#11499. Diagnostic Moderators of the Risk-Recidivism Relationship for Offenders with Mental Illness

August 2026publication date
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Journal’s subject area:
Law;
Pathology and Forensic Medicine;
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Abstract:
Recent research suggests that early onset of criminality is a potential marker for a subgroup of offenders with mental illness (OMI) for whom general risk/need factors are more relevant. The present study examines whether the presence of certain psychiatric diagnostic categories (i.e., Psychotic Disorders, Mood Disorders, Personality Disorders, Substance use Disorders) moderates the prediction of arrest outcomes using Level of Service Inventory-Revised (LSI-R) total scores in an archival sample of N = 179 OMI probationers. Moderator analyses demonstrated that LSI-R total scores predicted arrest outcomes significantly better for those with a diagnosis of Personality Disorder using path and survival analytic methods. This study adds to the developing literature on subgroups of OMI for whom general risk/need factors are particularly important and highlights personality disturbance as another potential characterizing feature.
Keywords:
Criminogenic needs; level of service inventory; offenders with mental illness; recidivism; risk/needs

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