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Washington Olmedo Balcázar Saquinaula

La posesión de armas de fuego se vincula con un mayor riesgo de eventos violentos, incluidos los suicidios y los homicidios. En consecuencia, la presente revisión tiene como objetivo analizar como los instrumentos de evaluación del riesgo conductual influyen en el proceso de otorgamiento de permisos de armas de fuego. Se seleccionaron 19 estudios empíricos publicados entre 2017 y 2025 procedentes de cuatro bases de datos: PubMed, Scopus, Web of Science y SciELO con base en las directrices PRISMA. Los resultados revelan que los instrumentos de juicio profesional estructurado, como el HCR-20V3, muestran una validez predictiva adecuada para la identificación de factores de riesgo dinámicos y estáticos. Además, se identificaron factores asociados con la violencia interpersonal, la impulsividad y la regulación emocional como predictores relevantes. Se concluyó que la evaluación psicológica forense en el contexto de licencias de armas requiere instrumentos estandarizados que integren factores de riesgo y protección.

Firearm possession is associated with an elevated risk of violent outcomes, including homicide and suicide. Accordingly, this review analyzes the impact of behavioral risk assessment instruments on the firearm licensing process. Following PRISMA guidelines, 19 empirical studies published between 2017 and 2025 were retrieved from PubMed, Scopus, Web of Science, and SciELO. Findings indicate that structured professional judgment (SPJ) instruments, such as the HCR-20V3, exhibit robust predictive validity for identifying both dynamic and static risk factors. Moreover, interpersonal violence, impulsivity, and emotional dysregulation emerged as significant predictors within these assessments. The study concludes that forensic psychological evaluations for firearms licensing require standardized instruments capable of integrating risk and protective factors to ensure clinical and legal rigor.

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Balcázar Saquinaula, W. O. (2026). Evaluación psicológica del riesgo conductual en solicitantes de permisos de armas de fuego. Revista Ecuatoriana De Psicología, 9(24), 109–124. https://doi.org/10.33996/repsi.v9i24.230
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Blandino, A., Galante, N., Cuppone, F., Giriodi, M. & Travaini, G. V. (2024). Firearm ownership and suicide: has the time come to discuss uniformity of health and social assessments in aid of regulation? Reflection from a retrospective study on a forensic case series. Ann Ig, 37, 215-224. https://doi.org/10.7416/ai.2024.2648

Bonta, J. & Andrews, D. A. (2024). The psychology of criminal conduct (Séptima, Ed.). Routledge. https://books.google.com.cu/books?hl=es&lr=&id=qkHUEAAAQBAJ&oi=fnd&pg=PT8&ots=KeLglrxsIk&sig=40yAHnCF_VI2PPPxdbwc8Ksbbv0&redir_esc=y#v=onepage&q&f=false

Bowden, J., Logan, C., Robinson, L., Carey, J., McDonald, J., McDonald, R., . . . Leonard, S. (2024). Clinicians’ use of the structured professional judgement approach for adult secure psychiatric service admission assessments: a systematic review. PloS one, 19(9), 10.1371/journal.pone.0308598. https://doi.org/10.1371/journal.pone.0308598

Brookstein, D. M., Daffern, M., Ogloff, J. R. P., Campbell, R. E., & Chu, C. M. (2021). Predictive validity of the HCR-20V3 in a sample of Australian forensic psychiatric patients. Psychiatry, Psychology and Law, 28(3), 325–342. https://doi.org/10.1080/13218719.2020.1775152

Burghart, M., de Ruiter, C., Hynes, S. E., Krishnan, N., Levtova, Y., & Uyar, A. (2023). The Structured Assessment of Protective Factors for Violence Risk (SAPROF): A meta-analysis of its predictive and incremental validity. Psychological Assessment, 35(1), 56–67. https://doi.org/10.1037/pas0001184

Butler, T., Akpanekpo, E. I., Knight, L., Robledo, K., Greenberg, D., Ellis, A., . . . Scott, R. (2025). Sertraline to reduce recidivism in impulsive violent offenders (ReINVEST): a randomised double blind clinical trial. Eclinicalmedicine, 90. https://doi.org/10.1016/j.eclinm.2025.103668

Challinor, A., Ogundalu, A., McIntyre, J. C., Bramwell, V. & Nathan, R. (2021). The empirical evidence base for the use of the HCR-20: A narrative review of study designs and transferability of results to clinical practice. International journal of law and psychiatry, 78. https://doi.org/10.1016/j.ijlp.2021.101729

Chen, Y., Douglas, K. S., Zhang, Z., Xiao, C., Wang, H., Wang, Y., & Ma, A. (2023). Evaluating the HCR-20V3 violence risk assessment measure with mentally disordered offenders and civil psychiatric patients in China. Behavioral Sciences & the Law, 41(4), 186–206. https://doi.org/10.1002/bsl.2614

Cohn, J. R., Perrault, R. T., Cicero, D. C., & Vincent, G. M. (2024). The structured assessment of violence risk in youth demonstrates measurement invariance between Black and White justice-referred youths. Law and Human Behavior, 48(5–6), 415–426. https://doi.org/10.1037/lhb0000586

