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Reactive and Proactive Aggression in Adolescent Males: Examining Differential Outcomes 10 Years Later in Early Adulthood

Fite, P. J., Raine, A., Stouthamer-Loeber, M., Loeber, R., Pardini, D. A. — Thu, 19 Nov 2009 12:25:10 PST

There is limited knowledge about the unique relations between adolescent reactive and proactive aggression and later psychosocial adjustment in early adulthood. Accordingly, this study prospectively examined associations between adolescent (mean age = 16) reactive and proactive aggression and psychopathic features, antisocial behavior, negative emotionality, and substance use measured 10 years later in early adulthood (mean age = 26). Study questions were examined in a longitudinal sample of 335 adolescent males. Path analyses indicate that after controlling for the stability of the outcome and the overlap between the two subtypes of aggression, reactive aggression is uniquely associated with negative emotionality, specifically anxiety, in adulthood. In contrast, proactive aggression is uniquely associated with measures of adult psychopathic features and antisocial behavior in adulthood. Both reactive and proactive aggression uniquely predicted substance use in adulthood, but the substances varied by subtype of aggression. Implications for findings are discussed.

Adolescent Antisocial Behavior as Predictor of Adverse Outcomes to Age 50: A Follow-Up Study of 1,947 Individuals

Samuelson, Y. M., Hodgins, S., Larsson, A., Larm, P., Tengstrom, A. — Mon, 26 Oct 2009 10:21:01 PDT

The study examined associations between antisocial behavior (ASB) before age 15 and eight adverse outcomes from age 21 to 50 among 1,623 men and 324 women who as adolescents consulted a clinic for substance misuse problems. Outcomes were documented using Swedish national registers and included death, hospitalization for physical illnesses related to substance misuse, mental illness, self-inflicted harm, substance misuse, convictions for violent and nonviolent crimes, and poverty. ASB before age 15 was associated with increased odds of all outcomes in adulthood except hospitalization for mental illness after adjusting for low family socioeconomic status, sex, Sex x ASB, and substance misuse in adulthood and with an increased number of adverse outcomes up to age 50. No gender differences were detected.

Inmate Self-Injurious Behaviors: Distinguishing Characteristics Within a Retrospective Study

Smith, H. P., Kaminski, R. J. — Tue, 20 Oct 2009 09:35:52 PDT

The current study examines demographic, health functioning, and criminogenic correlates of self-injurious behaviors. Incident reports for all 28 South Carolina correctional facilities were collected during a 30-month period, evidencing 189 inmates who self-injure contrasted with 22,794 inmates who do not. Self-injury was significantly associated with the disproportionate utilization of health resources, specifically through major mental health treatment and institutional restriction. Characteristics of incarcerated self-injurers revealed discernible maladjustment to the correctional milieu, with each selfinjury incident being associated with a 37% increase in the number of disciplinary incidents. Moreover, the earlier incarceration period represented a period of greater risk. Each additional year in prison was associated with a 25% increase in self-injurious events, which then declined with further years of imprisonment. These unique characteristics are discussed, and salient policy implications are recommended.

Does Family Process Mediate the Effect of Religiosity on Adolescent Deviance? Revisiting the Notion of Spuriousness

Pickering, L. E., Vazsonyi, A. T. — Fri, 09 Oct 2009 09:58:18 PDT

A considerable amount of research has been conducted on the nature of the relationship between both religiosity and family process with deviance. There are few studies, however, that investigate the interplay among religiosity, family process, and deviance. The current study sought to examine whether family process mediates the relationship between religiosity (conceptualized as ritualistic participation and relational practice) and deviance. High school students (N = 865) responded to survey questions dealing with religiosity (two scales), family process (six scales for both mothers and fathers), and deviance (seven subscales and a total deviance scale). A structural equation modeling (SEM) analytic approach was used. Results indicated that family process did not mediate the relationship between religiosity and deviance. Relational practice was found to be a more robust predictor of deviant behavior than ritualistic participation. Future research in this area should seek to improve methods of data collection (e.g., multimethod) and to develop better scalar measures of religiosity.

Testing the Validity of the K6 in Detecting Major Depression and PTSD Among Jailed Women

Kubiak, S. P., Beeble, M. L., Bybee, D. — Tue, 06 Oct 2009 17:00:17 PDT

Despite high prevalence rates of mental illness, jails often lack validated measures for detecting it, and many of the screening instruments used do not adequately identify depression and trauma-related disorders in women. The authors assessed the validity of the K6 in identifying major depression and PTSD among 515 jailed women, comparing it to two valid and reliable screening tools, the PHQ-9 and the Short Screening Scale for DSM-IV PTSD. The K6 identified 37% of women as having serious mental illness using the customary cut score of 13, with an ROC-AUC value of .92 in detecting major depression or PTSD. However, this cut score misclassified a substantial proportion of women; therefore, a modification of this score may be warranted. Lowering this cut score would increase the number of women identified but may be justified by incarcerated women’s high rates of exposure to trauma and the consequences of unmet mental health needs.

Chronic Violent Patients in an Inpatient Psychiatric Hospital: Prevalence, Description, and Identification

Lussier, P., Verdun-Jones, S., Deslauriers-Varin, N., Nicholls, T., Brink, J. — Fri, 25 Sep 2009 12:22:16 PDT

This study examines the prevalence and the individual characteristics of chronically violent patients (CVPs) in a psychiatric hospital during inpatient treatment. The study is based on a 1-year follow-up investigation of all violent episodes committed by a sample of 527 patients in a forensic psychiatric hospital in British Columbia, Canada. Sociodemographic, legal and criminological, historical, and clinical factors were analyzed using a risk assessment scheme. Approximately 10% of the sample was responsible for more than 60% for all violent episodes recorded during the study period. Those CVPs were characterized by historical, but mostly clinical, risk factors. Moderate to good predictive accuracy was achieved when defining CVPs as individuals who perpetrated 15 or more violent episodes. Important limitations of the actuarial approach were also highlighted by the presence of two qualitatively different groups of CVPs. The results are discussed in light of the scientific literature on the risk management of inpatient violence.