Public Safety Canada

The current study examined the extent to which the temporal order of sexual offending may be risk-relevant for men with Child Sexual Exploitation Material (CSEM; also referred to as child pornography) offences. We categorized 85 men who had committed two distinct sexual offences (CSEM or contact sexual offence) into three groups: (1) 47% (n = 40) followed a stable pattern, that is, men with CSEM offences who then committed a new CSEM offence; (2) 41% (n = 35) followed a de-escalation pattern, that is, men with contact sexual offences who then committed a CSEM offence; (3) and 12% (n = 10) followed an escalation pattern, that is, men with CSEM offences who then committed a contact sexual offence. Compared to the other groups, the stable group had more sexual interest in children, the de-escalation group had a younger age at first police involvement and more prior offending, and the escalation group had more substance use problems. We then examined recidivism (any new offence after the second sexual offence) and found that the escalation group had the highest 5-year and 7-year reoffending rates (start of follow-up: opportunity after the second sexual offence) for any crime, any non-sexual violence, any violence (including contact sexual offences), and any contact sexual recidivism. The de-escalation and stable groups had the highest CSEM recidivism rates. The current study suggests that ordering of offending within men adjudicated for CSEM offences is risk-relevant and that those who fit the escalation pattern may be at higher risk to reoffend.

Having a supervisor with psychopathic characteristics is related to beingbullied, poorer job satisfaction, work/family life conflict, financialinstability, and distress. To date, all research on corporate psychopathyvictims considers how they are negatively impacted rather than potentialpositive outcomes. In response, this study examined how working with apsychopath impacts posttraumatic growth (PTG). Utilizing a mixed-methodsapproach, this study draws upon the experiences of 285 individuals who haveworked with a colleague or supervisor with alleged psychopathic characteristics.Results indicated that approach coping and psychopathic characteristicspredicted PTG. Qualitative analyses revealed that the majority of participantsused various coping strategies (e.g., emotion-focused), received support (e.g.,emotional), and underwent post-experiential growth or learning (e.g., positivepersonal growth); not all growth/learning was positive, however (e.g., lesstrusting). Results suggest that cultivating approach-focused coping strategiesmay enhance PTG following a traumatic event.

We applied offending trajectory analyses to 387 men adjudicated for child sexual exploitation material (CSEM) offenses. After an average of 20 years, we found two trajectories of sexual offending and violent offending: one that peaked in late adolescence and was associated with higher rates of crimes, and one that peaked in the 30s and was associated with a lower rate of crime. We found four trajectories when modeling any crime. The findings highlight the heterogeneity of men with CSEM offenses. Although lifelong patterns of numerous sexual crimes were uncommon, men with more sexual crimes had greater indicators of sexual interest in children and a younger age of first contact with police. CSEM offenses were rarely the first offense in their criminal trajectories. As such, early intervention targeting youth before they are further advanced in their criminal careers may also reduce future CSEM offending.

ABSTRACT We examined the associations between childhood sexual abuse (CSA), childhood physical abuse (CPA), sexual domain variables, antisocial tendencies, and sexually coercive behaviour in a non-forensic sample of 173 heterosexual men. CSA was associated with paraphilic interests and experiences, a more extensive sexual life history, and early antisocial tendencies. CPA was associated with paraphilic interests and experiences, more self-reported delinquency, higher sensation seeking, and early antisocial tendencies. Sexual domain variables (e.g. number of sexual partners, sexual interest in sadomasochism) mediated the link between CSA and sexually coercive behaviour, but antisocial domain variables (e.g. delinquency, sensation seeking) did not. Of the two sexual domains examined, extensive sexual life history rather than paraphilias mediated the association between CSA and sexually coercive behaviour. These results suggest CSA and CPA are associated with both sexual and antisocial outcomes, and that, for some victims of CSA, having an extensive sexual life history may account for the association between CSA and sexually coercive behaviour later in life.

