Mortality among habitually violent offenders

There are no published studies about mortality among habitually violent offenders, although it would be essential to take into account the possibly higher mortality rate of this population, when the incidence of committing violent offenders is calculated as a function of age. We studied mortality during the age range 30–50 years among 102 habitually violent male offenders, who were considered to be dangerous to the lives of other people, during the 24.5-year period 1971–1995 (in the range 3.5 months–24.5 years, the average prison time was 6 years, 7 months and 11 days). In Finland, the deathrate in the group of men aged 30–50 years is 3.7/1000/year, but among these habitually violent male criminals, the mortality rate was observed to be 18.1/1000/year. Therefore, the relative risk for dying in this age group was 4.9-fold when compared with the normal male population aged 30–50 years. A finding of this magnitude has a substantial effect, when the real incidence of committing homicides or other violent offenses is calculated as a function of age. This is an important issue in forensic psychiatry, since it is generally believed that the incidence of committing violent crimes is decreased between the ages of 30 and 50 years, and age is used as one predictive factor when the risk of forthcoming violent behavior is assessed.     

The violent reconvictions of sexual offenders

The violent reconvictions of a sample of sexual offenders discharged from prison between 1992 and 1996 (who had not been reconvicted of a sexual offence) were examined. The hypothesis was that a proportion of these violent reconvictions would have a sexual motivation. The sample consisted of 104 adult male sexual offenders for whom detailed information regarding their violent reconviction was available. The sample was categorized according to the motivation of the violent reconviction. It was found that a proportion of the violent reconvictions were sexually motivated (12%) and that some of these had resulted from an original charge for a sexual offence. Significant differences were found between the sexual motivation and violent motivation group on the number of criminal history and victim characteristic variables. It was concluded that, in the case of sexual offenders, violent convictions might mask the true motivation of the offence.     

Prior adjustment of violent juvenile offenders

This study compares 202 juvenile offenders on a series of preoffense adjustment variables grouped into five categories: Family Dysfunction, School Adjustment, Prior Violence, Criminal Activity, and Substance Abuse. Emphasis is placed on the importance of distinguishing subgroups of violent youth based on the type of assault (interpersonal conflict or crime-related) and the youth's relationship to the victim (parent or other victim). Findings support the need to identify multiple developmental pathways and distinctive risk factors for different forms of juvenile violence.     

Assessing treatment readiness in violent offenders

Although violent offenders are widely considered to be difficult to engage in therapeutic change, few methods of assessing treatment readiness currently exist. In this article the validation of a brief self-report measure designed to assess treatment readiness in offenders who have been referred to violent offender treatment programs is described. The measure, which is an adaptation of a general measure of treatment readiness developed in a previous work, displayed acceptable levels of convergent and discriminant validity and was able to successfully predict treatment engagement in violent offender treatment. These results suggest that the measure has utility in the assessment of treatment readiness in violent offenders.     

Mortality among habitually violent offenders.

There are no published studies about mortality among habitually violent offenders, although it would be essential to take into account the possibly higher mortality rate of this population, when the incidence of committing violent offenders is calculated as a function of age. We studied mortality during the age range 30-50 years among 102 habitually violent male offenders, who were considered to be dangerous to the lives of other people, during the 24.5-year period 1971-1995 (in the range 3.5 months-24.5 years, the average prison time was 6 years, 7 months and 11 days). In Finland, the death rate in the group of men aged 30-50 years is 3.7/1000/year, but among these habitually violent male criminals, the mortality rate was observed to be 18.1/1000/year. Therefore, the relative risk for dying in this age group was 4.9-fold when compared with the normal male population aged 30-50 years. A finding of this magnitude has a substantial effect, when the real incidence of committing homicides or other violent offenses is calculated as a function of age. This is an important issue in forensic psychiatry, since it is generally believed that the incidence of committing violent crimes is decreased between the ages of 30 and 50 years, and age is used as one predictive factor when the risk of forthcoming violent behavior is assessed.     

Remorse and neutralization among violent male offenders

Expression of remorse by an offender to his or her victim represents healing in the aftermath of a crime. Thus, it is important to consider what may influence or impede remorse. This article analyzes interviews with 27 men who committed serious violent crimes to examine their talk about victims, responsibility, and remorse. Most of the men excused or justified their crimes using cultural discourses about violence and blameworthy victims. They spoke of feeling sorry for themselves, not for their victims. Men who expressed remorse perceived their victims as morally blameless. They humanized their victims, and their victims humanized them.     

