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Psychopathic traits and offender characteristics – a nationwide consecutive sample of homicidal male adolescents
© Lindberg et al; licensee BioMed Central Ltd. 2009
Received: 26 January 2009
Accepted: 06 May 2009
Published: 06 May 2009
The aim of the study was to evaluate psychopathy-like personality traits in a nationwide consecutive sample of adolescent male homicide offenders and to compare the findings with those of a randomly sampled adult male homicide offender group. A further aim was to investigate associations between psychopathic traits and offender and offence characteristics in adolescent homicides.
Forensic psychiatric examination reports and crime reports of all 15 to19- year- old male Finnish offenders who had been subjected to a forensic psychiatric examination and convicted for a homicide during 1995–2004 were collected (n = 57). A random sample of 57 adult male homicide offenders was selected as a comparison group. Offence and offender characteristics were collected from the files and a file-based assessment of psychopathic traits was performed using the Hare Psychopathy Checklist-Revised (PCL-R) by trained raters.
No significant differences existed between the adolescents and adults in PCL-R total scores, factor 2 (social deviance) scores, or in facets 3 (lifestyle) and 4 (antisocial). Adults scored significantly higher on factor 1 (interpersonal/affective) and facets 1 (interpersonal) and 2 (affective). The adolescent group was divided into two subgroups according to PCL-R total scores. One in five homicidal male adolescents met criteria for psychopathic personality using a PCL-R total score of 26 or higher. These boys significantly more often had a crime history before the index homicide, more frequently used excessive violence during the index homicide, more rarely lived with both parents until 16 years of age, had more institutional or foster home placements in childhood, had more school difficulties, more often had received special education, and, more often had contact with mental health services prior to age 18 years than boys scoring low on the PCL-R. They also more often had parental criminal history as well as homicide history of parents or near relatives than the group scoring low on the PCL-R.
Homicidal boys behaved as antisocially as the homicidal adults. The adults, however, showed more both affective and interpersonal features of psychopathy. Homicidal adolescents with psychopathy-like personality character form a special subgroup among other homicidal youngsters. Recognizing their characteristics, especially in life course development, would facilitate effective prevention and intervention efforts.
Among Western European nations, Finland has an exceptionally high rate of homicide. In 2006, the total rate per 100,000 inhabitants of homicidal crimes reported to the police was 2.6  in a population of 5.3 million . The annual number of police-reported homicides has varied between 100 and 155 during the last ten years . The rates per capita have for decades been about double the rate of the most of the other West European democracies and triple the rate of the other Nordic countries . Approximately 9% of homicides each year are committed by individuals aged less than 20 years . As many as 92% of the young homicidal offenders are boys .
According to a recent study on Finnish homicidal adolescents , approximately 50% were diagnosed as having a conduct disorder or a personality disorder, while 7% of these offenders suffered from schizophrenia. Sixty-four percent of the adolescents were intoxicated by alcohol and 21% were under the influence of drugs at the time of the killing; however, as many as 32% of the offenders were considered not to suffer from a mental illness or substance abuse. The motive "robbery" was high  suggesting that among adolescent homicide offenders acts of instrumental violence are more frequent. About one-third of homicides committed by adolescents are carried out by two or more perpetrators . Excessive violence has been shown to be related to adolescent homicides, suggesting an unambivalent need to maximize injuries  or a tendency to show off to peers .
Psychopathy is defined as a constellation of affective, interpersonal, and behavioral characteristics including impulsivity, irresponsibility, shallow emotions, lack of empathy, guilt, or remorse, pathological lying, and persistent violation of social norms and expectations [9–11]. At the interpersonal level, psychopathic individuals have been described as grandiose, arrogant, callous, dominant, superficial, and manipulative. Affectively, they are short-tempered, unable to form strong emotional bonds with others, and lacking in guilt or anxiety. These interpersonal and affective features are associated with a socially deviant lifestyle that includes irresponsible behavior and a tendency to ignore or violate social conventions and mores . Although not all persons with psychopathy come into contact with the criminal system, their defining features place them at high risk for aggression and violence . Offenders with psychopathy typically begin their antisocial and criminal activities at a relatively young age and continue to engage in these activities throughout their lifespan . In addition, their use of violence tends to be more instrumental, dispassionate, and predatory than that of other offenders . Psychopathy has also been repeatedly associated with sadistic and sexual violence . Psychopathic criminals re-offend more quickly, more often, and more violently following release from custody than do other offenders . Victims of offenders with psychopathy are less often family members and more often strangers than is the case with other nonpsychopathic violent offenders . In addition to antisocial personality disorder, psychopathy is associated with alcohol and drug abuse and dependency [18, 19]. Usually, a negative correlation or no correlation with the presence of a major mental disorder is recorded [18, 20]. However, prevalence of psychopathy among seriously violent offenders with schizophrenia is elevated, being as high as 20% [21–23].
Most authors consider adult psychopathy to stem from conduct problems exhibited earlier in life , and childhood traumatization has repeatedly been associated with psychopathic development [25–27], but the utility of the psychopathy construct has been questioned for youths by some researchers because of its likelihood to be less stable, the weight that the label carries for poor prognosis, and the lack of prospective longitudinal research [28–30]. A recent follow-up study has, however, found that adolescent psychopathic features are quite stable , and depending on the nature of the sample and the instrument used to assess psychopathy, as many as 9–59% of adolescent offenders have been reported to have psychopathy- like personality character . Youngsters with psychopathic traits commit more violent acts , re-offend more quickly than other antisocial adolescents , and their offences are more serious than in other antisocial youths . So, in this sense, juvenile psychopathy resembles adult psychopathy .
