Does diagnosis affect the predictive accuracy of risk assessment tools for juvenile offenders: Conduct Disorder and Attention Deficit Hyperactivity Disorder
Dinesh Khanna
Consultant Child and Adolescent Psychiatrist, Cumbria Partnership NHS Foundation Trust, Kinta Annex, Helme Close, Kendal, UK
Search for more papers by this authorJenny Shaw
Manchester Academic Health Science Centre, University of Manchester, Room 2.315, Jean McFarlane Building, Oxford Road, Manchester, UK
Search for more papers by this authorMairead Dolan
Centre for Forensic Behavioural Science, Monash University, Victoria, Australia
Search for more papers by this authorCorresponding Author
Charlotte Lennox
Manchester Academic Health Science Centre, University of Manchester, Room 2.315, Jean McFarlane Building, Oxford Road, Manchester, UK
Corresponding author. Tel.: +44 161 306 8014; fax: +44 161 275 0716.Search for more papers by this authorDinesh Khanna
Consultant Child and Adolescent Psychiatrist, Cumbria Partnership NHS Foundation Trust, Kinta Annex, Helme Close, Kendal, UK
Search for more papers by this authorJenny Shaw
Manchester Academic Health Science Centre, University of Manchester, Room 2.315, Jean McFarlane Building, Oxford Road, Manchester, UK
Search for more papers by this authorMairead Dolan
Centre for Forensic Behavioural Science, Monash University, Victoria, Australia
Search for more papers by this authorCorresponding Author
Charlotte Lennox
Manchester Academic Health Science Centre, University of Manchester, Room 2.315, Jean McFarlane Building, Oxford Road, Manchester, UK
Corresponding author. Tel.: +44 161 306 8014; fax: +44 161 275 0716.Search for more papers by this authorABSTRACT
Studies have suggested an increased risk of criminality in juveniles if they suffer from co-morbid Attention Deficit Hyperactivity Disorder (ADHD) along with Conduct Disorder. The Structured Assessment of Violence Risk in Youth (SAVRY), the Psychopathy Checklist Youth Version (PCL:YV), and Youth Level of Service/Case Management Inventory (YLS/CMI) have been shown to be good predictors of violent and non-violent re-offending. The aim was to compare the accuracy of these tools to predict violent and non-violent re-offending in young people with co-morbid ADHD and Conduct Disorder and Conduct Disorder only. The sample included 109 White-British adolescent males in secure settings. Results revealed no significant differences between the groups for re-offending. SAVRY factors had better predictive values than PCL:YV or YLS/CMI. Tools generally had better predictive values for the Conduct Disorder only group than the co-morbid group. Possible reasons for these findings have been discussed along with limitations of the study.
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