[Risk assessment of violent women: development of the 'Female Additional Manual' (FAM)].

Background: Violence perpetrated by women is a growing problem. Research has shown that the risk factors associated with women differ from those associated with men and that the risk assessments currently in use are not adequate for predicting violence in women.
Aim: To develop a clinically relevant, useful tool for an accurate, gender-sensitive assessment of risk of violent behaviour in women and to offer guidelines for risk management in women.
Method: On the basis of literature research, clinical expertise and the results of a pilot study, we adapted the much-used ‘Historical Clinical Risk management-20 (HCR-20) for use with female (forensic) psychiatric patients who have a record of violence towards other people.
Results: The ‘Female Additional Manual (FAM) supplemented and added value to the HCR-20 for assessing the risk of violent behaviour by women.
Conclusion: The fam is a valuable addition to the currently available risk assessment tools in that it provides a more accurate gender-specific risk assessment with regard to female (forensic) psychiatric patients. Future research will have to further demonstrate the value of the FAM.