Risk factors for violent offending in autism spectrum disorder: a national study of hospitalized individuals

Little is known about risk factors for violence among individuals with autism spectrum disorder (ASD). This study uses data from Swedish longitudinal registers for all 422 individuals hospitalized with autistic disorder or Asperger syndrome during 1988-2000 and compares those committing violent or sexual offenses with those who did not. Thirty-one individuals with ASD (7%) were convicted of violent nonsexual crimes and two of sexual offenses. Violent individuals with ASD are more often male and diagnosed with Asperger syndrome rather than autistic disorder. Furthermore, comorbid psychotic and substance use disorders are associated with violent offending. We conclude that violent offending in ASD is related to similar co-occurring psychopathology as previously found among violent individuals without ASD. Although this study does not answer whether ASDs are associated with increased risk of violent offending compared with the general population, careful risk assessment and management may be indicated for some individuals with Asperger syndrome.     

AUTISM IN CHILDREN AND PARENTS:

Family court professionals are increasingly involved with divorces between parents of autistic children where the parents themselves may also have either diagnosed or undiagnosed autistic spectrum disorder (ASD). Yet, there have been no published guidelines for the court professionals who are managing these cases (National Autistic Society, 1991; Singer, 2003 ). The goal of this article is to familiarize divorce professionals with the growing phenomenon of autism and to delineate specific recommendations for the management of these cases in the family law context.     

A REAPPRAISAL OF THE OVERLAP OF VIOLENT OFFENDERS AND VICTIMS*

Because research shows a close association between offending and victimization, recent work has argued that theories that account for crime should explain victimization as well. The current study uses a new approach to examine the extent of the overlap between offenders who commit violent crime and victims of violence to determine whether it is worthwhile to pursue separate theories to account for these phenomena. Specifically, we take the statistical approach that Osgood and Schreck (2007) developed for analyzing specialization in violent versus property offending and apply it to analyzing tendencies to gravitate toward violent offending versus victimization. In doing so, we treat the differentiation into victim and offender roles as an individual‐level latent variable while controlling for confounding between the likelihood that individuals will take either role in violent acts and their overall numbers of encounters with violence (as either offender or victim). Our purpose is to examine 1) whether significant differentiation can be observed between the tendency to be an offender versus the tendency to be a victim, 2) whether any such differential tendency is stable over time, and 3) if it is possible to predict whether individuals will tend toward violent offending versus victimization. Using two waves of data from the National Longitudinal Study of Adolescent Health to explore these objectives, we find significant and stable levels of differentiation between offenders and victims. Moreover, this differentiation is predictable with explanatory variables.     

Preventing filicide in families with autistic children

Autism is a complex neurodevelopmental disorder that affects social behaviors and parent-child interaction. It has been associated with an increased risk of social victimization, and a recent rise in number of acts of filicide of developmentally disabled children has included several cases of autism. In this article, possible risk factors for filicidal behavior in families with autistic children and prevention strategies are reviewed.     

Judicial decision-making in family court involving children with autism spectrum disorder

The prevalence of autism spectrum disorder (ASD) in children and adolescents has increased over the past decade. Consequently, the courts and experts are more likely to be exposed to these children whose needs are highly heterogeneous. The present study aims to document judicial decision-making about children with autism spectrum as well as the parenting recommendations made by experts involved in these cases. There were 104 court decisions reviewed in Quebec over the past ten years. The results show that 85.6% of the decisions included a child custody assessment and that judges are more likely to order primary care to mother (56%). However, shared parenting (27%) and primary care to the father (17%) were also ordered in disputes involving an autistic child. Bivariate analyses revealed that challenges with parental monitoring and supervision were associated with court-ordered parenting arrangements. The present study revealed that a child custody assessment as well as father custody are more often observed than in the general population. This study highlights the need for further research to shed light on the best interests of children with ASD following the separation of their parents.     