The aim of this study was to evaluate psychopathy-like personality traits in a nationwide consecutive sample of adolescent male homicide offenders and to compare these findings with a randomly sampled adult gender-matched homicide offender group. Our hypothesis was that despite the difference in age, in the perspective of psychopathy these two groups would not differ from each other. The other aim of the study was to investigate associations between adolescent psychopathic traits and offender and offence characteristics. Our hypotheses were that adolescents with psychopathy-like personality character would more often have previous crime history, more often suffer from conduct disorder/antisocial personality disorder and drug problems, significantly more frequently use excessive violence in their killing, more often act with co-offenders, more often direct violence to strangers, and, that motive for violence would more often be instrumental. We also examined connections between adolescent psychopathic traits and life course development. We hypothesised that homicidal adolescents with psychopathic personality character would report more childhood trauma.
The material of the present study was register-based and nationwide. In Finland, the mean clearance rate for homicide was 92% during 1995–2004 . Information concerning homicides and the offenders was obtained from the Finnish National Authority for Medicolegal Affairs (NAMA), which organizes the forensic psychiatric examinations in Finland. According to Finnish law, courts decide whether a forensic examination is needed. After deciding on the examination, the court asks NAMA to arrange it. Forensic psychiatric examinations are inpatient evaluations lasting six weeks on average, and include data gathered from various sources (family members, relatives, and medical, criminal, school, and military records), psychiatric evaluation, standardized psychological tests, interviews conducted by a multiprofessional team, evaluation of the offender's physical condition and continuous observation of the offender by hospital staff. The final forensic psychiatric report includes an opinion on the level of criminal responsibility, a possible psychiatric diagnosis, and an assessment as to whether or not the offender fulfils the criteria for involuntary psychiatric care. As part of a large research project on Finnish homicides led by author HH, forensic psychiatric examination reports of all offenders prosecuted for a homicide perpetrated in 1995–2004 and who had been subjected to a forensic psychiatric examination were collected from the archives of NAMA. Between 1995–2004 a total of 1046 people were charged with homicide offences , 749 of whom were referred to a forensic psychiatric examination. These 749 offenders were prosecuted for 700 homicidal events with a total of 757 victims. Of these offenders, 66 (9%) were 15–19-years old at the time of the killing (note: in Finland, the minimum age of criminal liability is 15 years). Later, collection of subjects' criminal records from the Legal Register Center showed that six of these 15- to 19- year-olds were eventually not convicted for the homicide (but rather for aggravated assault, for instance) or did not have a criminal record (e.g. due to being deceased). These cases were excluded from the data leaving us with a sample of 57 boys and 3 girls. After excluding the girls (due to an extremely small number) the final data comprised 57 male adolescents (mean age 17.6 years, SD 1.25). Of the remaining offenders in the national data, a random sample of 57 adult males (mean age 37.6 years, range 20–59, SD 10.81) convicted of a homicide served as the comparison group. NAMA, the Legal Register Center and the Ministry of the Interior approved the study protocol.
Assessment of psychopathy-like personality character was performed using the 20-item Hare Psychopathy Checklist-Revised (PCL-R) , which has become the standard for assessing psychopathy in forensic settings. The PCL-R is thus a reliable and valid instrument for measuring psychopathy [36–40], and its psychometric properties appear to be much the same across countries . Although the PCL-R was originally constructed for use with adult male criminal offenders, it has been shown to be functional in the assessment of male juvenile delinquents as well [41, 42]. Due to the comparison with an adult sample, the youth version of PCL-R (PCL-R:YV)  was not applicable here. Specific scoring criteria were used to rate each PCL-R item on a three-point scale (0 = absent,1 = possibly or partially present, 2 = definitely present) according to the extent to which it applies to a given individual. The PCL-R items are summed to yield total scores ranging from zero to 40; scores of 30 and higher are considered diagnostic of psychopathy . In line with recommendations of a lower cut-off score for European populations [40, 45, 46], a cut-off score of 26 has often been used in studies performed in Scandinavian countries [47, 48]. The PCL-R is underpinned by two factors that tap affective-interpersonal features (factor 1: glibness and superficial charm, grandiose sense of self-worth, pathological lying, manipulative behavior, lack of remorse or guilt, shallow affect, lack of empathy, failure to accept responsibility) and socially deviant lifestyle and behaviors (factor 2: proneness to boredom, parasitic lifestyle, poor behavioral controls, lack of realistic, long-term goals, impulsivity, irresponsibility, juvenile delinquency, revocation of conditional release). Factor 1 can be separated into two facets; interpersonal (facet 1) and affective (facet 2), as can factor 2; lifestyle (facet 3) and antisocial (facet 4). Although PCL-R assessments are recommended to be based on both a review of file information and an semistructured interview with the offender, research has consistently shown that assessments based solely on file information are highly similar to those including an interview, and, provided that there is sufficient file information, are appropriate in the absence of an interview, especially for research purposes [36, 49–51].
Forensic psychiatric examination reports were retrospectively reviewed. As PCL-R/PCL-R:YV is not applied in the standard hospital examinations, the reports were retrospectively scored using the PCL-R by trained raters, all of whom were either forensic psychiatrists or psychologists. Further, to evaluate inter-rater agreement on PCL-R ratings, 20 reports were randomly chosen from the total national data and rated by all raters after workshop attendance and several training sessions. The inter-rater agreement was assessed using intraclass correlation (ICC). The ICC was 0.898 for PCL-R total score, 0.735 for factor 1 score and 0.920 for factor 2 score. All correlations were significant (p < 0.001). The internal consistency, as measured by Cronbach's alpha, was 0.89 for all items, 0.86 for factor 1, and 0.79 for factor 2, 0.84 for facet 1, 0.83 for facet 2, 0.87 for facet 3, and 0.64 for facet 4.