Impression management and self-report among violent offenders

Offenders are assumed by many to employ socially desirable responding (SDR) response styles when completing self-report measures. Contrary to expectations, prior research has shown that accounting for SDR in self-report measures of antisocial constructs does not improve the relationship with outcome. Despite this, many self-report measures reliably predict future criminal outcome criteria. The present research examines the relationship of SDR (self-deception and impression management) with self-reported antisocial attitudes and the outcome of criminal recidivism in a sample of violent offenders. Offenders high on impression management reported lower antisocial attitudes. However, when impression management was statistically partialed from antisocial attitudes, the relationship with recidivism tended to diminish, though not to a statistically significant degree. This finding, though hypothesized based on previous empirical findings, is contrary to the theoretical assumption that controlling for SDR should improve the relationship of self-report with outcome. The discussion centers on the implications of routinely removing impression management from self-report.     

Homeless mentally disordered offenders and violent crimes

This study examines the prevalence of homelessness in a cross-sectional sample of 150 patients retained in a maximum-security hospital for mentally disordered offenders in New York City. The homeless mentally ill comprise only 2% of the city's mentally ill population, yet they account for 50% of the admissions to this forensic facility from the community. Compared to population base rate estimates, forensic patients are homeless at 25 times the rate found in the rest of the city's mentally disordered population and are 50 times more likely to be homeless than the general population. Further, there is a significant association between homelessness at the time of the instant offense and charges for violent crimes, after controlling for age, sex, race, and diagnosis. These data suggest that homelessness greatly increases the risk that mentally disordered persons will be forensically hospitalized and is closely associated with indictments for violent criminal behavior. Alternative explanations for these findings are discussed, emphasizing risk, vulnerability, and criminalization perspectives.Some of the data reported in this article were presented at the 42nd Annual Meeting of the American Academy of Forensic Sciences, February 24, 1990, in Cincinnati, Ohio. Thanks to Joel Dvoskin, John Monahan, Edward Mulvey, Charles D. H. Parry, Nancy Pruett, Henry Steadman, and three anonymous reviewers for their helpful comments on an earlier draft of this article.     

Treatment and reintegration of violent juvenile offenders: Experimental results

Studies of probation and parole officers' attitudes conducted in the 1960s and 1970s indicated respondents' preference for assistance over authority as the most important goal of community supervision. The present research compares results obtained from the 1970s and 1980s applications of the Authority/Assistance Questionnaire and the Correctional Policy Inventory. The findings point not only to increased concern for authority but also to the diminished meaningfulness of the assistance objective. The authors suggest that a new emphasis on surveillance, in which delivery on service is largely a means for monitoring client risk, has “crowded” the rehabilitative ideal.     

Blame attribution and guilt feelings in violent offenders

Offenders with high psychopathic traits and/or antisocial personality disorder (ASPD) are hypothesised to experience less guilt and less responsibility for their actions than offenders without these problems. These hypotheses were tested and partly substantiated. The study investigates blame attributions and guilt feeling using Gudjonsson Blame Attribution Inventory–Revised (GBAI-R) for 177 young male violent offenders. GBAI scores were compared to ASPD and psychopathy according to the Psychopathy Checklist–Revised. Results showed that individuals with ASPD and those with higher degrees of psychopathy tended to report significantly less guilt and higher degree of mental control than other subjects. Another finding was a weak relationship between ASPD, high scores on psychopathic traits and external attribution. We suggest these results might be explained by admitting poor mental control may be extra difficult for individuals belonging to either of these groups and that the external attribution items do not separate causal from moral responsibility.     

Affective determinants of treatment engagement in violent offenders

Affective factors are likely to play a major role in determining the extent to which offenders are able to engage with, and benefit from, treatment. In this article, it is argued that the relationship between affect and treatment engagement may be understood in three ways: the access the client has to emotional states, the ability to express such states, and the willingness of the client to do this in the therapeutic session. It is suggested that affective determinants of treatment readiness can be understood with reference to models of emotional regulation and that attention to these affective factors in the early stages of treatment is likely to promote engagement, reduce attrition, and consequently improve treatment outcomes for violent offenders.     

