A cluster analytic examination and external validation of psychopathic offender subtypes in a multisite sample of Canadian federal offenders.

2015 ◽  
Vol 124 (2) ◽  
pp. 355-371 ◽  
Author(s):  
Mark E. Olver ◽  
Lindsay A. Sewall ◽  
Gordon E. Sarty ◽  
Kathy Lewis ◽  
Stephen C. P. Wong
Author(s):  
John-Etienne Myburgh ◽  
Mark E. Olver

The development and validation of sexual offense perpetrator typologies remains a useful endeavor with implications for theory and correctional/clinical practice. Most such typologies—which rely on factors such as the individual’s motivation for offending—have not been validated empirically. The current study utilized a validated sexual violence risk-needs instrument, the Violence Risk Scale—Sexual Offense version (VRS-SO; Wong, Olver, Nicholaichuk, & Gordon [2003, 2017], Regional Psychiatric Centre and University of Saskatchewan, Saskatoon, Canada), to develop and validate an empirically-derived adult victim sexual offense (AVSO) typology through model-based cluster analysis of dynamic risk-need domains. The study featured two treated samples of men (n = 283 and 169) convicted for contact sexual offenses against adult victims. A three-cluster solution was identified and replicated across the two samples: high antisociality high deviance (HA-HD), high antisociality low deviance (HA-LD), and low antisociality low deviance (LA-LD). External validation analyses demonstrated that HA-HD men had more dense sexual offense histories, were more likely to be diagnosed with a paraphilia, and had the highest rates of sexual recidivism (Sample 2 only). By contrast, the HA-LD men had greater concerns on indexes of nonsexual criminality, particularly high base rates of antisocial personality and substance use disorders, and high rates of general violent recidivism (particularly Sample 1). The findings suggest that the VRS-SO factors may have utility in discriminating between AVSO types to inform sexual offending theory, case formulation, and risk management.


2005 ◽  
Vol 173 (4S) ◽  
pp. 427-427
Author(s):  
Sijo J. Parekattil ◽  
Udaya Kumar ◽  
Nicholas J. Hegarty ◽  
Clay Williams ◽  
Tara Allen ◽  
...  

2016 ◽  
Vol 22 ◽  
pp. 12
Author(s):  
Laura Gray ◽  
Yogini Chudasama ◽  
Alison Dunkley ◽  
Freya Tyrer ◽  
Rebecca Spong ◽  
...  

2020 ◽  
Vol 133 (3) ◽  
pp. 800-807 ◽  
Author(s):  
Andreas Fahlström ◽  
Henrietta Nittby Redebrandt ◽  
Hugo Zeberg ◽  
Jiri Bartek ◽  
Andreas Bartley ◽  
...  

OBJECTIVEThe authors aimed to develop the first clinical grading scale for patients with surgically treated spontaneous supratentorial intracerebral hemorrhage (ICH).METHODSA nationwide multicenter study including 401 ICH patients surgically treated by craniotomy and evacuation of a spontaneous supratentorial ICH was conducted between January 1, 2011, and December 31, 2015. All neurosurgical centers in Sweden were included. All medical records and neuroimaging studies were retrospectively reviewed. Independent predictors of 30-day mortality were identified by logistic regression. A risk stratification scale (the Surgical Swedish ICH [SwICH] Score) was developed using weighting of independent predictors based on strength of association.RESULTSFactors independently associated with 30-day mortality were Glasgow Coma Scale (GCS) score (p = 0.00015), ICH volume ≥ 50 mL (p = 0.031), patient age ≥ 75 years (p = 0.0056), prior myocardial infarction (MI) (p = 0.00081), and type 2 diabetes (p = 0.0093). The Surgical SwICH Score was the sum of individual points assigned as follows: GCS score 15–13 (0 points), 12–5 (1 point), 4–3 (2 points); age ≥ 75 years (1 point); ICH volume ≥ 50 mL (1 point); type 2 diabetes (1 point); prior MI (1 point). Each increase in the Surgical SwICH Score was associated with a progressively increased 30-day mortality (p = 0.0002). No patient with a Surgical SwICH Score of 0 died, whereas the 30-day mortality rates for patients with Surgical SwICH Scores of 1, 2, 3, and 4 were 5%, 12%, 31%, and 58%, respectively.CONCLUSIONSThe Surgical SwICH Score is a predictor of 30-day mortality in patients treated surgically for spontaneous supratentorial ICH. External validation is needed to assess the predictive value as well as the generalizability of the Surgical SwICH Score.


Sign in / Sign up

Export Citation Format

Share Document