Sexual Violence Risk Assessment — MRCPsych Paper B MCQ

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ModerateForensic PsychiatrySexual Violence Risk AssessmentMRCPsych Paper B

A 40-year-old man convicted of a sexual offence is being assessed before release. The clinician requires an actuarial estimate of long-term sexual recidivism risk based on static historical factors. Which risk assessment instrument is specifically designed for this purpose in adult men?

Educational content. Not a substitute for clinical judgement or local policy.

Reveal the answer and explanation

Correct answer: D — Static-99

Static-99 is an actuarial instrument developed specifically to estimate long-term sexual recidivism risk in adult men using static historical variables. Static-99R is its age-revised form. HCR-20 V3 is a structured professional judgement instrument for general violence risk. RSVP addresses sexual violence risk but uses structured professional judgement rather than an actuarial calculation. STABLE-2007 assesses potentially changeable, dynamic sexual-reoffending risk and treatment-need factors, so it does not provide the requested static baseline estimate. PCL-R assesses psychopathic personality traits and was not designed specifically to estimate sexual recidivism. Actuarial scores should inform, rather than replace, an individualised clinical formulation and risk-management plan.

Reference: Oronowicz-Jaśkowiak W, Lew-Starowicz M, Markuszewski L. Comparison of risk of recidivism among sexual offenders with and without sexual preference disorders using the STATIC-99R instrument. Psychiatria Polska. 2024;33(1):9–17. https://pubmed.ncbi.nlm.nih.gov/38948683/