De Ruiter, C. & Hildebrand, M. (2022). Violence risk assessment: Research and practice. In C. Garofalo & J. J. Sijtsema (Eds.), Clinical forensic psychology: Introductory perspectives on offending (pp. 479-514). Springer. https://doi.org/10.1007/978-3-030-80882-2_25

De Vogel, V., De Beuf, T., Shepherd, S., & Schneider, R. D. (2022). Violence risk assessment with the HCR-20V3 in legal contexts: A critical reflection. Journal of Personality Assessment, 104(2), 252–264. https://doi.org/10.1080/00223891.2021.2021925

Douglas, K. S. & Otto, R. K. (2021). The Structured Assessment of Violence Risk in Youth (SAVRY). In Handbook of violence risk assessment (Segunda ed., Vol. 495). Routledge. https://api.pageplace.de/preview/DT0400.9781315518367_A40879434/preview-9781315518367_A40879434.pdf

Edens, J. F., & Boccaccini, M. T. (2017). Taking forensic mental health assessment “out of the lab” and into “the real world”: Introduction to the special issue on the field utility of forensic assessment instruments and procedures. Psychological Assessment, 29(6), 599–610. https://doi.org/10.1037/pas0000475

Fazel, S., Smith, E. N., Chang, Z. & Geddes, J. R. (2018). Risk factors for interpersonal violence: an umbrella review of meta-analyses. The British Journal of Psychiatry, 213(4), 609-614. https://doi.org/10.1192/bjp.2018.145

Gay, M. (2026). Suicide-risk implications in legalising medical assistance in dying for mental disorders. Mortality, 31(1), 1–19. https://doi.org/10.1080/13576275.2025.2481265

Guy, L. S., Packer, I. K. & Warnken, W. (2012). Assessing risk of violence using structured professional judgment guidelines. Journal of Forensic Psychology Practice, 12(3), 270-283. https://doi.org/10.1080/15228932.2012.674471

Hawton, K., Lascelles, K., Pitman, A., Gilbert, S. & Silverman, M. (2022). Assessment of suicide risk in mental health practice: shifting from prediction to therapeutic assessment, formulation, and risk management. The Lancet Psychiatry, 9(11), 922-928. https://doi.org/10.1016/S2215-0366(22)00232-2

Heilbrun, K. & King, C. M. (2026). Evaluation for risk of violence in adults (Segunda, Ed.). Oxford University Press. https://books.google.com.cu/books?hl=es&lr=&id=DjixEQAAQBAJ&oi=fnd&pg=PP1&dq=related:xDZn8H9LERIJ:scholar.google.com/&ots=2TgIy-6xRt&sig=3q7gxB40XYeQcSgtkNkEwsKPJug&redir_esc=y#v=onepage&q&f=false

Heilbrun, K., Yasuhara, K., Shah, S., & Locklair, B. (2021). Approaches to violence risk assessment: Overview, critical analysis, and future directions. In K. S. Douglas & R. K. Otto (Eds.), Handbook of violence risk assessment (2nd ed., pp. 3–27). Routledge. https://doi.org/10.4324/9781315518374-2

Ireland, J. L., Levtova, Y., Abi Semaan, C.-M., Steene, L. M. B., Henrich, S., Gaylor, L., Driemel, L., Volz, S., Homann, J., Dickopf, M., Greenwood, L., & Chu, S. (2024). Risk and protective factors in risk assessment: Predicting inpatient aggression in adult males detained in a forensic mental health setting. Aggressive Behavior, 50(3), e22150. https://doi.org/10.1002/ab.22150

Kjærvik, S. L. & Bushman, B. J. (2024). A meta-analytic review of anger management activities that increase or decrease arousal: What fuels or douses rage? Clinical psychology review, 109. https://doi.org/10.1016/j.cpr.2024.102414

Koh, L. L., Day, A., Klettke, B., Daffern, M., & Chu, C. M. (2020). The predictive validity of youth violence risk assessment tools: A systematic review. Psychology, Crime & Law, 26(8), 776–796. https://doi.org/10.1080/1068316X.2020.1734200

Lieser, K., & Rossdale, S. V. (2023). Predictive validity of the HCR-20v3 compared to the HCR-20v3 with the FAM in women. International Journal of Forensic Mental Health, 22(3), 187–198. https://doi.org/10.1080/14999013.2022.2130478

MacIsaac, A., Killen, A., & Schmidt, F. (2025). Evaluating the predictive validity of the Youth Level of Service/Case Management Inventory (YLS/CMI) risk assessment tool for Indigenous and non-Indigenous youth. Criminal Justice and Behavior, 52(11), 1587–1604. https://doi.org/10.1177/00938548251353755

Meddeb, A., Garofalo, C., Gillespie, S. M., Van Dongen, J. D., Karlén, M. H. & Wallinius, M. (2025). A systematic review of measures of emotion regulation in forensic settings. Frontiers in Psychology, 16, 1696832. https://doi.org/10.3389/fpsyg.2025.1696832

