Changes in ambulance departures for assault calls during COVID-19 pandemic restrictions

Restrictions related to COVID-19 changed the daily behavior of people, including the expression of violence. Although an increased incidence of violent behavior, especially domestic violence, was expected during the pandemic, retrospective analyses have yielded mixed results. Records of ambulance departures to address injuries caused by assaults in the Pilsen region, Czech Republic, during the restrictive measures during the national state of emergency were compared to data from 3 previous years using general linear models. The number and severity of assaults were analyzed for the whole sample and separately for patients of either sex, for residential or nonresidential locations, and for domestic violence. Controlling for the seasonal effects, the number of assaults decreased by 39% during the pandemic restrictions compared to the 3 previous years. No difference was found between the effects of restrictions on assaults resulting in an injury of a male or female patient. The decrease was specifically pronounced in the sample of assaults in nonresidential locations, while no effect of restrictions was observed in assaults in residential locations and domestic assaults. Pandemic restrictions were associated with a decreased incidence of violent assaults that required ambulance services. Although the incidence decreased especially in those assaulted outside of their homes, we found no support for an increase in domestic violence or violence against women. Pandemic restrictions may have served as a protective rather than a risk factor for assaults severe enough to warrant a call for ambulance services.     

Female patients who assault in the hospital

This pilot study investigates factors associated with assaultive behavior in hospitalized female patients. Eight patients who assaulted were compared with 11 patients who did not. Associated with the assaultive sample were prior assaults, a time span from first to last assault of over one year and destruction of property. Behavioral items significantly associated with assault included a history of breaking glass objects, a history of breaking window panes and a history of frequent physical assaults between 10 and 18 years of age. No relationship between organic findings suggestive of CNS dysfunction and assaultiveness was found.     

Rape and sexual assault in investigative psychology: the contribution of sex offenders' research to offender profiling

Research on sex offenders has mainly guided clinical practice for risk assessment and therapeutic intervention. However, the current scientific knowledge on these offenders and their crimes is, in many aspects, of great importance to criminal investigations. Consequently, there is a need to build bridges between investigative psychology and the research being conducted on sex offenders. Four areas of research on sex offenders that have clear implications to investigative psychology can be identified: (1) the consistency or ‘crime‐switching’ patterns of sex offenders; (2) the recidivism patterns of different types of sex offenders; (3) the police response to specific victim characteristics; and (4) the A → C equation of sexual assaults. This paper argues for a need to establish a dialogue between these two fields of research so that knowledge about sex offenders keeps growing whilst being able to inform policing practices in investigative psychology. Copyright © 2009 John Wiley & Sons, Ltd.     

Recidivism among four types of homicide offenders: An exploratory analysis of 336 homicide offenders in New Jersey

Despite a great deal of information on various types of offenders, there is only limited longitudinal research on the offending patterns, typologies, and recidivism of different types of homicide perpetrators. A random sample of 336 homicide offenders who were released between the years 1990 and 2000 from the New Jersey Department of Corrections were identified and followed for a minimum of 5 years. These offenders were tracked to determine if incarcerated homicide offenders who had no criminal histories prior to their homicide conviction recidivated less, and which specific variables correlated with recidivism. As a result of our analysis, we conceptualized a new four-fold typology of homicide offenders: 1) homicide that was precipitated by a general altercation or argument, 2) homicide during the commission of a felony, 3) domestic violence-related homicide, and 4) a homicide after an accident. In conclusion, none of the 336 homicide offenders committed another murder. However, we found the highest recidivism for new violent or drug crimes occurred in the felony homicide group (slightly over one-third), followed by the altercation precipitated homicide offenders (27%), which was in sharp contrast to the domestic violence homicide offenders with less than 10% recidivism due to a new violent or drug offense.     

LABELING OF ABUSE EXPERIENCES AND RATES OF VICTIMIZATION

Research has consistently found that a history of previous sexual victimization increases risk for future sexual assault, which might be due to women with a history of sexual victimization having difficulty identifying risky cues and not perceiving their own vulnerability for future assaults. This study investigated how acknowledgment of previous experiences with interpersonal violence is related to risk perception and rates of victimization. Participants were 198 college women who completed assessments of victimization, personal risk appraisal, and acknowledgment. Analyses indicated differences in rates of victimization based on labeling of experiences and differences in efforts to change behaviors to reduce risk for future assaults based on level of acknowledgment. Also, there were a number of situational factors significantly related to likelihood of acknowledgment. The findings differed for physical and sexual violence. This study suggests that acknowledgment is an important factor to consider in studies of sexual and physical revictimization.     