Demographic data, family related characteristics, problems related to school, information on psychiatric and criminal history as well as the index offences were gathered from the Finnish police computerized Criminal Index File and the forensic psychiatric evaluation reports. Diagnoses were made according to DSM-III-R  criteria until 1996, after which ICD-10  was used together with DSM-IV . According to Cloninger and Svrakic  diagnosis of specific personality disorder may be made in children and adolescents when observed maladaptive personality traits are pervasive, persistent, and unlikely to be limited to a particular developmental stage or an episode of an axis I disorder. Diagnosis of a personality disorder in an individual under 18 years of age requires that the features be present for more than 1 year. The only exception to this is antisocial personality disorder, which can not be diagnosed in individuals under 18 years of age. The overall quality and reliability of Finnish forensic psyhiatric examinations are considered high by both courts and scientists . With regard to index violence, the cases needed to be coded for excessive violence. There is currently no uniform operational definition for excessive violence. However, excessive violence has been operationalised in two of our previous studies on homicides in reference to the mean number of stab wounds in the data as well as sadistic or sexual features [7, 57]. Similar operational definition was used in the present study to allow comparison to our previous studies. Thus, with regard to index violence, the cases were classified as excessively violent if sadistic or sexual features, mutilation, more than three forms of violence, or more than 13 stab wounds (which was the mean number of stab wounds with a s.d. of 23.4) were present. Inter-rater reliability of the offence, victim, and offender related variables has been assessed in our previous studies, where the same data collection procedure and partly the same data were used [58, 59]. Thus, only variables with substantial or perfect agreement  were included in this data.
Data analyses were conducted with the SPSS 11.0.1. statistical software package. Chi-square analysis and Fisher's Exact Test were used to compare differences in frequencies between the groups. Differences in mean PCL-R scores were assessed by Mann-Whitney U-test. Findings were considered significant when p < 0.05. The Bonferroni correction was not used to control Type I errors due to the multiple comparisons, as it has been criticized for dramatically increasing the risk of Type II errors [61–63]. Instead, effect sizes are reported. For chi square analysis, the magnitudes of effect size phi were interpreted following the guidelines by Rea and Parker: 0.00 to under 0.10 – negligible association, 0.10 to under 0.20 – weak association, 0.20 to under 0.40 – moderate association, 0.40 to under 0.60 – relatively strong association, 0.60 to under 0.80 – strong association, and 0.80 to 1.00 – very strong association . To assist in determining the meaningfulness of group effects, correlational effect size statistics were calculated by diving the z score by the square root of the number of participants contributing to the analyses. An effect size of r = 0.10 was defined as small, r = 0.30 as medium, and r = 0.50 as large .
The mean age of victims of the adolescent group was 38.3 years (range 10–78, SD 19.01) and of the adult comparison group 40.3 years (range 3–85, SD 13.65). The difference between the groups was not significant.
PCL-R mean (SD) total scores, factor scores, facet scores, and item-by-item scores of the homicidal male adolescents (n = 57) and the adult male comparison group (n = 57).
PCL-R total score
PCL-R total score ≥ 26 n (%)
PCL-R total score > 30 n (%)
PCL-R factor 1 Interpersonal/Affective
PCL-R factor 2
PCL-R facet 1
PCL-R facet 2
PCL-R facet 3
PCL-R facet 4
1. Glibness/superficial charm
2. Grandiose sense of self-worth
3. Need for stimulation
4. Pathological lying
6. Lack of remorse or guilt
7. Shallow affect
8. Callous/lack of empathy
9. Parasitic lifestyle
10. Poor behavioral controls
11. Promiscuous sexual behaviour
12. Early behavioral problems
13. Lack of realistic goals
16. Failure to accept responsibility
17. Many short-term marital relationships
18. Juvenile delinquency
19. Revocation of conditional release
20. Criminal versatility
No significant differences existed between the adolescents and adults in PCL-R total scores, factor 2 (social deviance) scores, or in facets 3 (lifestyle) and 4 (antisocial). Adults scored significantly higher on factor 1 (interpersonal/affective) and facets 1 (interpersonal) and 2 (affective). No significant correlation existed between offender's age and PCL-R in adolescents. A negative correlation between offender's age and PCL-R total score in the comparison group was observed (Pearson r = -0.323, p = 0.014).
Mean (SD) Factors, facets, clinical diagnoses, crime history, crime characteristics, victim-offender relationship, and life course development in homicidal male adolescents scoring low (total score < 26; n= 45) and high (total score ≥ 26; n= 12) on the PCL-R.
PCL-R < 26
PCL-R ≥ 26
PCL-R factor 1 Interpersonal/Affective
PCL-R factor 2
PCL-R facet 1
PCL-R facet 2
PCL-R facet 3
PCL-R facet 4
History of previous offending
Previous crime history
Violent crime (assault, homicide, rape)
Clinical diagnoses during the index homicide
Conduct disorder or anti-social personality disorder
Another than antisocial personality disorder
Excessive violence during the index homicide
More than one offender
More than one victim
Another crime in association with the homicide
Life course development
Lived with both parents until 16 years of age
Institutional or foster home placement in childhood
Parental alcohol abuse
Parental psychiatric problems
Physical violence at childhood home
Parental criminal history
Homicide history of parents or near relatives
Mental health contact prior to age 18 years
The boys scoring high on the PCL-R differed markedly from those scoring low on the PCL-R on both factors and all four facets. They significantly more often had a crime history before the index homicide, more frequently used excessive violence during the index homicide, more rarely lived with both parents until 16 years of age, had more institutional or foster home placements in childhood, had more school difficulties, more often had received special education, and, more often had contact with mental health services prior to age 18 years than boys scoring low on the PCL-R. They also more often had parental criminal history as well as homicide history of parents or near relatives than the group scoring low on the PCL-R.