Several calls have been made for replacing coefficient α with more contemporary model-based reliability coefficients in psychological research. Under the assumption of unidimensional measurement scales and independent measurement errors, two leading alternatives are composite reliability and maximal reliability. Of these two, the maximal reliability statistic, or equivalently Hancock's H, has received a significant amount of attention in recent years. The difference between composite reliability and maximal reliability is that the former is a reliability index for a scale mean (or unweighted sum), whereas the latter estimates the reliability of a scale score where indicators are weighted differently based on their estimated reliabilities. The formula for the maximal reliability weights has been derived using population quantities; however, their finite-sample behavior has not been extensively examined. Particularly, there are two types of bias when the maximal reliability statistic is calculated from sample data: (a) the sample maximal reliability estimator is a positively biased estimator of population maximal reliability, and (b) the true reliability of composites formed with maximal reliability weights calculated from sample data is on average less than the population reliability. Both effects are more pronounced in small-sample scenarios (e.g., <100). We also demonstrate that the composite reliability estimator for equally weighted composite exhibits substantially less bias, which makes it a more appropriate choice for the small-sample case. (PsycINFO Database Record (c) 2019 APA, all rights reserved).

The Pediatric National Surgical Quality Improvement Program (P-NSQIP) samples surgical procedures for benchmarking and quality improvement. While generally comprehensive, P-NSQIP does not collect intraoperative physiologic data, despite potential impact on outcomes. The aims of this study were (a) to describe a methodology to augment P-NSQIP with vital signs data and (b) demonstrate its utility by exploring relationships that intraoperative hypothermia and hypotension have with P-NSQIP outcomes. Vital signs from 2012 to 2016 were available in a research databank. Episodes of hypotension and hypothermia were extracted and recorded alongside local P-NSQIP data. Multivariable regression analyses were performed to explore associations with undesired outcomes, including: surgical site infection, wound disruption, unplanned return to the operating room, and blood transfusion. Model variables were selected with the Akaike information criterion using 2012-2014 as the training set and validated with receiver operating characteristics analysis using 2015-2016 as the testing set. Data from 6737 patients were analyzed, with 43.9% female, median [interquartile range] age 5.8 [1.3-12.4]years, undergoing procedures lasting 118 [75-193]minutes. Hypothermia, observed in 45% of cases, was associated with wound disruption (odds ratio 1.75, 95% CI 1.1-2.83). Hypotension, observed in 60% of cases, was associated with unplanned returns (odds ratio 1.58, 95% CI 1.02-2.51), and transfusions (odds ratio 1.95, 95% CI 1.14-3.52). Surgical site infection, wound disruption, unplanned return, and transfusion models had areas under the receiver operating characteristic curve of 0.69/0.67, 0.59/0.63, 0.78/0.79, and 0.92/0.93 for validation models including hypothermia/hypotension respectively. Adding intraoperative vital signs to P-NSQIP data allowed identification of two modifiable risk factors: hypothermia was associated with increased wounddisruption, and hypotension with increased blood transfusions and unplanned returns to the operating room. These findings may motivate prospective studies andprompt other centers and P-NSQIP to augment outcome data with intraoperative physiological data.

Although considerable research has found overall moderate predictive validity of Static-99R, a sex offender risk prediction tool, relatively little research has addressed its potential for cultural bias. This prospective study evaluated the predictive validity of Static-99R across the three major ethnic groups (White, n = 789; Black, n = 466; Hispanic, n = 719) in the state of California. Static-99R was able to discriminate recidivists from nonrecidivists among White, Black, and Hispanic sex offenders (all area under the curve [AUC] values &gt;.70; odds ratios &gt;1.39). Base rates (at a Static-99R score of 2) with a fixed 5-year follow-up across ethnic groups were very similar (2.4%-3.0%) but were significantly lower than the norms (5.6%). The current findings support the use of Static-99R in risk assessment procedures for sex offenders of White, Black, and Hispanic heritage, but it should be used with caution in estimating absolute sexual recidivism rates, particularly for Hispanic sex offenders.

This article describes principles for developing risk category labels for criterion referenced prediction measures, and demonstrates their utility by creating new risk categories for the Static-99R and Static-2002R sexual offender risk assessment tools. Currently, risk assessments in corrections and forensic mental health are typically summarized in 1 of 3 words: low, moderate, or high. Although these risk labels have strong influence on decision makers, they are interpreted differently across settings, even among trained professionals. The current article provides a framework for standardizing risk communication by matching (a) the information contained in risk tools to (b) a broadly applicable classification of "riskiness" that is independent of any particular offender risk scale. We found that the new, common STATIC risk categories not only increase concordance of risk classification (from 51% to 72%)-they also allow evaluators to make the same inferences for offenders in the same category regardless of which instrument was used to assign category membership. More generally, we argue that the risk categories should be linked to the decisions at hand, and that risk communication can be improved by grounding these risk categories in evidence-based definitions. (PsycINFO Database Record