The clinical profile of high-risk mentally disordered offenders.

PURPOSE: High-risk mentally disordered offenders present a diverse array of clinical characteristics. To contain and effectively treat this heterogeneous population requires a full understanding of the group's clinical profile. This study aimed to identify and validate clusters of clinically c...

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Main Authors: Yiend, J, Freestone, M, Vazquez-Montes, M, Holland, J, Burns, T
Format: Journal article
Language:English
Published: 2013
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author Yiend, J
Freestone, M
Vazquez-Montes, M
Holland, J
Burns, T
author_facet Yiend, J
Freestone, M
Vazquez-Montes, M
Holland, J
Burns, T
author_sort Yiend, J
collection OXFORD
description PURPOSE: High-risk mentally disordered offenders present a diverse array of clinical characteristics. To contain and effectively treat this heterogeneous population requires a full understanding of the group's clinical profile. This study aimed to identify and validate clusters of clinically coherent profiles within one high-risk mentally disordered population in the UK. METHODS: Latent class analysis (a statistical technique to identify clustering of variance from a set of categorical variables) was applied to 174 cases using clinical diagnostic information to identify the most parsimonious model of best fit. Validity analyses were performed. RESULTS: Three identified classes were a 'delinquent' group (n = 119) characterised by poor educational history, strong criminal careers and high recidivism risk; a 'primary psychopathy' group (n = 38) characterised by good educational profiles and homicide offences and an 'expressive psychopathy' group (n = 17) presenting the lowest risk and characterised by more special educational needs and sexual offences. CONCLUSIONS: Individuals classed as high-risk mentally disordered offenders can be loosely segregated into three discrete subtypes: 'delinquent', 'psychopathic' or 'expressive psychopathic', respectively. These groups represent different levels of risk to society and reflect differing treatment needs.
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spelling oxford-uuid:201bb539-ba1a-4a36-99b8-b599e9697a612022-03-26T11:25:40ZThe clinical profile of high-risk mentally disordered offenders.Journal articlehttp://purl.org/coar/resource_type/c_dcae04bcuuid:201bb539-ba1a-4a36-99b8-b599e9697a61EnglishSymplectic Elements at Oxford2013Yiend, JFreestone, MVazquez-Montes, MHolland, JBurns, T PURPOSE: High-risk mentally disordered offenders present a diverse array of clinical characteristics. To contain and effectively treat this heterogeneous population requires a full understanding of the group's clinical profile. This study aimed to identify and validate clusters of clinically coherent profiles within one high-risk mentally disordered population in the UK. METHODS: Latent class analysis (a statistical technique to identify clustering of variance from a set of categorical variables) was applied to 174 cases using clinical diagnostic information to identify the most parsimonious model of best fit. Validity analyses were performed. RESULTS: Three identified classes were a 'delinquent' group (n = 119) characterised by poor educational history, strong criminal careers and high recidivism risk; a 'primary psychopathy' group (n = 38) characterised by good educational profiles and homicide offences and an 'expressive psychopathy' group (n = 17) presenting the lowest risk and characterised by more special educational needs and sexual offences. CONCLUSIONS: Individuals classed as high-risk mentally disordered offenders can be loosely segregated into three discrete subtypes: 'delinquent', 'psychopathic' or 'expressive psychopathic', respectively. These groups represent different levels of risk to society and reflect differing treatment needs.
spellingShingle Yiend, J
Freestone, M
Vazquez-Montes, M
Holland, J
Burns, T
The clinical profile of high-risk mentally disordered offenders.
title The clinical profile of high-risk mentally disordered offenders.
title_full The clinical profile of high-risk mentally disordered offenders.
title_fullStr The clinical profile of high-risk mentally disordered offenders.
title_full_unstemmed The clinical profile of high-risk mentally disordered offenders.
title_short The clinical profile of high-risk mentally disordered offenders.
title_sort clinical profile of high risk mentally disordered offenders
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