The aim of this study was to evaluate psychopathy-like personality traits in a nationwide consecutive sample of adolescent male homicide offenders and to compare these findings with a randomly sampled adult gender-matched homicide offender group. According to our hypothesis PCL-R total scores did not differ between the two groups. Homicidal boys as a group displayed highly antisocial behavior, and despite being approximately 20 years younger than the adult offenders, were as antisocial as the adult group. The adults, however, showed more both affective and interpersonal features of psychopathy. Many authors contend that psychopathic personality features – such as dishonesty, lack of guilt, or manipulativeness – are often present already in childhood [9, 10, 66, 67], but interpersonal and affective features typically develop and strengthen over time in connection with other people . This might explain why they were not as prominent in youths, with fairly limited social interaction networks, as in adults. In addition, this may explain the recent reports that young offenders with psychopathy-like personality character might be more malleable than adults and benefit more from treatment . Another explanation for the difference could be that the affective-interpersonal features were similarly present in adolescents and adults, but were not noticed equally well by forensic investigators, who typically work in the field of adult psychiatry and are not experts in adolescent psychiatry. It is also noteworthy that in Finland approximately only one-tenth of forensic psychiatric examinations are performed on under-aged offenders. The affective-interpersonal aspects of psychopathy are typically more difficult to recognize than the behavioral ones and the difficulty may be even greater in youngsters. To better understand the transition from psychopathic features to adult psychopathy, more prospective longitudinal research is needed.
In line with the previous Finnish study , the mean age of the victims did not differ between the adolescents and the adult comparison group. This has been explained by two main reasons. Firstly, parents, stepparents as well as other adult quardians are often victims of under-aged homicide offenders, and, secondly, robbery is one of the most frequent motives among adolescent killers . Among Finnish adults, a typical homicide victim is an adult drinking partner . The other aim of the present study was to investigate associations between adolescent psychopathic traits and offender and offence characteristics. The adolescent sample was divided into two groups according to PCL-R total scores. Approximately one in five Finnish homicidal male adolescents showed psychopathy-like personality character using the PCL-R with the recommended cut-off score of 26 for Scandinavian populations. There is continuous ongoing discussion on whether antisocial and criminal behaviors are parts of the psychopathy syndrome. In a recent study by Andershed et al. , the three-factor model of psychopathy by Cooke and Michie , which excludes aspects of criminal behavior, was shown to be useful in identifying a problematic subgroup of young offenders. In the present study, boys with psychopathy-like personality character differed markedly from those scoring low on the PCL-R on both factors and all four facets. Thus, differences between the groups cannot be explained only by differences in antisocial and criminal behaviors but also by both affective and interpersonal features, which are often known as the "core" of psychopathy . Many studies among children and adolescents indicate that these affective-interpersonal traits foreshadow the greatest risk of long-term maladjustment [71–73].
Boys with psychopathy-like personality character significantly more often had a previous crime history than boys scoring low on the PCL-R. This result is in agreement with many previous reports showing that adolescents with psychopathic traits differ from other antisocial youths in age of onset of criminal career and likelihood of recidivism [33–35, 74, 75].
In line with previous studies on Finnish adolescent homicide offenders, our results suggest that abuse of alcohol or drugs, personality disorders, and social maladjustment characterize young offenders [6, 7]. In accordance with the results for adult populations and for some earlier studies among young offenders [41, 70, 76], adolescents scoring high on the PCL-R seemed to have a tendency to suffer from conduct disorder/antisocial personality disorder as well as from other personality disorders and substance abuse/dependence more often than adolescents scoring low on the PCL-R.
The degree of cruelty in a homicide is difficult to measure, and a finding of brutality is subjective, varying across time and place. In our study, the use of excessive violence in killing was significantly more frequent in boys with psychopathy-like personality character than in boys scoring low on the PCL-R. Despite our conservative criteria for excessive violence, almost 40% of the boys scoring high on the PCL-R were classified into this category. The finding is similar to that reported in adult populations and is consistent with the study by Murrie et al. , in which PCL-YV psychopathy scores correlated with measures of severity of violence among juvenile male offenders. Also, in the recent study by Kruh et al. , affective-interpersonal features of psychopathy-like personality character predicted more frequent use of sadistic violence, repeated violence against the same victim, and violence resulting in more serious victim injuries.
Adolescents with either childhood-onset or adolescent-onset conduct disorder have equally high levels of delinquent peer affiliation , but youngsters with both conduct problems and affective-interpersonal features of psychopathy-like personality character show the highest level of affiliation with deviant peers . In line with these earlier findings, a tendency was observed that boys scoring high on the PCL-R more often committed a homicide together with one or more co-offenders than boys scoring low on the PCL-R.
In accord with previous studies among adolescent homicide offenders, acts of instrumental violence were very common. In line with a study by Kruh et al.  there was some positive association between instrumental violence and psychopathy-like personality character but it failed to reach a statistically significant level and the effect size was only moderate.
One of the aims of the study was to examine connections between adolescent psychopathic traits and life course development because adverse family conditions and early traumatization are commonly regarded as risk factors for aggressive and violent behavior [81, 82], and high victimization subjects have been reported to have high PCL-R scores in adulthood . In our study, boys with high psychopathy-like personality character more rarely lived with both parents until the age of 16 years and had more institutional or foster home placements in childhood than boys scoring low on the PCL-R. This is in line with a recent study by Campbell et al. , in which a history of nonparental living arrangements (e.g. foster care) predicted higher PCL-YV scores among a sample of incarcerated adolescent offenders. Correlations between high PCL-R scores and broken homes as well as between psychopathy and single-parent families have also been reported earlier [83, 84]. In line with previous studies [27, 28, 85], there was some positive association between parental alcohol abuse, mental health problems, physical abuse and psychopathy-like personality character but it failed to reach a statistically significant level and the effect size was only moderate. Although the quality of parenting generally predicts externalizing behavior, according to some recent research [85–87], ineffective parenting might be less relevant in explaining behavioral problems of children with callous-unemotional traits of psychopathy-like personality character. The connection between parental history of antisocial behavior and child conduct problems has been well documented [88, 89]. Recent studies have also revealed strong evidence of inter-generational transmission of criminality from parents to offsprings [90, 91]. Here, boys with psychopathy-like personality character significantly more often had parental criminal history as well as homicide history of parents or near relatives than boys scoring low on the PCL-R. The finding is in accordance with Christian et al.  and Frick et al. , who found that children with conduct problems and features of psychopathy were more likely to have parents with a history of antisocial personality disorder as well as fathers with an arrest history than children with conduct problems only.
