SAPROF — MRCPsych Paper B MCQ

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ModerateForensic PsychiatrySAPROFMRCPsych Paper B

An adult patient in a medium-secure unit is undergoing reassessment of violence risk. The multidisciplinary team has completed the HCR-20V3 and now wants a structured professional judgement instrument designed specifically to assess protective factors against future violence and to complement the risk-focused assessment. Which instrument is most appropriate?

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Correct answer: C — SAPROF

SAPROF is the Structured Assessment of Protective Factors for Violence Risk. It is an SPJ instrument assessing internal, motivational and external protective factors and is intended to complement a risk-focused instrument such as HCR-20V3. HCR-20 is itself an adult violence-risk SPJ tool rather than a dedicated protective-factor measure. PCL-R assesses psychopathic traits, while Static-99 is an actuarial instrument based on static predictors of sexual recidivism. SAVRY is an SPJ violence-risk instrument for adolescents and includes both risk and protective factors, but it is not the dedicated adult protective-factor tool requested here.

Reference: Burghart M, de Ruiter C, Hynes SE, et al. The Structured Assessment of Protective Factors for violence risk (SAPROF): A meta-analysis of its predictive and incremental validity. Psychological Assessment. 2023;35(1):56–67. https://pubmed.ncbi.nlm.nih.gov/36227302/