Melton, G. B., Petrila, J., Poythress, N. G., Slobogin, C., Otto, R. K., Mossman, D. & Condie, L. O. (2018). The Nature and Method of Forensic Assessment. In Psychological Evaluations for the Courts: A Handbook for Mental Health Professionals and Lawyers. Guilford Publications. https://books.google.com.cu/books?hl=es&lr=&id=-6jSDgAAQBAJ&oi=fnd&pg=PP1&ots=O3calgJY2I&sig=eMRraMHoUcBEp8g1lSFkMYohhKU&redir_esc=y#v=onepage&q&f=false

Metzl, J. M., Piemonte, J., & McKay, T. (2021). Mental illness, mass shootings, and the future of psychiatric research into American gun violence. Harvard Review of Psychiatry, 29(1), 81–89. https://doi.org/10.1097/HRP.0000000000000280

Neal, T. M. S., Lienert, P., Denne, E., & Singh, J. P. (2022). A general model of cognitive bias in human judgment and systematic review specific to forensic mental health. Law and Human Behavior, 46(2), 99–120. https://doi.org/10.1037/lhb0000482

Neil, C., O’Rourke, S., Ferreira, N., & Flynn, L. (2020). Protective factors in violence risk assessment: Predictive validity of the SAPROF and HCR-20V3. International Journal of Forensic Mental Health, 19(1), 84–102. https://doi.org/10.1080/14999013.2019.1643811

O'Dean, S. M., Summerell, E., Harmon, E., Creswell, J. D. & Denson, T. F. (2025). The associations and effects of mindfulness on anger and aggression: A meta-analytic review. Clinical psychology review, 118. https://doi.org/10.1016/j.cpr.2025.102584

Ogloff, J. R. P., & Davis, M. R. (2020). From predicting dangerousness to assessing and managing risk for violence: A journey across four generations. In J. S. Wormith, L. A. Craig, & T. E. Hogue (Eds.), The Wiley handbook of what works in violence risk management: Theory, research and practice (pp. 79–98). John Wiley & Sons. https://doi.org/10.1002/9781119315933.ch4

Ogonah, M. G., Seyedsalehi, A., Whiting, D. & Fazel, S. (2023). Violence risk assessment instruments in forensic psychiatric populations: a systematic review and meta-analysis. The Lancet Psychiatry, 10(10), 780-789. https://doi.org/10.1016/S2215-0366(23)00256-0

Picchioni, M., Ruiz, R., De Girolamo, G., Iozzino, L., Zamparini, M., Wancata, J., . . . Dressing, H. (2024). The predictive validity and temporal characteristics of the HCR-20v3 for inpatient violence in forensic inpatient settings. An international study. Psychiatry research, 339, 116079. https://doi.org/10.1016/j.psychres.2024.116079

Sammut, D., Hallett, N., Lees, L. & Dickens, G. L. (2023). A systematic review of violence risk assessment tools currently used in emergency care settings. Journal of emergency nursing, 49(3), 371-386. https://doi.org/10.1016/j.jen.2022.11.006

Singh, A., Pereira, W., Birk, S., Kaggwa, M. M., Bradford, J. M., Chaimowitz, G. & Olagunju, A. T. (2024). Characterizing the relationship between psychosis and violence in the forensic psychiatric population: a systematic review. CNS spectrums, 29(5), 335 - 346. https://doi.org/10.1017/S1092852924000488

Smith, K., Jones, A., Daly, N., Widdrington, H., Garofalo, C., & Gillespie, S. M. (2026). Emotion regulation and aggression: A systematic review and meta-analysis. Aggressive Behavior, 52(1), e70055. https://doi.org/10.1002/ab.70055

Steeg, S., Ledden, S., Marzano, L., Dutta, R., Quinlivan, L., Kapur, N., . . . Webb, R. T. (2025). Effectiveness of suicide means restriction: an overview of systematic reviews. BMJ mental health, 28(1). https://doi.org/10.1136/bmjment-2025-302069

Tully, J., Hafferty, J., Whiting, D., Dean, K. & Fazel, S. (2024). Forensic mental health: envisioning a more empirical future. The Lancet Psychiatry, 11(11), 934-942. https://doi.org/10.1016/S2215-0366(24)00164-0

Viljoen, J. L., Shaffer, C. S., Gray, A. L., & Douglas, K. S. (2017). Are adolescent risk assessment tools sensitive to change? A framework and examination of the SAVRY and the YLS/CMI. Law and Human Behavior, 41(3), 244–257. https://doi.org/10.1037/lhb0000238

Wang, Q. K., Yang, Q., Li, C. X., Qiu, Y. F., Yin, X. T., Hu, J. M., . . . Chen, X. C. (2024). Distinct impulsivity profiles in subtypes of violence among community-dwelling patients with severe mental disorders: a longitudinal study. BMC psychiatry, 24(1). https://doi.org/10.1186/s12888-024-06044-z

Yıldız, A., & Arda, B. (2024). Being a psychiatrist in the evaluation process of a gun license report: Morally challenging experience – A qualitative study from Turkey. Psychiatry, Psychology and Law, 31(5), 873–895. https://doi.org/10.1080/13218719.2023.2222401