Severe antisocial behavior has often been demonstrated to be associated with low intelligence [94, 95]. Recent studies, however, suggest that youths with psychopathic traits do not show the verbal intelligence deficits generally associated with conduct problems, and the relationships between psychopathic features and nonverbal intelligence have not been clearly identified . In our study, all adolescent homicidal offenders scoring high on the PCL-R had experienced school difficulties and received special education, and in this sense they differed significantly from boys scoring low on the PCL-R. Both school difficulties and the need for special education are typically based on either medical, psychological, social, or intellectual factors, but we were unable to specify individual reasons. The issue is clearly important and warrants future research.
Adult psychopathy is often described as incurable syndrome , and from the perspective of adult psychiatry, it would be important and cost-effective to identify those at risk of psychopathic behavior as early as possible. In our study, up to 75% of the boys with psychopathy-like personality character had had some contact with mental health services – via either child or adolescent psychiatry – prior to the index homicide. Better recognition of childhood trauma and other characteristics of youngsters with psychopathic traits would facilitate effective prevention and intervention efforts. The families with risk factors need extensively help and the children protection for avoiding the "cycle of adverse experiences" as well as the "cycle of violence" . In addition, there is some new evidence that young offenders with psychopathy-like personality character might be more malleable than adults and benefit more from treatment .
A strength of this study was its nationwide comprehensive nature. The high Finnish clearance rate for homicide, the tradition of thorough forensic psychiatric examinations, and reliable statistics form a solid basis for register-based study. However, the fact that the present study was retrospective and register-based does present some obvious limitations, though the same limitations apply both the adolescents and the comparison group. Unfortunately, it was not possible to estimate the representativeness of the whole sample by comparing the number of offenders in the present sample with the number of overall adolescent homicide. In a previous Finnish study , it was estimated that 60% of 15–17-year old homicide suspects go through the forensic examination. The selection bias applying both the adolescents and the comparison group is, however, a clear limitation of the study, and must be kept in mind. In addition, regardless of the fact that the adolescent sample consisted of all homicidal boys who underwent forensic psychiatric examinations and were convicted in 1995–2004, the number of subjects remained small and the results must be regarded as indicative. One must also remember that the concept of psychopathy is not an established medical diagnosis, and its applicability to emotionally immature adolescents from deprived backgrounds serves further studies. Also, the observed effect sizes were not large, with phi's falling mostly into category of moderate effect size . Finally, due to multiple comparisons, there is a possibility that statistical significance was declared where no association exists (type I error).
Homicidal boys behaved as antisocially as the homicidal adults. The adults, however, showed more both affective and interpersonal features of psychopathy. Homicidal adolescents with psychopathy-like personality character form a special subgroup among other homicidal youngsters. Recognizing their characteristics, especially in life course development, would facilitate effective prevention and intervention efforts.
The last author (HH-N) would like to express her gratitude to the Academy of Finland for grant numbers 75697 and 211176. All authors are grateful to the National Authority for Medicolegal Affairs, the Ministry of the Interior, and the Legal Register Center, for providing data. Many thanks to Camilla Hagelstam, Mikko Ylipekka, and Tuija Rovamo for assisting with data collection.
- Kivivuori J, Lehti M, Aaltonen M: Homicide in Finland 2002–2006. A Description Based on the Finnish Homicide Monitoring System (FHMS). [http://www.optula.om.fi/uploads/coixzx0dv6vk7ih.pdf]
- National Statistics 2007. [http://www.statistics.gov.uk/cci/nugget.asp?ID=6]
- Lehti M, Kivivuori J: Kuolemaan johtanut väkivalta. Rikollisuustilanne 2005. Rikollisuus ja seuraamusjärjestelmä tilastojen valossa (English Summary: Crime and Criminal Justice in Finland). 2006, Helsinki: Hakapaino Oy, 13-41.Google Scholar
- Salfati CG: A European perspective on the study of homicide. Homicide Stud. 2001, 5: 286-291.View ArticleGoogle Scholar
- Lehti M: Henkirikoskatsaus 2002 (English Summary: Homicides, Homicide Offenders and Victims in Finland in 1998–2002). 2004, National Research Institute of Legal Policy. Research Reports. Helsinki: Hakapaino OyGoogle Scholar
- Lehti M: Nuorten henkirikokset. Nuorisorikollisuus: Määrä, syyt ja kontrolli (English Summary: Juvenile Crime in Finland: Trends, Causes and Control). Edited by: Honkatukia P, Kivivuori J. 2006, Helsinki: Hakapaino Oy, 57-96.Google Scholar