Shooting Alone: The Pre‐Attack Experiences and Behaviors of U.S. Solo Mass Murderers

This paper outlines the sociodemographic, developmental, antecedent attack, attack preparation, and commission properties of 115 mass murderers between 1990 and 2014. The results indicate that mass murderer attacks are usually the culmination of a complex mix of personal, political, and social drivers that crystalize at the same time to drive the individual down the path of violent action. We specifically focus upon areas related to prior criminal engagement, leakage, and attack location familiarity. Whether the violence comes to fruition is usually a combination of the availability and vulnerability of suitable targets that suit the heady mix of personal and political grievances and the individual's capability to engage in an attack from both a psychological and technical capability standpoint. Many individual cases share a mixture of unfortunate personal life circumstances coupled with an intensification of beliefs/grievances that later developed into the idea to engage in violence.     

Psychiatric diagnosis as a risk marker for victimization in a national sample of children

Research examining childhood abuse has shown an association between victimization and psychiatric diagnoses (e.g., posttraumatic stress disorder, depression). Historically, psychiatric diagnoses have been emphasized as a consequence of victimization, with less research examining if it also functions as a risk factor for further victimization, perhaps making diagnoses a general victimization risk marker. In addition, much of this research has emphasized particular types of victimization such as childhood physical or sexual abuse. Researchers have given less attention to other forms of victimization (e.g., peer victimization, witnessed violence) or a diverse victimization history. Using the Juvenile Victimization Questionnaire (JVQ) we surveyed parents and children between the ages of 2 and 17 using a random digit dial (RDD) methodology. We examined the relationship between a number of different forms of victimization (termed poly-victimization ) in the preceding year and parent-reported lifetime psychiatric diagnosis. Results show that children with a psychiatric diagnosis have significantly higher rates of victimization than children without a psychiatric diagnosis. In addition, using logistic regression models, we find that psychiatric diagnosis was associated with increased risk for poly-victimization, conventional crime victimization, maltreatment, peer or sibling victimization, and witnessing violence, but not sexual abuse. The results highlight the need to consider psychiatric diagnoses as a risk marker for past and possible future victimization. In addition, the importance of obtaining a comprehensive and more diverse victimization history when working with children is highlighted.     

Perceived arrest risk,psychic rewards,and offense specialization: A partial test of rational choice theory†

In prior tests of Beckerian rational choice theory, the notion that individuals are responsive to the (dis)incentives associated with crime has been supported. Much of this research has comprised composite scores of perceived rewards and risks of multiple, often disparate, crime types that are then used to predict “general” offending behavior. Although the results of such prior tests are informative, we believe that this tendency has resulted in two shortcomings. First, a central component of mathematical rational choice theory is overlooked, namely, that responsivity to incentives will be crime specific. That is, offenders should prefer crime types that subjectively offer greater rewards and fewer risks relative to other crimes. Second, individual differences in offending specialization are not addressed, of which Clarke and Cornish (1985) and Shover (1996) argued rational choice theories are well suited to explain. Using a sample of serious offenders, we find that in a given time period, individuals are more likely to engage in crime types they viewed as more intrinsically rewarding and less risky compared with other crimes. Furthermore, individuals displayed greater specialization in violence to the extent they view violence as more rewarding and less risky than property offenses     

Assessing Violence Risk Among Discharged Psychiatric Patients: Toward an Ecological Approach

This paper draws upon data from the Pittsburgh site of the MacArthur Foundation's Risk Assessment Study, a large-scale study of violence risk among persons discharged from psychiatric hospitals, to examine the effect of the neighborhood context on risk of violence. This paper has two purposes: (1) to assess the extent to which the inclusion of neighborhood characteristics enhances violence prediction models—models that traditionally only include individual-level characteristics; and (2) to assess the consistency of individual level risk factors across different neighborhood contexts. Results indicate that neighborhood poverty has an impact over and above the effects of individual characteristics in identifying cases with violence. These findings support efforts to include neighborhood context in the assessment and management of violence risk among discharged psychiatric patients.     