Rehabilitating serious violent adult offenders: an empirical and theoretical stocktake

Extensive meta-analyses of the correctional programme evaluation literature have generated developments in the technology of programme design. However, the risk, need and responsivity principles do not constitute a rehabilitation theory and cannot answer specialist offender programme design questions. After more than a decade of involvement in programmes for seriously violent offenders, we decided to reassess the empirical evidence underpinning violence rehabilitation in adult men. We focused on both mixed and violent offender samples, reviewing the outcome data from nine evaluations of cognitive–behavioural interventions. Despite a plethora of methodological difficulties, it appears that most of the programmes had small to large effects on violent and non-violent recidivism. Little could be concluded from these evaluations about the most promising theoretical framework for future programme development. Most programmes contained only scant information on their underlying theory base. None referred to multivariate aggression or crime theories. We conclude that there is a pressing need for additional evaluative research, and theory development. To date, the case for specialist violent offending programmes has not been made.     

Criminal profiles of violent juvenile sex and violent juvenile non sex offenders: an explorative longitudinal study

Few studies have longitudinally investigated the criminal profiles of violent juvenile sex and violent juvenile non-sex offenders. To make up for this lack, this study used police records of juveniles to determine the nature of the criminal profiles of violent sex offenders (n = 226) and violent non-sex offenders (n = 4,130). All offenders committed their first offense in 1996 and were followed for 7 years. Results showed that violent sex offenders and violent non-sex offenders cannot be considered a homogeneous group because of different background characteristics and criminal profiles. Sex and violent offenses often constitute a small part of a broader criminal pattern. Further research is necessary to reveal in more detail the developmental and criminological patterns of violent and sexual delinquency. Treatment and intervention programs may benefit from this.     

Structural differences of violent extremist offenders in correctional settings

The process of radicalisation has received wide attention over the past decade. As the number of violent extremist offenders grows, the potential diffusion of radical ideologies inside prisons is gaining attention. Offender attribute data, both pre-custody and in-custody, routinely collected by Correctional Service Canada, were explored to determine whether violent extremist and mainstream offenders differed (that is, could be clustered); if so, what attributes have values that were systematically different for the two groups, and did those attributes lend themselves to predicting other offenders at risk for radicalisation.

Results from the pre-custody attributes show minute differences between the two groups. The in-custody attributes show visible, although still weak, differences. Combining the two data sets provides further evidence for differences, with some interactions between the two sets of attributes. Definitive answers about radicalisation were hampered by the small number of radicalised offenders (less than 1 percent) and several major differences in the offender population as a whole that obscure smaller distinctions. Nevertheless, the analysis suggests some attributes that may differentiate violent extremist and mainstream offenders. Although unanticipated, it also demonstrates that the entire offender population separates well into three clusters, and allows the qualitative pattern of attribute values that differentiates them to be determined.     

Intensive psychological treatment of high-risk violent offenders: Outcomes and pre-release mechanisms

Research on correlates of intervention programmes that reduce expected reconviction rates (‘what works’ literature, Risk–Need–Responsivity model) has been highly influential in criminal justice systems throughout much of the western world. But while this psychological research has been acquiring widespread recognition, a deeper understanding of how programmes work and of mechanisms for desistance more generally, has still to develop. This research reports results of a quasi-experimental recidivism outcome study for a series of prison units that provide intensive psychological treatment to high-risk, persistently violent prisoners. Four outcomes were examined over the first 12 months following release on parole: parole violations, new convictions, new convictions for violence, and imprisonment sentences resulting from new convictions. Alongside these results, we conducted preliminary analyses of two potential pre-release mechanisms for surviving the first 12 months on parole without reconviction: lower dynamic risk for violence, and greater release readiness. We found that dynamic violence risk fully accounted for differences between treatment completers and comparison prisoners in proportions reconvicted for violence. However, in all other cases, the proposed mechanisms did not significantly explain treatment-related differences. We close by considering possible explanations for these unexpected results, and reiterating the importance to our field of more sophisticated treatment outcome research.     