- Hagelstam C, Häkkänen H: Adolescent homicides in Finland: offence and offender characteristics. Forensic Sci Int. 2006, 164: 110-115.View ArticlePubMedGoogle Scholar
- Bailey S: Adolescents who murder. J Adolesc. 1996, 19: 19-39.View ArticlePubMedGoogle Scholar
- Cleckley H: The Mask of Sanity. 1976, St. Louis: MO, 5Google Scholar
- Hare RD: The Hare Psychopathy Checklist – Revised. 1991, Toronto: Multi-Health SystemsGoogle Scholar
- Hare RD: Psychopaths and their nature: Implications for the mental health and criminal justice systems. Psychopathy: Antisocial, Criminal, and Violent Behaviour. Edited by: Millon T, Simonson E, Burket-Smith M, Davis R. 1998, New York: Guilford Press, 188-212.Google Scholar
- Hart SD, Hare RD: Psychopathy: assessment and association with criminal conduct. Handbook of Antisocial Behavior. Edited by: Stoff DM, Maser J, Brieling J. 1997, New York: Wiley, 22-35.Google Scholar
- Forth AE, Burke HC: Psychopathy in adolescence: assessment, violence, and developmental precursors. Psychopathy: Theory, Research, and Implications for Society. Edited by: Cooke DJ, Forth AE, Hare RD. 1998, Dordrecht: Kluver, 205-229.View ArticleGoogle Scholar
- Hart SD, Dempster RJ: Impulsivity and psychopathy. Impulsivity: New Directions in Research and Clinical Practice. Edited by: Webster CD, Jackson MA. 1997, New York: Guilford, 212-232.Google Scholar
- Hare RD, Cooke DJ, Hart SD: Psychopathy and sadistic personality disorder. Oxford Textbook of Psychopathology. Edited by: Millon T, Blaney PH, Davis RD. 1999, NewYork: Oxford University Press, 555-584.Google Scholar
- Salekin RT, Rogers R, Sewell KW: A review and meta-analysis of the Psychopathy Checklist and Psychopathy Checklist-Revised: Predictive validity of dangerousness. Clin Psychol. 1996, 3: 203-215.Google Scholar
- Weizmann-Henelius G, Viemerö V, Eronen M: The violent female perpetrator and her victim. Forensic Sci Int. 2003, 133: 197-203.View ArticlePubMedGoogle Scholar
- Hildebrand M, de Ruiter C: PCL-R psychopathy and its relation to DSM-IV Axis I and II disorders in a sample of male forensic psychiatric patients in The Netherlands. Int J Law Psychiatry. 2004, 27: 233-248.View ArticlePubMedGoogle Scholar
- Söderström H, Nilsson T, Sjodin AK, Carstedt A, Forsman A: The childhood-onset neuropsychiatric background to adulthood psychopathic traits and personality disorders. Compr Psychiatry. 2005, 46: 111-116.View ArticlePubMedGoogle Scholar
- Hart SD, Hare RD: Discriminant validity of the Psychopathy Checklist in a forensic psychiatric population. Psychol Assess. 1989, 1: 211-218.View ArticleGoogle Scholar
- Nolan KA, Volavka J, Mohr P, Czobor P: Psychopathy and violent behavior among patients with schizophrenia or schizoaffective disorder. Psychiatr Serv. 1999, 50: 787-792.View ArticlePubMedGoogle Scholar
- Abushua'leh K, Abu-Akel A: Association of psychopathic traits and symptomatology with violence in patients with schizophrenia. Psychiatry Res. 2006, 143: 205-211.View ArticlePubMedGoogle Scholar
- Tengström A, Grann M, Långström N, Kullgren G: Psychopathy (PCL-R) as a predictor of violent recidivism among criminal offenders with schizophrenia. Law Hum Behav. 2000, 24: 45-58.View ArticlePubMedGoogle Scholar
- Saltaris C: Psychopathy in juvenile offenders. Can temperament and attachment be considered as robust developmental precursors?. Clin Psychol Rev. 2002, 22: 729-752.View ArticlePubMedGoogle Scholar
- Lang S, af Klinteberg B, Alm PO: Adult psychopathy and violent behavior in males with early neglect and abuse. Acta Psychiatr Scand Suppl. 2002, 93-100. 412Google Scholar
- Campbell MA, Porter S, Santor D: Psychopathic traits in adolescent offenders: an evaluation to criminal history, clinical, and psychosocial correlates. Behav Sci Law. 2004, 22: 23-47.View ArticlePubMedGoogle Scholar
- Krischer MK, Sevecke K: Early traumatization and psychopathy in female and male juvenile offenders. Int J Law Psychiatry. 2008, 31: 253-262.View ArticlePubMedGoogle Scholar
- Edens JF, Skeem JL, Cruise KR, Caufmann E: Assessment of "juvenile psychopathy" and its association with violence: A critical review. Behav Sci Law. 2001, 19: 53-80.View ArticlePubMedGoogle Scholar
- Seagrave D, Grisso T: Adolescent development and the measurement of juvenile psychopathy. Law Hum Behav. 2002, 26: 219-239.View ArticlePubMedGoogle Scholar
- Steinberg L, Scott ES: Less quilty by reason of adolescence: Developmental immaturity, diminished responsibility, and the juvenile death penalty. Am Psychol. 2003, 58: 1009-1018.View ArticlePubMedGoogle Scholar
- Loney BR, Taylor J, Butler MA, Iacono WG: Adolescent psychopathy features: 6-year temporal stability and the prediction of externalizing symptoms during the transition to adulthood. Aggress Behav. 2007, 33: 242-252.View ArticlePubMedGoogle Scholar
- Frick PJ, Cornell AH, Barry CT, Bodin SD, Dane HA: Callous- unemotional traits and conduct problems in the prediction of conduct problem severity, aggression, and self-report of delinquency. J Abnorm Child Psychol. 2003, 31: 457-470.View ArticlePubMedGoogle Scholar
- Långström N, Grann M: Psychopathy and violent recidivism among young criminal offenders. Acta Psychiatr Scand Suppl. 2002, 86-92. 412Google Scholar
