Assessment of Violent Recidivism and Psychopathy in the Mentally Ill Prison Inmates using VRAG (Violent Risk Assessment Guide) - A Pilot Study in Mysore

Mudassir Azeez Khan, Shreyas Gomedic Ramachandra, Julian Gojer, Anand Reddy, Prashantha Bettappa

Abstract


Introduction: Psychopathy is associated with criminal behaviors and is linked to violent recidivism. Birth order, family size, educational attainment and substance abuse influence psychopathic traits and it remains to be examined if these factors also have an effect on violent recidivism. VRAG (Violent Risk Appraisal Guide) is an actuarial risk assessment instrument that is intended to estimate violent recidivism in the forensic psychiatric subjects.

Aim: To predict violent recidivism and examine its association with psychopathy and factors such as birth order, educational attainment, sib-size, age of the prison inmate and age at offence in the mentally ill prisoners in an Indian sample in Mysore Central Prison.

Method: The VRAG test was administered on a sample of 15 prisoners who were diagnosed mentally ill. All data were entered into SPSSw18 and analyzed using Pearson correlation test for correlation between variables.

Results: PCL-R (Hare’s Psychopathy Checklist-Revised) score did not show any association with violent recidivism predicted by VRAG instrument. Birth order did have an association with predicted score of violent recidivism (r=−0.608, p=0.036). There was also a correlation between the commissions of non-violent offenses with predicted VRAG scores of violent recidivism (r=0.61, p=0.046). Size of female siblings had a moderating effect on re-offense (r=−0.694, p=0.012). Both educational attainment and sib-size are associated with early criminal violence(r=−0.59, p=0.04 for both). Sib-size is negatively correlated with educational attainment (−0.715, p=0.09).

Conclusion: Earlier born sibling, large family size, lower educational attainment, absence or fewer female siblings is linked to violent recidivism. There was no association with PCL-R score and predicted recidivism using VRAG tool in this study. Although VRAG instruments are validated by some studies in non-Indian setup, to validate the scale in India a longitudinal follow-up of the subjects for violent recidivism is needed.


Keywords


Violent recidivism, VRAG, Mental disorder, Psychopathy.

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References


Rice ME, Harris GT. Violent recidivism: Assessing predictive validity. J Consult Clin Psychol 1995; 63(5): 737-48.

Nunes KL, Firestone P, Bradford JM et al. A comparison of modified versions of the Static-99 and the sex offender risk appraisal guide. Sex Abuse 2002; 14(3): 253-69.

Loza W, Villeneuve DB, Loza-Fanous A. Predictive validity of the Violence Risk Appraisal Guide: a tool for assessing violent offender's recidivism. Int J Law Psychiatry 2002; 25(1): 85-92.

Kroner C, Stadtland C, Eidt M et al. The validity of the Violence Risk Appraisal Guide (VRAG) in predicting criminal recidivism. Crim Behav Ment Health 2007; 17(2): 89-100.

Harris GT, Rice ME, Quinsey VL. Violent recidivism of mentally disordered offenders: The development of a statistical prediction instrument. Criminal Justice and Behavior 1993; 20: 315-35.

Walmsley R. World Prison Population List. London, UK: International Centre for Prison Studies, 2009.

Fazel S, Danesh J. Serious mental disorder in 23000 prisoners: A systematic review of 62 surveys. Lancet 2002; 359(9306): 545-50.

Mishra S, Lalumiere M. Is the crime drop of the 1990s in Canada and the USA associated with a general decline in risky and health-related behavior? Soc Sci Med 2009; 68(1): 39-48.

Maden A, Scott F, Burnett R et al. Offending in psychiatric patients after discharge from medium secure units: prospective national cohort study. BMJ 2004; 328(7455): 1534.

Tiihonen J, Isohanni M, Rasanen P et al. Specific major mental disorders and criminality: A 26-year prospective study of the 1966 northern Finland birth cohort. Am J Psychiatry 1997; 154(6): 840-45.

Hare RD, Clark D, Grann M et al. Psychopathy and the predictive validity of the PCL-R: An international perspective. Behav Sci Law 2000; 18(5): 623-45.

Rahav G. Birth order and delinquency. British Journal of Criminology 1980; 20(4): 385-95.

Horton Jr AM. Prediction of recidivism in a criminal population by birth order and family size. Psychological Reports 1978; 42(1): 27-30.

Sulloway FJ. Birth Order. In: Runco MA (Ed.). Encyclopedia of Creativity. San Diego Academic Press, 1999: 189-202.

Baillargeon J, Binswanger IA, Penn JV et al. Psychiatric disorders and repeat incarcerations: The revolving prison door. Am J Psychiatry 2009; 166(1): 103-109.

Coid J, Yang M, Ullrich S et al. Psychopathy among prisoners in England and Wales. Int J Law Psychiatry 2009; 32(3): 134-41.

Frick PJ, Kimonis ER, Dandreaux DM et al. The 4 year stability of psychopathic traits in non-referred youth. Behav Sci Law 2003; 21(6): 713-36.

Edens JF, Cahill MA. Psychopathy in adolescence and criminal recidivism in young adulthood: longitudinal results from a multiethnic sample of youthful offenders. Assessment 2007; 14(1): 57-64.

Leistico AM, Salekin RT, DeCoster J et al. A large-scale meta-analysis relating the hare measures of psychopathy to antisocial conduct. Law Hum Behav 2008; 32(1): 28-45.

Cooke DJ, Michie C, Skeem J. Understanding the structure of the psychopathy checklist-revised: an exploration of methodological confusion. Br J Psychiatry Suppl 2007; 49: 39-50.

Fridell M, Hesse M, Jaeger MM et al. Antisocial personality disorder as a predictor of criminal behaviour in a longitudinal study of a cohort of abusers of several classes of drugs: Relation to type of substance and type of crime. Addict Behav 2008; 33(6): 799-811.

Hakansson A, Berglund M. Risk factors for criminal recidivism-a prospective follow-up study in prisoners with substance abuse. BMC Psychiatry 2012; 12: 111.

Fischer DG. Family size and delinquency. Percept Mot Skills 1984; 58(2): 527-34.

De Sanctis VA, Newcorn JH, Halperin JM. A prospective look at substance use and criminal behavior in urban ADHD youth: What is the role of maltreatment history on outcome? Atten Defic Hyperact Disord 2014: 79-86.

Gao Y, Raine A, Chan F et al. Early maternal and paternal bonding, childhood physical abuse and adult psychopathic personality. Psychol Med 2010; 40(6): 1007-16.


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