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Psychopathy and recidivism in adolescence: a ten-year retrospective follow-up Gretton, Heather Margaret

Abstract

Violent and aggressive behavior is a subset of antisocial behavior that is of particular concern to the criminal justice system and to the general public. A challenge facing mental health professionals and the criminal justice system is to assess—with a reasonable degree of accuracy—the likelihood that a young offender will recidivate and to arrange appropriate interventions. Because of its psychometric properties and high predictive validity, the Hare Psychopathy Checklist-Revised (PCL-R) is being incorporated into risk assessment batteries for use with adults. The purpose of the study was to extend the risk paradigm to adolescent offenders, investigating the predictive validity of the Psychopathy Checklist: Youth Version (PCL:YV) from adolescence to adulthood. Subjects were 157 admissions, ages 12-18, referred to Youth Court Services for psychological or psychiatric assessment. Archival data were used to complete retrospectively the PCL:YV and to code criminal history and demographic data on each of the subjects. Follow-up criminal record data were collected, with an average follow-up time of ten years. Over the follow-up period psychopaths demonstrated a greater risk for committing violent offences than nonpsychopaths. They committed violent offences at a higher rate, earlier following their release from custody, and were more likely to escape from custody than nonpsychopaths. Further, results indicate that PCL:YV score, a difference in performance - verbal intellectual functioning (P > V Index), and history of self-harm contributed significantly to the prediction of violent outcome, over and above the contribution of a combination of criminal-history and demographic variables. Finally, background and demographic characteristics were compared between violent and nonviolent psychopaths. Findings are discussed in the context of current conceptualizations of psychopathy and adolescent antisocial behavior.

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