- Kotler JS, McMahon RJ: Child psychopathy: Theories, measurement, and relations with the development and persistence of conduct problems. Clin Child Fam Psychol Rev. 2005, 8: 291-325.View ArticlePubMedGoogle Scholar
- Lynam DR, Gudonis L: The development of psychopathy. Annu Rev Clin Psychol. 2005, 1: 381-407.View ArticlePubMedGoogle Scholar
- Grann M, Långström N, Tengström A, Stålenheim E: Reliability of file-based retrospective ratings of psychopathy with the PCL-R. J Pers Assess. 1998, 70: 416-426.View ArticlePubMedGoogle Scholar
- Gacono CB, Hutton HE: Suggestions for the clinical and forensic use of the Hare Psychopathy Checklist-Revised (PCL-R). Int J Law Psychiatry. 1994, 17: 303-317.View ArticlePubMedGoogle Scholar
- Fulero S: Review of the Hare Psychopathy Checklist-Revised. Twelfth Mental Measurements Yearbook. Edited by: Conoley JC, Impara JC. 1998, Nebraska: Buros Institute, 453-454.Google Scholar
- Stone G: Review of the Hare Psychopathy Checklist-Revised. Twelfth mental measurements yearbook. Edited by: Conoley JC, Impara JC. 1998, Nebraska: Buros Institute, 454-455.Google Scholar
- Hare RD, Clark D, Grann M, Thornton D: Psychopathy and the predictive validity of the PCL-R: in international perspective. Behav Sci Law. 2000, 18: 623-645.View ArticlePubMedGoogle Scholar
- Forth AE, Hart SD, Hare RD: Assessment of psychopathy in male young offenders. Psychol Assess. 1990, 2: 342-344.View ArticleGoogle Scholar
- Smith SS, Newman JP: Alcohol and drug abuse/dependence disorders in psychopathic and nonpsychopathic criminal offenders. J Abnorm Psychol. 1990, 99: 430-439.View ArticlePubMedGoogle Scholar
- Forth AE, Kosson DS, Hare RD: The Hare PCL:YV. 2003, Toronto: Multi-Health SystemsGoogle Scholar
- Hare RD: The Hare Psychopathy Checklist – Revised. 2003, Toronto: Multi-Health Systems, 2Google Scholar
- Cooke DJ, Michie C: Psychopathy across cultures: North America and Scotland compared. J Abnorm Psychol. 1999, 108: 58-68.View ArticlePubMedGoogle Scholar
- Sullivan EA, Abramowitz CS, Lopez M, Kosson DS: Reliability and construct validity of the psychopathy checklist -revised for Latino, European American, and African American male inmates. Psychol Assess. 2006, 18: 382-292.View ArticlePubMedGoogle Scholar
- Grann M, Långström N, Tengström A, Kullgren G: Psychopathy (PCL-R) predicts violent recidivism among criminal offenders with personality disorders in Sweden. Law Hum Behav. 1999, 23: 205-217.View ArticlePubMedGoogle Scholar
- Rasmussen K, Storsaeter O, Levander S: Personality disorders, psychopathy, and crime in a Norwegian prison population. Int J Law Psychiatry. 1999, 22: 91-97.View ArticlePubMedGoogle Scholar
- Wong S: Is Hare's Psychopathy Checklist reliable without the interview?. Psychol Rep. 1988, 62: 931-934.View ArticlePubMedGoogle Scholar
- Mossman D: Assessing predictions of violence: Being accurate about accuracy. J Consult Clin Psychol. 1994, 62: 783-792.View ArticlePubMedGoogle Scholar
- Alterman AI, Cacciola JS, Rutherford MJ: Reliability of the Revised Psychopathy Checklist in substance abuse patients. Psychol Assess. 1993, 5: 442-448.View ArticleGoogle Scholar
- American Psychiatric Association: Diagnostic and Statistical Manual of Mental Disorders revised. 1987, Washington DC: American Psychiatric Association, 3Google Scholar
- World Health Organization: The ICD-10 Classification of Mental and Behavioural disorders: Clinical Descriptions and Diagnostic Guidelines. 1992, Geneva: World Health OrganizationGoogle Scholar
- American Psychiatric Association: Diagnostic and Statistical Manual of Mental Disorders. 1994, Washington DC: American Psychiatric Association, 4Google Scholar
- Cloninger CR, Svrakic DM: Personality Disorders. Comprehensive Textbook of Psychiatry. Edited by: Sadock BJ, Sadock VA. 2000, Philadelphia: Lippincott Williams & Wilkins, II: 1723-1764. 7Google Scholar
- Eronen M, Repo E, Vartiainen H, Tiihonen J: Forensic Psychiatric Organization in Finland. Int J Law Psychiatry. 2000, 23: 541-546.View ArticlePubMedGoogle Scholar
- Laajasalo T, Häkkänen H: Excessive violence and psychotic symptomatology among homicide offenders with schizophrenia. Crim Behav Ment Health. 2006, 16: 242-253.View ArticlePubMedGoogle Scholar
- Häkkänen H, Laajasalo T: Homicide crime scene actions in a Finnish sample of mentally ill offenders. Homicide Studies. 2006, 10: 33-54.View ArticleGoogle Scholar
- Laajasalo T, Häkkänen H: Background characteristics of mentally ill homicide offenders – a comparison of five diagnostic groups. J Forensic Psychiatr Psychol. 2004, 15: 451-474.View ArticleGoogle Scholar
- Brennan PF, Hays BJ: The Kappa statistics for establishing inter-rater reliability in the secondary analysis of quantitative clinical data. Res Nurs Health. 1992, 15: 153-158.View ArticlePubMedGoogle Scholar
- Moran MD: Arguments for rejecting the sequential Bonferroni in ecological studies. Oikos. 2003, 102: 403-405.View ArticleGoogle Scholar
- Nakagawa S: A farewell to Bonferroni: the problems of low statistial power and publication bias. Behavioral Ecology. 2004, 15: 1044-1045.View ArticleGoogle Scholar