Cranial thickness in relation to age, sex and general body build in a Danish forensic sample

The cranial thickness was measured in 64 individuals (43 males, 21 females) autopsied at our institute. The thickness was measured by taking a biopsy with a trephine at four specific locations on the skull. Complete medical records and pathologic autopsy results were available. While none of the individuals had suffered from diseases affecting bone or bone metabolism as such, a large sub group consisted of individuals with a history of, and autopsy finds consistent with, chronic substance and alcohol abuse. There was no statistically significant difference in cranial thickness measures between this group and the rest of the material. Subsequent analyses failed to reveal any correlations between the cranial thickness and sex and age and height and weight of the individual. This is in accordance with most earlier studies, which likewise show no correlation, or only very faint trends, between cranial thickness and these parameters. This study, thus, adds to other studies showing that cranial thickness cannot be used in aging or sexing human remains. Likewise, in a forensic pathological setting, cranial thickness cannot be inferred from the individuals stature and build, which may be an issue in cases of interpersonal violence with cranial trauma.     

The Significance of Shame in the Lives of Women Who Experience Male Violence

Recently there has been recognition of the cultural politics of emotion, that is, the ways in which emotions impact upon individual life experiences. Significantly, it has been shown how emotions can produce effects of power on and through the bodies of individuals. Despite this knowledge, the law and legal responses tend to minimise, obscure and deny the ways in which emotions, and in particular shame, impacts upon individuals. This article therefore argues that the lives of women who experience male violence cannot be fully understood without reference to the ways in which shame affects those experiences. It explores how shame operates as a gendered set of self-regulatory practices, which are also practices of male power in individual womens’ lives. In order to do this findings from a small scale qualitative study which used semi-structured interviews with women who have experienced violence are utilised, together with a Foucauldian theoretical framework. The article contends that an awareness and understanding of how shame affects the lives of women experience male violence can improve law and social policy responses to male violence against women.     

Perpetration of Gay and Lesbian Partner Violence: A Disempowerment Perspective

Gay men and lesbians may experience domestic violence at rates as high as, or higher than heterosexuals, yet there is a noticeable absence of empirical research investigating this phenomenon. This study investigated same-sex partner violence from a disempowerment perspective to determine the influence of (a) individual characteristics, (b) family of origin factors, and (c) intimate relationship factors. A sample of 77 individuals in distressed relationships (40 gay men and 37 lesbians) were administered a series of quantitative measures in our project office. Data primarily were analyzed using two-way ANOVAs (gender×perpetrator of violence). The greatest number of differences between perpetrators and nonperpetrators was found in individual characteristics. Implications for practitioners working with gay men and lesbians experiencing partner violence are discussed.     

Applying the Theory of Reasoned Action to Domestic Violence Reporting Behavior: The Role of Sex and Victimization

Domestic violence is a serious social issue that affects one in every four relationships. Interventions for victims and abusers are contingent upon reporting of the violence, but many cases are never reported. The theory of reasoned action may offer a model for understanding reporting behavior in adolescents and young adults. In a sample of 891 adolescents and young adults, social norms and attitudes were predictive of reporting intentions and subsequently, reporting behavior. For the purposes of this study, reporting behavior was defined as reporting the domestic violence to any individual not directly involved, which could include law enforcement personnel or other individuals who may provide assistance. Understanding how attitudes and social norms affect reporting behavior could be helpful for agencies serving individuals affected by domestic violence.     

Legal professionals’ knowledge and experience of autistic adults in the family justice system

Abstract

Access to justice is a key theme in the family justice system, especially for those with particular vulnerabilities. Autism, a development condition characterised by difficulties in social communication and interaction, and the presence of rigid, repetitive behaviours, presents particular challenges in this area. This paper reports the findings of a mixed-methods study with legal professionals working in the family justice system, asking about their knowledge of autism, their perceived self-efficacy when working with autistic clients, and their experience of cases involving autistic litigants. The study reports high levels of knowledge, but low levels of confidence, by legal professionals (N = 204), and addresses the experiences of particular cases in follow-up discussions (N = 10). The paper concludes by making a series of recommendations for legal professionals to assist autistic people to engage fully in family court proceedings.     

