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Violent criminal recidivism in mentally disordered offenders: a follow-up study of 13-20 years through different sanctions.
- Source :
-
International journal of law and psychiatry [Int J Law Psychiatry] 2013 May-Aug; Vol. 36 (3-4), pp. 250-7. Date of Electronic Publication: 2013 May 11. - Publication Year :
- 2013
-
Abstract
- Objective: To describe criminal recidivism, especially violent recidivism, in a long-term follow-up of mentally disordered offenders sentenced to different types of sanctions.<br />Subjects and Methods: A population-based Swedish cohort of male offenders referred to pre-trial psychiatric investigations between 1988 and 1995, was sentenced to forensic psychiatric treatment (n=163), prison (n=120), or noncustodial sanctions (n=52). They were followed from the beginning of their sanctions until the end of June, 2008, through official health and crime registers. Survival analyses were used to compare time until violent recidivism across different sanctions and mental disorders, and predictors of violent recidivism were investigated using univariate comparisons, a multivariate Cox regression analysis and Receiver Operating Characteristic (ROC) curves. Finally, all criminal reconvictions until the end of follow-up were assessed (a total time period of 13 to 20 years).<br />Results: Forty-seven percent of all subjects were reconvicted for violent crimes during follow-up. There were no significant differences between sanction groups. By contrast, diagnostic groups that included substance abuse had significant effects, and stood out as the strongest predictor of violent reconvictions together with the number of previous violent crimes, and age at the first registered criminal offence. Variables identified in the multivariate model together predicted violent recidivism with an area under the ROC curve of 0.72, while the corresponding figure for the age at onset of criminality as the sole predictor was 0.71. Among the different sanction forms for different time periods, time in hospital and prison were significantly less associated with violent recidivism compared to time in conditional release/probation.<br /> (Copyright © 2013 Elsevier Ltd. All rights reserved.)
- Subjects :
- Adult
Follow-Up Studies
Humans
Kaplan-Meier Estimate
Male
Mental Disorders epidemiology
Prisoners legislation & jurisprudence
Prisoners statistics & numerical data
Proportional Hazards Models
ROC Curve
Secondary Prevention
Sweden epidemiology
Time Factors
Violence legislation & jurisprudence
Violence statistics & numerical data
Mental Disorders psychology
Prisoners psychology
Violence psychology
Subjects
Details
- Language :
- English
- ISSN :
- 1873-6386
- Volume :
- 36
- Issue :
- 3-4
- Database :
- MEDLINE
- Journal :
- International journal of law and psychiatry
- Publication Type :
- Academic Journal
- Accession number :
- 23672945
- Full Text :
- https://doi.org/10.1016/j.ijlp.2013.04.015