A subsample (N = 44) from a cohort of forensic psychiatric patients who underwent single-photon emission computed tomography neuroimaging and clinical psychiatric assessment during their court-ordered forensic psychiatric investigation were included in a long-term (ten year average time at risk) follow-up. In this study we investigated the feasibility of including neuroimaging data in the prediction of recidivism by studying whether the inclusion of resting-state regional cerebral blood flow measurements leads to an incremental increase in predictive performance over traditional risk factors. Recently, the prospect of incorporating neuroimaging data to improve the prediction of criminal behavior has received increased attention. However, the risk assessment tools available to clinical practice are limited in their ability to predict recidivism. Assessments of the risk of criminal recidivism are performed on a routine basis, as a baseline for risk management for populations involved in the criminal justice system. One of the primary objectives in forensic psychiatry, distinguishing it from other psychiatric disciplines, is risk management.
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