‘Our normal is different’: autistic adults’ experiences of the family courts

ABSTRACT

This article reports the findings of a small-scale qualitative study exploring the experiences of autistic adults who have had experience of the family justice system. While participants related some positive elements to their experiences, in particular with regard to the willingness of professionals to try to learn more about their clients’ needs, the overall picture showed significant concerns. The reports given showed significant misunderstandings about autism, and a system which struggled to make appropriate adjustments which would allow autistic court users to have access to justice on an equivalent basis to non-autistic litigants. This situation stands in contrast to the position regarding other disabilities in the Family Justice System, but also to the relatively greater level of provision for autistic people within the Criminal Justice System. Based on participants’ experiences and existing good practice in other areas, we make recommendations that could be adopted by the Family Court and practitioners.     

Safety,Satisfaction, and Settlement in Domestic Relations Mediations: New Findings

Researchers and mediators have long been concerned about coercion, intimidation, and safety threats that could occur in mediation for cases where previous violence between the parties has occurred. Most of the research focuses on screening tools to identify parties at risk. When parties screen positive for intimate partner violence (IPV), some proceed to mediation and some do not, depending on the policies of individual mediation programs. But this misses a step: Some cases may benefit from mediation while others won't, but how can we predict whether mediation will be useful and safe in specific instances? This study uses survey data obtained from parties in domestic relations mediations to examine issues of safety, satisfaction, and settlement in the presence of various IPV behaviors.     

Expert Approaches to Communicating Violence Risk

There has been virtually no empirical study of the way in which evaluating clinicians communicate their conclusions about the risk of violence toward others. Risk communication has become particularly important in recent years, serving as the link between empirical data from recent studies and the understanding and use of such data by evaluators and decision makers. The present study considered how psychologists and psychiatrists, identified as experts in violence risk assessment, responded to eight vignettes that systematically measured preferences for risk communication. The vignettes involved the presentation of the following factors in a 2 × 2 × 2 within-subjects design, counterbalanced for order: (1) risk model (prediction vs. management), (2) risk level (high vs. low risk of the individual being assessed), and (3) risk factors (the predominance of static vs. dynamic risk factors). A total of 71 individuals (41 psychologists, 2 sociologists, and 28 psychiatrists) responded to a survey mailed to 100 individuals, for a response rate of 71%. Participants were asked to rate the value of six forms of risk communication for each of the eight vignettes. There were few significant differences between the ratings assigned by psychologists and those assigned by psychiatrists. The most highly valued form of risk communication involved identifying risk factors applicable to the individual and specifying interventions to reduce risk. A repeated-measures multivariate analysis of variance yielded a main effect for risk level and an interaction between risk level and risk factors. The implications of these findings for research and practice are discussed.     

Fear,Social Interactions,and Violence Mitigation

The fear of crime is generally considered as a social ill that undermines dimensions of individual well-being. Prior research generally specifies the fear of crime as an outcome variable in order to understand its complex etiology. More recently, however, researchers have suggested fear has a deterrence function whereby it reduces individuals’ involvement in violent encounters. This notion could hold important clues to understand the social sources of violence. We examine whether the fear of crime inhibits involvement in violent encounters, both as offender or victim, and if adjustments in routine activities explain these effects. The results suggest fear of crime reduces violence involvement, in part, by constraining routine activities. We conclude that the fear of crime appears to be a mechanism of violence mitigation that, paradoxically, bolsters physical well-being. The results are discussed with regard to their implications for criminological theory and research on interpersonal violence.     

The Effect of Previous Traumatic Injury on Homicide Risk

Research has reported that a strong risk factor for traumatic injury is having a previous injury (i.e., recidivism). To date, the only study examining the relationship between recidivism and homicide reported strong associations, but was limited by possible selection bias. The current matched case–control study utilized coroner's data from 2004 to 2008. Subjects were linked to trauma registry data to determine whether the person had a previous traumatic injury. Conditional logistic regression was used to estimate odds ratios (ORs) and 95% confidence intervals (95% CIs) for the association between homicide and recidivism. Homicide risk was increased for those having a previous traumatic injury (OR 1.81, 95% CI 1.09–2.99) or a previous intentional injury (OR 2.53, 95% CI 1.24–5.17). These results suggest an association between homicide and injury recidivism, and that trauma centers may be an effective setting for screening individuals for secondary prevention efforts of homicide through violence prevention programs.