for violence risk (SAPROF). Criminal charges served as recidivism data. The internal scale of the SAPROF, in particular, yielded moderate predictive accuracy for the absence of violent and general recidivism, though not for the absence of sexual recidivism. No protective factor of the SAVRY did reveal predictive accuracy regarding various types of the absence of recidivism. Furthermore, protective factors failed to achieve any significant incremental predictive accuracy beyond that captured by the SAVRY risk factors alone. The potential therapeutic benefit of protective factors in juvenile sexual offender treatment is discussed.

Does diagnosis affect the predictive accuracy of risk assessment tools for juvenile offenders: Conduct Disorder and Attention Deficit Hyperactivity Disorder.

Studies have suggested an increased risk of criminality in juveniles if they suffer from co-morbid Attention Deficit Hyperactivity Disorder (ADHD) along with Conduct Disorder. The Structured Assessment of Violence Risk in Youth (SAVRY), the Psychopathy Checklist Youth Version (PCL:YV), and Youth Level of Service/Case Management Inventory (YLS/CMI) have been shown to be good predictors of violent and non-violent re-offending. The aim was to compare the accuracy of these tools to predict violent and non-violent re-offending in young people with co-morbid ADHD and Conduct Disorder and Conduct Disorder only. The sample included 109 White-British adolescent males in secure settings. Results revealed no significant differences between the groups for re-offending. SAVRY factors had better predictive values than PCL:YV or YLS/CMI. Tools generally had better predictive values for the Conduct Disorder only group than the co-morbid group. Possible reasons for these findings have been discussed along with limitations of the study.

Risk of violent behaviour in young people at clinical high risk for psychosis from the North American Prodrome Longitudinal Studies consortium.

AIM: Although violent behaviour has been studied in schizophrenia, violence risk has received little attention in individuals at clinical high risk for psychosis (CHR). This manuscript aims to report and discuss the overall results of the Structured Assessment for Violence Risk in Youth (SAVRY) from the NAPLS-3 project to explore the risk of violence in CHR youth and to determine the relationship between SAVRY violence risk scores, psychosis risk symptoms, and global functioning. We hypothesized that CHR young people are at higher risk of violence as compared to healthy comparison participants due to a similarity between risk factors for psychosis and risk factors for violence, and that this risk is associated with greater severity of symptoms, poor functioning, and risk for conversion to psychosis. METHODS: Participants from the North American Prodrome Longitudinal Study consortium phase 3 (NAPLS-3) included 684 CHR and 96 HC. Assessments included the Structural Assessment of Violence Risk in Youth (SAVRY), clinical and functional measures. RESULTS: The majority of participants across groups were deemed to be at low risk for violence. There were significantly more CHR participants (29.8%) who had moderate or high scores on the SAVRY Summary Risk Rating compared to HC participants (3.1%). Low versus moderate-high SAVRY scores were associated with better social (p < .005) and role (p < .002) functioning and fewer positive (p < .002), negative (p < .002), disorganized (p < .01) and general symptoms (p < .002). CHR participants with higher SAVRY scores were more likely to be diagnosed with borderline personality disorder, ADHD and substance misuse. Among CHR, overall violence risk was not associated with conversion to psychosis. However, those who converted to psychosis scored lower on the protective factors index, primarily driven by less prosocial involvement and fewer resilient personality traits. CONCLUSIONS: This is the first study to assess violence risk in CHR adolescents. Violence risk factors overlap with risk factors for psychosis in general, perhaps accounting for the association. These findings have implications for intervention efforts to reduce violence risk and bolster resiliency in CHR youth.

Predicting the Risk of Re-Offending in Child-to-Parent Violence Using the Structured Assessment of Violence Risk in Youth.

Child-to-parent violence occurs when children engage in violent behaviour towards family members; the principal victim is often the mother. The risk assessment instruments used to identify the risk and protective factors in youth offenders who perpetrate child-to-parent violence are not specific to this type of offense. This study aims to describe the child-to-parent violence group in relation to the risk and protective factors they present in comparison with the group of young people who committed an assault offence. The sample for this study consists of two groups of youth offenders. The first group committed child-to-parent violence, and the second group has committed a violent crime against individuals to whom they are not related. Young people who commit child-to-parent violence have higher scores on the SAVRY risk factors and lower scores on the SAVRY protective factor than young people who have committed an assault offence. The results reveal the importance of identifying the risk and protective factors presented by youth offenders who commit child-to-parent violence in order to create specific intervention programs for the needs and strengths presented by this group of young people.