- Perneger TV: What's wrong with Bonferroni adjustments. BMJ. 1998, 316: 1236-1238.View ArticlePubMedPubMed CentralGoogle Scholar
- Rea LM, Parker RA: Designing and conducting survey research. 1992, San Francisco: Jossey-BossGoogle Scholar
- Rosenthal R: Meta-analytic procedures for social research (revised). 1991, Newbury Park, CA: SageView ArticleGoogle Scholar
- Hare RD: Psychopathy: A clinical construct whose time has come. Crim Justice Behav. 1996, 23: 25-54.View ArticleGoogle Scholar
- Forsman M, Lichtenstein P, Andershed H, Larsson H: Genetic effects explain the stability of psychopathic personality from mid- to late adolescence. J Abnorm Psychol. 2008, 117: 606-617.View ArticlePubMedGoogle Scholar
- Caldwell M, Skeem J, Salekin R, Van Rybroek G: Treatment response of adolescent offenders with psychopathy features. A 2-year follow-up. Crim Justice Behav. 2006, 33: 571-596.View ArticleGoogle Scholar
- Andershed H, Köhler D, Eno Louden J, Hinrichs G: Does the three-factor model of psychopathy identify a problematic subgroup of young offenders?. Int J Law Psychiatry. 2008, 31: 189-198.View ArticlePubMedGoogle Scholar
- Cooke DJ, Michie C: Refining the construct psychopathy: Towards a hierarchic model. Psychol Assess. 2001, 13: 171-188.View ArticlePubMedGoogle Scholar
- Hare RD: Without conscience: The disturbing world of the psychopaths among us. 1993, New York: Pocket Books, 1Google Scholar
- Frick PJ, Cornell AH, Bodin SD, Dane HA, Barry CT, Loney RB: Callous- unemotional traits and developmental pathways to severe conduct problems. Dev Psychol. 2003, 39: 246-260.View ArticlePubMedGoogle Scholar
- Pardini DA, Loeber R: Special section: Interpersonal and affective features of psychopathy in children and adolescents: Advancing a developmental perspective. J Clin Child Adolesc Psychol. 2007, 36: 269-275.View ArticlePubMedGoogle Scholar
- Gretton H, McBride M, Hare RD, O'Shaughnessy R, Kumka G: Psychopathy and recidivism in adolescent sex offenders. Crim Justice Behav. 2001, 28: 427-449.View ArticleGoogle Scholar
- Gretton H, Hare RD, Catchpole R: Psychopathy and offending from adolescence to adulthood: A ten-year follow-up. J Consult Clin Psychol. 2004, 72: 636-645.View ArticlePubMedGoogle Scholar
- Mailloux DL, Forth AE, Kroner DG: Psychopathy and substance use in adolescent male offenders. Psychol Rep. 1997, 81: 529-530.PubMedGoogle Scholar
- Murrie DC, Cornell DG, Kaplan S, McConville D, Levy-Elkon A: Psychopathy scores and violence among juvenile offenders: a multi-measure study. Behav Sci Law. 2004, 22: 49-67.View ArticlePubMedGoogle Scholar
- Kruh IP, Frick PJ, Clements CB: Historical and personality correlates to the violence patterns of juveniles tried as adults. Crim Justice and Behav. 2005, 32: 69-96.View ArticleGoogle Scholar
- Moffitt TE, Caspi A, Dickson N, Silva P, Stanton W: Childhood -onset versus adolescent -onset antisocial conduct problems in males: Natural history from ages 3 to 18 years. Dev Psychopathol. 1996, 1: 105-118.View ArticleGoogle Scholar
- Kimonis ER, Frick PJ, Barry CT: Callous-unemotional traits and delinquent peer affiliation. J Consult Clin Psychol. 2004, 72: 956-966.View ArticlePubMedGoogle Scholar
- Jaffee SR, Caspi A, Moffitt TE, Taylor A: Physical maltreatment victim to antisocial child: Evidence of an environmentally mediated process. J Abnorm Psychol. 2004, 113: 44-55.View ArticlePubMedGoogle Scholar
- Marmorstein NR, Iacono WG: Longitudinal follow-up of adolescents with late-onset antisocial behavior: A pathological yet overlooked group. J Am Acad Child Adolesc Psychiatry. 2005, 44: 1284-1291.View ArticlePubMedGoogle Scholar
- Koivisto H, Haapasalo J: Childhood maltreatment and adulthood psychopathy in light of file-based assessments among mental state examinees. Studies on Crime and Crime Prevention. 1996, 5: 91-104.Google Scholar
- Patrick CJ, Zempolich KA, Levenston GK: Emotionality and violent behavior in psychopaths: a biosocial analysis. Biosocial bases of violence. Edited by: Raine A, Brennan PA, Farrington DP, Mednick SA. 1996, New York: Plenum, 145-161.Google Scholar
- Oxford M, Cavell TA, Hughes JN: Callous/unemotional traits moderate the relationship between ineffective parenting and child externalizing problems: A practical replication and extension. J Clin Child and Adolesc Psychol. 2003, 32: 577-585.View ArticleGoogle Scholar
- Frick P, Marsee M: Psychopathy and developmental pathways to antisocial behavior in youth. Handbook of psychopathy. Edited by: Patrick C. 2006, New York: Guilford, 353-374.Google Scholar
- Edens JF, Skopp NA, Cahill MA: Psychopathic features moderate the relationship between harsh and inconsistent parental discipline and adolescent antisocial behavior. J Clin Child Adolesc Psychol. 2008, 37: 472-476.View ArticlePubMedGoogle Scholar
- Capaldi D, DeGarmo D, Patterson GR, Forgatch M: Contextual risk across the early life span and association with antisocial behavior. Antisocial behavior in children and adolescents: A developmental analysis and model for intervention. 2002, Washington DC: American Psychological Association, 123-146.View ArticleGoogle Scholar
- Frick PJ, Loney BR: Understanding the association between parent and child antisocial behavior. The effects of parental dysfunction on children. Edited by: McMahon RJ, