Purpose

This paper aims to report on the development of a psychometric measure of insight, The Risk Insight Scale. This measure is intended to assess the insight and understanding of individuals with intellectual disabilities (ID) who engage in offending and/or risky behaviour. The measure assesses insight in two domains: insight into offending and/or risky behaviours and insight into the need for treatment for offending and/or risky behaviours.

Design/methodology/approach

Forty secure inpatients with ID were assessed using the measure. Preliminary data are presented on inter-rater and test–retest reliability, internal consistency and validity.

Findings

The data demonstrate that the new tool has good internal consistency, good inter-rater reliability and good test–retest reliability.

Research limitations/implications

The psychometric measure must be completed by someone who is familiar with the patient. More data is needed to validate the measure at this stage. Further discussion is provided regarding insight as a construct and its role in risk assessment.

Practical implications

The psychometric measure is both of potential benefit in clinical settings with regard to informing risk assessment and case management and may also serve as an effective tool in intervention outcome evaluation and academic research trials.

Originality/value

The generation of new tool to support and enhance risk assessment, specifically in supplementing assessment of insight in individuals with ID with offending and/or risky behaviour.

中文翻译：

---

一项评估“风险洞察量表”初始心理测量特性的试点研究

目的

本文旨在报告一种心理测量洞察力的发展，即风险洞察力量表。该措施旨在评估从事犯罪和/或危险行为的智障人士 (ID) 的洞察力和理解力。该措施评估两个领域的洞察力：对违规和/或危险行为的洞察力以及对违规和/或风险行为的治疗需求的洞察力。

设计/方法/途径

使用该措施评估了 40 名患有 ID 的安全住院患者。提供了关于评分者间和重测信度、内部一致性和有效性的初步数据。

发现

数据表明，新工具具有良好的内部一致性、评分者间信度和重测信度。

研究局限性/影响

心理测量必须由熟悉患者的人完成。现阶段需要更多数据来验证该措施。提供了关于洞察力作为一种结构及其在风险评估中的作用的进一步讨论。

实际影响

心理测量在告知风险评估和病例管理方面在临床环境中既有潜在好处，也可以作为干预结果评估和学术研究试验的有效工具。

原创性/价值

生成支持和加强风险评估的新工具，特别是补充对具有冒犯和/或危险行为的 ID 个人的洞察力评估。