The Predictive Validity of Three Youth Violence Assessment Instruments: The SAVRY, VRS-YV, and SAPROF-YV.

This study examined the predictive validity of three assessment instruments for violent youth, the SAVRY, the VRS-YV, and the SAPROF-YV. Files relating to a sample of 233 young male offenders aged between 12 and 18 years were retrospectively reviewed to score each instrument, with reoffending data extracted from prison, community and juvenile justice records. The analysis showed that all three assessments predicted general (any) reoffending better than violent and non-violent reoffending, with higher rates of predictive validity for the SAVRY and VRS-YV Total Scores. There were, however, only small to moderate effect sizes at 1- and 3-year follow up periods for all three instruments in predicting all types of reoffending. The SAPROF-YV had a small effect size for the prediction of violent reoffending and did not add incrementally to the predictive validity (for violent reoffending) of the SAVRY or VRS-YV.

Adverse childhood experiences and recidivism in Indigenous and white female and male adolescents on probation.

BACKGROUND: Even though Indigenous peoples are overrepresented in the Canadian justice system, little research has studied potential mechanisms for this overrepresentation. OBJECTIVE: To address this gap, the current study examined the association between adverse childhood experiences (ACEs) and recidivism. PARTICIPANTS AND SETTING: A Canadian sample comprised 187 justice-involved Indigenous and White female and male adolescents aged 13 to 20. METHODS: ACEs, reoffense records, Structured Assessment of Violence Risk in Youth (SAVRY; Borum, Bartel & Forth, 2006) assessments, and demographic data were coded from justice files with a mean follow-up period of 1.50 years (SE = 0.03, IQR = 0.58). RESULTS: Results showed that compared to White adolescents, Indigenous adolescents had significantly higher ACE scores. Indigenous males violently recidivated significantly more than White males and Indigenous females had significantly more any recidivism than White females. ACEs predicted and shortened time to any recidivism, added incremental validity above the SAVRY for any recidivism, and explained the relationship between Indigenous ethnicity and any recidivism. CONCLUSIONS: Overall, the current study found that ACEs were especially important for Indigenous adolescents. As such, using collateral information to glean ACEs alongside the SAVRY and including Indigenous specific trauma interventions (e.g., Honoring Children interventions) may reduce recidivism for Indigenous adolescents. Future research should incorporate participatory action approaches and focus on how colonialism plays into justice overrepresentation for Indigenous adolescents.

Violence risk and personality assessment in adolescents by Structured Assessment of Violence Risk in Youth (SAVRY) and high school personality questionnaire (HSPQ): Focus on protective factors strengthening.

Background: Adolescents are most at risk of engaging in violent interaction. Targeting violence risk and protective factors is essential for correctly understanding and assessing their role in potential violence. We aimed to use the Structured Assessment of Violence Risk in Youth (SAVRY) tool within the sample of adolescents to capture violence risk and protective factors and personality variables related to risk and protective factors. We further aimed to identify which violence risk and protective factors were positively or negatively related to violence within personal history and if any personality traits are typical for violent and non-violent adolescents. Identifying broader or underlying constructs within the SAVRY tool factor analysis can enable appropriate therapeutic targeting. Methods: We used the Czech standardized version of the SAVRY tool. The study sample comprised 175 men and 226 women aged 12-18 years divided into two categories according to the presence or absence of violence in their personal history. Mann-Whitney U test was used to compare numerical variables between the two groups. SAVRY factor analysis with varimax rotation was used to determine the item factors. We administered the High School Personality Questionnaire (HSPQ) to capture adolescents' personality characteristics. Results: In our sample, there were 151 participants with violence in their personal histories and 250 non-violent participants. Non-violent adolescents had higher values for all six SAVRY protective factors. The strongest protective factor was P3, Strong attachment and bonds across gender or a history of violence. Using factor analysis, we identified three SAVRY internal factors: social conduct, assimilation, and maladaptation. The SAVRY protective factors were significantly positively related to several factors in the HSPQ questionnaire. Conclusion: The results highlight the significance of protective factors and their relationship with violence prevalence. HSPQ diagnostics could be helpful in clinically targeting personality-based violence risks and protective factors. The therapeutic focus should be on tension, peer rejection, and anxiety. It is also essential to foster positive attitudes toward authority, prosocial behavior, and attitudes toward school. These strategies can help strengthen protective factors of the SAVRY.