A longitudinal examination of sex offender recidivism prior to and following the implementation of SORN

The goals of the present study were to examine the recidivism rates of two matched samples of sexual offenders, those released prior to and after sex offender registration and notification (SORN) in New Jersey. The pre-SORN group (1990-1994) included 247 offenders, while the post-SORN group (1996-2000) included 248 offenders. The longitudinal analysis demonstrated that for sex offenders released from prison both prior to and after implementation of SORN, there are clearly two distinguishable groups of sex offenders in relation to patterns of recidivism. More than three-quarters of sex offenders were identified as at low risk of recidivism, with low rates of repeat criminal offenses. By contrast, the high-risk group of offenders was not only more likely to commit future criminal offenses, including sex offenses, but they were also more likely to commit significantly more offenses and to do so fairly quickly following release. Analyses also include an examination of the influence of demographics, substance abuse and mental health issues, treatment history, sex offense incident characteristics, and criminal history on recidivism. Finally, SORN status was not a significant predictor of sex or general recidivism. The study limitations and policy implications are discussed.     

Predictive validity of the MMPI-2 Restructured Clinical (RC) Scales in a batterers' intervention program

We examined the convergent and discriminant validity of the MMPI-2 Restructured Clinical (RC) scales in predicting relevant historical variables, treatment success, and recidivism in offenders enrolled in a batterers' intervention program. We used a sample studied previously by Petroskey, Ben-Porath, and Erez (2002), which included an ethnically diverse group of 483 men enrolled in a psychoeducational batterer's intervention program. We coded various historical variables (e.g., criminal history, substance abuse problems, mental health treatment, anger problems, and amount of partner violence), treatment dismissal, and recidivism up to 1 year posttreatment. Correlational analyses with the historical variables provided evidence of convergent and discriminant validity of the RC scales in this forensic sample. Regression analyses showed that these scales added to the historical variables in predicting treatment failure and recidivism. Relative risk analyses indicated the extent to which individuals entering treatment with elevated scores on RC4 and RC9 were at increased risk for these negative outcomes.     

The accuracy of risk assessment instruments in the prediction of impulsive versus predatory aggression

Actuarial violence risk assessments, many of which include the construct of psychopathy, have been shown to be superior to clinical judgment in the prediction of long-term risk of community violence and recidivism. While these instruments initially appeared to provide similarly accurate judgments of risk of institutional aggression, recent research has indicated that such assessments may be less robust in this setting. One explanation may lie in the types of aggression most frequently observed in each setting. Impulsive (or reactive/affective) is the type of physical aggression most commonly exhibited in psychiatric facilities. This research examines the relationship between risk assessments and aggression in an inpatient forensic setting, with such aggression categorized as impulsive, predatory or psychotic aggression. Consistent with previous research, impulsive aggression was the most frequent type observed (58%). Anger (as measured by the Novaco Anger Scale) and clinical issues (as measured by the HCR-20) were most associated with impulsive aggression, with AUC values of .73 and .71 respectively. In contrast, anger and psychopathy (as measured by the PCL-R) were more associated with predatory aggression, with AUC values of .95 and .84 respectively. Psychotic symptoms were highly associated with psychotically motivated aggression (AUC = .90). These results suggest that traditional violence risk assessments may have limited utility in predicting aggression in an institutional setting and that psychiatric symptoms and heightened affect are more relevant. Copyright © 2008 John Wiley & Sons, Ltd.     

Recidivism risk assessment in sex offenders

Violent behaviour risk assessment is one of the most relevant research areas in current Psychology of Crime. Various scales for violence risk assessment have recently been developed from research about crime careers and risk factors. One of these instruments is the Sexual Violence Risk Assessment-20 (SVR-20), translated and adapted to Spanish by the Group of Advanced Studies in Violence of the University of Barcelona. The goal of this study is to verify the predictive capacity of the SVR-20 to predict sexual violence recidivism in a Spanish sample of sexual offender inmates. The method used was a retrospective study based in 163 sexual offender files and a 4-year time lag. The data were analysed with the logistic regression technique. Of the sample, 79.9% non-recidivist individuals were correctly classified, and 70.8% recidivist individuals. The ROC curve obtained for the model shows a very good discriminant capacity for the SVR-20, with a 0.83 AUC value. The main conclusion of this study is that the Spanish adaptation of SVR-20 is a good instrument to predict the risk of sexual violence.     

