ABFM Risk Assessment & Mitigation 2 — Questions and Answers
Question 1: Which actuarial tool is specifically designed to assess sexual recidivism risk in adult males?
- PCL-R
- STATIC-99R (Correct answer)
- HCR-20
- LSI-R
Correct answer: STATIC-99R
The STATIC-99R is an actuarial instrument validated for estimating sexual recidivism risk in adult males based on static historical factors.
Question 2: In forensic risk assessment, 'dynamic risk factors' differ from static factors because they:
- Are based on actuarial tables
- Can change over time and with intervention (Correct answer)
- Are derived from biological markers
- Require structured professional judgment only
Correct answer: Can change over time and with intervention
Dynamic risk factors are modifiable variables such as substance use or antisocial attitudes that can be altered through treatment and intervention.
Question 3: A forensic evaluator using Structured Professional Judgment (SPJ) differs from pure actuarial assessment in that SPJ:
- Relies solely on numeric risk scores
- Integrates clinical judgment with research-based risk factors (Correct answer)
- Excludes consideration of protective factors
- Uses only static historical variables
Correct answer: Integrates clinical judgment with research-based risk factors
SPJ instruments like the HCR-20 guide evaluators to consider specific empirically supported risk factors while allowing clinical judgment to determine final risk level.
Question 4: Which of the following is a recognized protective factor that may mitigate violence risk?
- History of childhood abuse
- Strong prosocial support network (Correct answer)
- Prior inpatient psychiatric hospitalization
- Substance use disorder diagnosis
Correct answer: Strong prosocial support network
A strong prosocial support network is a protective factor that can buffer against violence risk by providing stability and accountability.
Question 5: The 'base rate' is critical in forensic risk assessment because it represents:
- The minimum sentence for a given offense
- The frequency of an outcome in a relevant reference group (Correct answer)
- The accuracy of a specific psychological test
- The legal threshold for commitment
Correct answer: The frequency of an outcome in a relevant reference group
Base rates describe how often a behavior (e.g., violence) occurs in a specified population, which is essential for interpreting an individual's risk level.
Question 6: Which scenario best illustrates 'imminent' versus 'long-term' risk in violence risk assessment?
- A patient threatening a neighbor today vs. a history of arrests over 10 years (Correct answer)
- Static risk factors vs. dynamic risk factors
- Actuarial tools vs. clinical judgment
- Sexual recidivism vs. general recidivism
Correct answer: A patient threatening a neighbor today vs. a history of arrests over 10 years
Imminent risk refers to the likelihood of violence in the near future, while long-term risk addresses the probability of violence over an extended period.
Question 7: In the context of threat assessment, the concept of 'leakage' refers to:
- Unauthorized release of medical records
- Communication of intent to harm before an attack (Correct answer)
- A defendant's disclosure of privileged information
- Data breaches in forensic databases
Correct answer: Communication of intent to harm before an attack
Leakage occurs when an individual intentionally or unintentionally reveals clues about planned violence through communications, writings, or behaviors.
Which actuarial tool is specifically designed to assess sexual recidivism risk in adult males?