Prison behavior and the victim-offender relationship among violent offenders

This research explores the role of the victim-offender relationship of prison inmates' commitment crimes in predicting violent offenders' behavior problems. The importance of the victim-offender relationship is supported by anecdotal accounts and theoretical reasoning which suggest that nonstranger offenders have fewer disciplinary problems in prison than stranger offenders. Inmate interviews and official data were collected from 273 violent offenders. Results suggest that inmates with more extensive rule-breaking behaviors are likely to be younger, less intelligent individuals who victimize strangers, have had more numerous juvenile convictions, and have served at least one prior prison term. Conclusions and implications for public policy are discussed.     

Treating offenders with mental illness: a research synthesis

The purpose of this research synthesis was to examine treatment effects across studies of the service providers to offenders with mental illness. Meta-analytic techniques were applied to 26 empirical studies obtained from a review of 12,154 research documents. Outcomes of interest in this review included measures of both psychiatric and criminal functioning. Although meta-analytic results are based on a small sample of available studies, results suggest interventions with offenders with mental illness effectively reduced symptoms of distress, improving offender's ability to cope with their problems, and resulted in improved behavioral markers including institutional adjustment and behavioral functioning. Furthermore, interventions specifically designed to meet the psychiatric and criminal justice needs of offenders with mental illness have shown to produce significant reductions in psychiatric and criminal recidivism. Finally, this review highlighted admission policies and treatment strategies (e.g., use of homework), which produced the most positive benefits. Results of this research synthesis are directly relevant for service providers in both criminal justice and mental health systems (e.g., psychiatric hospitals) as well as community settings by informing treatment strategies for the first time, which are based on empirical evidence. In addition, the implications of these results to policy makers tasked with the responsibility of designating services for this special needs population are highlighted.     

Psychopathy,intelligence, and impulsivity in German violent offenders

Previous studies have reported numerous correlations between psychopathy and various personality traits, behavioural tendencies or clinical characteristics. The present study examined in greater depth the relationships between the components of psychopathy as measured by the Psychopathy Checklist—Revised (PCL-R) and intelligence as well as impulsivity. A total of ninety male violent offenders were recruited from a prison and a forensic–psychiatric hospital in Germany. All of the subjects were assessed using the PCL-R, the Barratt Impulsiveness Scale (BIS-11), and a short version of the German Wechsler Adult Intelligence Scale (WIP). As expected, a canonical correlation analysis showed a negative association between spatial intelligence and the Factor 2 subtotal on the PCL-R (reckless lifestyle/antisociality). In addition, our results agreed with the assumption of an association between impulsivity and the subtotal for PCL-R Factor 2. The positive relationship between verbal intelligence and the subtotal for Factor 1 of the PCL-R (insincere, manipulative conduct/affective deficits) vanished after controlling for educational level. The results indicate that there is a relationship between the spatial components of intelligence and the concept of psychopathy as described by Hare. This result supports the spatial impairment aetiological model of antisocial behaviour.     

Conceptualizing nursing research with offenders: another look at vulnerability

In this article, vulnerability is examined as it applies to the conduct of nursing research with offenders. As a group, offenders present with a multitude of acute and chronic physical and mental health care needs; they are subject to discrimination, stigmatization, and marginalization; and as such, they often experience dual, multiple, or overlapping vulnerabilities. As research participants, they are especially vulnerable to coercion, as a direct consequence of their dependency status within the correctional system. Embracing a research agenda that focuses on offenders as a vulnerable population is fraught with ambiguities not generally encountered in other settings. The ethical conduct of research with vulnerable populations reflects a contemporary research problem that requires ongoing discourse within the nursing community and the health care community at large.     

Cross-validation of the self-appraisal questionnaire: a tool for assessing violent and nonviolent recidivism with female offenders

The Self-Appraisal Questionnaire (SAQ) is a 72-item self-report measure designed to predict violent and nonviolent recidivism among adult male criminal offenders. It was administered to 91 female offenders incarcerated in Pennsylvania and 183 incarcerated in Singapore correctional systems. Results indicated that the SAQ has sound psychometric properties, with acceptable reliability and concurrent and predictive validity for assessing violent and nonviolent recidivism. There were no significant differences between the scores of African American and Asian offenders and the responses of the White offenders. Similar to the findings from male offenders, the present results provide some support for the validity of the SAQ in the prediction of violent and nonviolent recidivism risk among White, African American, and Asian female offenders.