Brutality of assault in political cartoons affecting humor appreciation

Political cartoons depicting a presidential candidate undergoing an aggressive assault were manipulated to assess the effect on humor appreciation of variations in the degree of brutality of the aggressive tactics (minimal, intermediate, extreme). The identity of the depicted candidate (Richard Nixon vs George McGovern) was also manipulated. Humor-appreciation ratings were given to these cartoons by student subjects during the week preceding the 1972 presidential elections. Attitudes toward the depicted candidates were assessed in a postexperimental questionnaire. Neither degree of brutality nor affect toward the victim exerted a significant main effect, but a significant transverse interaction between the two variables was observed. When the assault involved minimal levels of brutality, the victimization of a rejected candidate was appreciated significantly more than that of a favored one; when intermediate levels of brutality were depicted, assaults against rejected candidates did not differ appreciably from attacks upon favored candidates in the level of mirth they elicited; when the brutality was extreme, aggression against rejected candidates was appreciated less than assaults against favored candidates, although nonsignificantly so. Of the various theoretical notions which were advanced to predict the results, a rationale involving the decoder's motivation to favor or object to the manner in which the aggressive agent is characterized as well as his motivation to enjoy or dislike the communication's projected outcome was considered to account best for the findings.     

Cues they use: clinicians' endorsement of risk cues in predictions of dangerousness

Clinical predictions of violence are a necessary part of clinical practice despite extensive literature validating the use of actuarial rather than clinical prediction. The current study examined clinicians' use of risk cues in predictions of violence. Clinicians identified several risk cues as significant in clinical assessments of risk, including a history of assaults, hostility, medication noncompliance, paranoid delusions, presence of psychosis, and family problems. However, further results indicated that clinician-endorsed risk cues lack predictive power in the present sample.     

Child versus peer/adult offenders: A critical review of the juvenile sex offender literature

Sexual offenses are serious crimes and it is believed that adolescents perpetrate 20% of all sexual assaults and 50% of all child sexual abuse (Barbaree & Marshall, 2006). To better understand the etiology of juvenile sexual offending, researchers have explored differences between those who offend children versus those who offend peers/adults. This paper critically reviewed 21 studies that compared juvenile sex offenders who abused children with those who abused peers/adults on a variety of variables including victim, offense, and offender characteristics; psychosocial variables; and predictors and rates of recidivism. Strengths and weaknesses of these studies as well as future directions for the literature are discussed. Common methodological limitations of victim-age based comparisons of juvenile sex offenders included inconsistent definitions, low-powered studies, lack of standardized measures, and recidivism data based solely on conviction rates. Overall, many inconsistent findings limit our ability to give overarching conclusions; however, the research does suggests that not only is it important to examine child and peer/adult offenders, but mixed offenders (i.e., offender with both child and peer victims) as a distinct group need to be included in comparisons as well.     

Review, critique, and synthesis of personality theory in motivation to sexually assault

A widely-cited meta-analysis of recidivism amongst adult male perpetrators or sexual assult [Hanson and Bussiere, J. Consult. Clin. Psychol. 66 (1998) 348–362] found that the presence of any personality disorder (APA, Diagnostic and Statistical Manual of Mental Disorders: DSM-III-R. (1987); [APA, Diagnostic and Statistical Manual of Mental Disorders: DSM-IV (1994)] was the only variable to significantly predict sexual recidivism in a category measuring “Psychological Maladjustment” (r₊=.16, n=315). The relationship between personality disturbance and new sexual offenses is undoubtedly a dynamic relationship that deserves exploration. This review and critique of theory covers two theories of personality: (1) a psychoanalytic theory of rapist personality offered by Groth [Men Who Rape: The Psychology of the Offender. (1979), New York: Plenum] and (2) a general biosocial theory or personality disturbance offered by Millon [Disorders of Personality: DSM-IV and Beyond. (1996). New York: Wiley]. Theory offered by Groth is critiqued and limitations considered. Theory offered by Millon is offered and the two approaches are synthesized to suggest possible causes of characteristic psychological disturbance associated with perpetration of sexual assault. Applications for research and practice are considered, and implications of this line of research for risk assessment and sexual assault prevention are reviewed.     

Predictors of recidivism by stalkers: a nine-year follow-up of police contacts

In a subsample of a multisite stalking study (Mohandie, Meloy, McGowan, & Williams, 2006) comprising 78 offenders from one site, 77% committed new offenses within an average follow-up of 106 months (8.8 years). Over half (56%) were charged for new stalking related offenses and 33% for violent recidivism. Violent reoffending, including sexual offenses, was predicted by risk factors consistent with existing literature: younger age at first conviction, prior release failures, and criminal history. Stalking recidivism was predicted by pre-index offending scores, using the Cormier-Lang, and prior diagnosis of a mental illness. In addition, stalkers with previously diagnosed mental illness had significantly more police contacts as complainants than those without; their recidivism was also more likely to be non-violent.     

