Role of assessment components and recent adverse outcomes in risk estimation and prediction: use of the Short Term Assessment of Risk and Treatability (START) in an adult secure inpatient mental health service

The Short Term Assessment of Risk and Treatability is a structured judgement tool used to inform risk estimation for multiple adverse outcomes. In research, risk estimates outperform the tool's strength and vulnerability scales for violence prediction. Little is known about what its’component parts contribute to the assignment of risk estimates and how those estimates fare in prediction of non-violent adverse outcomes compared with the structured components. START assessment and outcomes data from a secure mental health service (N=84) was collected. Binomial and multinomial regression analyses determined the contribution of selected elements of the START structured domain and recent adverse risk events to risk estimates and outcomes prediction for violence, self-harm/suicidality, victimisation, and self-neglect. START vulnerabilities and lifetime history of violence, predicted the violence risk estimate; self-harm and victimisation estimates were predicted only by corresponding recent adverse events. Recent adverse events uniquely predicted all corresponding outcomes, with the exception of self-neglect which was predicted by the strength scale. Only for victimisation did the risk estimate outperform prediction based on the START components and recent adverse events. In the absence of recent corresponding risk behaviour, restrictions imposed on the basis of START-informed risk estimates could be unwarranted and may be unethical.

Visitors' engagement and authenticity: Japanese heritage consumption

Understanding the sense of authenticity of heritage attractions is important for tourism management and marketing because presentation, interpretation and verification has a direct bearing on motivations to visit and engage with heritage tourism sites. This paper establishes relationships among the concepts of culturally specific motivation, perception of authenticity, engagement and attendant behavioral consequences based on domestic visitors' experiences at Japanese heritage sites. It further extends Kolar and Zabkar's (2010) model of authenticity by including concepts of serious leisure, heritage related behaviors, self-connection and their effects over engagement using Partial Least Square, whereby both formative and reflective scales are included. The structural model is tested with a sample of 768 visitors in a culturally specific setting of Japanese heritage sites. The empirical validation of the conceptual model supports the research hypotheses. These findings contribute to a better understanding of visitors' perceptions and valuation of authenticity in Japanese tourist attractions. Several implications can be drawn from the study findings and interesting directions for future research are provided.