
@article{ref1,
title="The clinical profile of high-risk mentally disordered offenders",
journal="Social psychiatry and psychiatric epidemiology",
year="2013",
author="Yiend, Jenny and Freestone, Mark and Vazquez-Montes, Maria and Holland, Josephine and Burns, Tom",
volume="48",
number="7",
pages="1169-1176",
abstract="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.<p /> <p>Language: en</p>",
language="en",
issn="0933-7954",
doi="10.1007/s00127-013-0696-9",
url="http://dx.doi.org/10.1007/s00127-013-0696-9"
}