Psychopathy and the predictive validity of the PCL-R: an international perspective

Its controversial past notwithstanding, psychopathy has emerged as one of the most important clinical constructs in the criminal justice and mental health systems. One reason for the surge in theoretical and applied interest in the disorder is the development and widespread adoption of reliable and valid methods for its measurement. The Hare PCL-R provides researchers and clinicians with a common metric for the assessment of psychopathy, and has led to a surge in replicable and meaningful findings relevant to the issue of risk for recidivism and violence, among other things. Most of the research thus far has been based on North American samples of offenders and forensic psychiatric patients. We summarize this research and compare it with findings from several other countries, including England and Sweden. We conclude that the ability of the PCL-R to predict recidivism, violence, and treatment outcome has considerable cross-cultural generalizability, and that the PCL-R and its derivatives play a major role in the understanding and prediction of crime and violence.     

Predictors of Treatment Completion and Recidivism Among Intimate Partner Violence Offenders

This study examined the variables that predicted completion of an AMEND-Emerge-based program designed to treat men (n = 202) who had engaged in intimate partner violence and the rates of recidivism among those who completed versus those who failed to complete the program. Data were collected from an archival database that housed historical and demographic data on each participant; recidivism was determined by accessing publicly available court records, and was defined very broadly as any charges filed within a year after participating in the program. Overall recidivism for this sample was low (22.28%). Demographic factors demonstrated to correctly classify post-treatment recidivism included age, race, and relationship status. Whereas those who completed the program had lower recidivism than non-completers, the differences between those groups in age, race, and relationship status suggest that features of the program may not address the needs of younger African Americans who are not married.     

Recidivism base rates,predictions of sex offender recidivism,and the “sexual predator” commitment laws

Predictions of future sexual offending have been mandated by various “Sexual Predator” commitment laws, despite historical arguments that clinicians are frequently inaccurate and over-predict violence. The basis for those arguments has been the perspective that sexual recidivism is a relatively rare event. Research is reviewed, however, with the finding that sexual recidivism for certain offenders is a rather common occurrence when the definition of recidivism is in keeping with the sex offender commitment laws. This finding is used to demonstrate that under-, rather than over-prediction of the designated violence is necessarily today's practice. Practical and ethical implications are discussed. © 1998 John Wiley & Sons, Ltd.     

Treatment impact on recidivism of family only vs. generally violent partner violence perpetrators

Background/ObjectiveThe outcome of a treatment program for a large sample of male perpetrators on probation for intimate partner violence (IPV) was evaluated with particular reference to the differential impact on family only (FO) versus generally violent (GV) perpetrators.MethodOfficial rates of recidivism for three years post termination of treatment and probation were examined for 456 perpetrators after they were classified as FO and GV.ResultsBoth treatment completion and type of perpetrator were predictive of IPV recidivism and time to recidivism. However, analyses conducted separately for the two groups indicated that participation in the intervention predicted both recidivism and time to recidivism for the GV but not FO perpetrators who participated in treatment. Specifically, GV men were responsive to treatment whereas FO men were not. Results were somewhat different depending on who was included in the no treatment comparison group.ConclusionsImplications of these findings for one size fits all interventions in IPV are discussed with specific reference to the need to develop different interventions for GV and FO perpetrators.     

Assessment of anger and aggression in male offenders with developmental disabilities

Systematic assessment of anger among people with developmental disabilities has been lacking, especially for hospital inpatients. Reliability and validity of anger self-report psychometric scales were investigated with 129 male patients, mostly forensic. Anger prevalence and its relationship to demographic, cognitive, and personality variables and to hospital assaultive behavior were examined. High internal and intermeasure consistency, and some concurrent validity with staff ratings, were found. Retrospective validity regarding physically assaultive behavior in the hospital was obtained. Hierarchical regressions revealed that patient-reported anger was a significant predictor of assaults postadmission, controlling for age, length of stay, IQ, violence offense history, and personality variables.     

Kriminalprognose bei Sexualstraftätern

Modern methods of risk assessment for sexual recidivism are reviewed, amongst others the statistical and the clinical approaches. The recidivism of sexual offenders is also strongly influenced by basic criminological risk factors like age, intelligence, former criminality, dissocial patterns and poor social integration. A further important risk factor is paraphilia. The analysis of the determining factors of previous sexual assaults is an essential basis for risk assessment. The different forms of sexual assaults are outlined under the aspect of risk assessment.