Assessing the Interactions between Strengths and Risk Factors of Recidivism through the Structured Assessment of Violence Risk in Youth (SAVRY).

Instruments that assess recidivism risk in young people are used widely in the sphere of juvenile justice worldwide. Traditionally, research has focused on the study of risk factors presented by young offenders, and how these relate to criminal recidivism. In present-day research, protective factors have also come into their own, having proven to encourage non-recidivism in young offenders. This paper presents a study carried out with 594 young offenders. The instrument used for assessing risk of recidivism in young offenders was the Structured Assessment of Violence Risk in Youth (SAVRY). In the results found here, one can observe how the young offenders who did not reoffend presented a greater level of protective factors than the repeating offenders. The youths with a prior arrest record scored higher in the risk domains than the reoffenders without a prior arrest record. The case of young repeat offenders who already had an arrest record represents a high-risk profile, or a profile of a criminal career. Crimes committed by young people can be isolated incidents in their life. In most youths, criminal behavior does not persist beyond legal age. Protective factors prove to be important in juvenile justice when planning an individualized intervention for the young offender.

Supervision trajectories of male juvenile offenders: growth mixture modeling on SAVRY risk assessments.

BACKGROUND: Structured risk/need assessment tools are increasingly used to orientate risk reduction strategies with juvenile offenders. The assumption is that the risk/need items on these tools are sufficiently sensitive to measure changes in the individual, family and/or contextual characteristics of juvenile offenders. However, there is very little research demonstrating the capacity of these tools to measure changes in juvenile offenders. Congruent with the developmental and life-course criminology theories (DLC) the objective of this study is to explore the existence of heterogeneous trajectories of juvenile offenders across the juvenile justice system as measured through five empirical risk/need areas based on the Structured Assessment of Violence Risk in Youth (SAVRY), one of the most widely applied risk assessment tools for juveniles. METHODS: This longitudinal study included 5205 male juvenile offenders who transitioned through the Catalan juvenile justice system between 2006 and 2014. During intervention they received at least two, and a maximum of seven, consecutive SAVRY risk/need assessments over an 18-month period. The heterogeneity of latent class trajectories was explored through growth mixture modeling (GMM). The trajectory class membership was linked to covariates through multinomial logistic regression analyses. RESULTS: Through GMM three to four heterogeneous trajectories, with high quality of separation, were identified in each of the risk/need areas. The trajectories with low risk/needs (45-77% of the sample) remained low and presented a very limited increase in risk/needs during the 18-month period. The high risk/need trajectories (20-37% of the sample) showed a limited decrease or no change. Between 5 and 13% of the sample had large reductions in their risk/needs levels, and approximately 5% showed a large increase in risk/needs. CONCLUSIONS: In line with the DLC theories this study shows that trajectories on criminogenic risk/needs can be heterogeneous and indicate distinct rates of change over time. The results of this study also may suggest a limited sensibility to measure change over time of SAVRY's risk and protective items. Suggestions to improve the sensitivity of measuring change over time, such as shorter time frames or future-oriented time frames for the scoring of the items, are offered.

The Predictive Validity of the Structured Assessment of Violence Risk in Youth for Young Spanish Offenders.

The present study examined the predictive validity of the Structured Assessment of Violence Risk in Youth (SAVRY) in a group of young Spanish offenders. The sample is made up of 594 minors from the Juvenile Court, between the ages of 14 and 18 at the time they committed the delinquent act. The SAVRY was able to differentiate between low and high-risk younger offenders. Mean scores on risk factor are greater in the group of recidivist offenders, the group of non-recidivist shows higher mean scores in Protective domain. The accuracy of the instrument is high (AUCRiskTotalScore = 0.737 and AUCSummaryRiskRating = 0.748). An approximation of the predictive validity study of the SAVRY in Spanish younger offenders is presented. The results obtained support the SAVRY good functioning with not English samples.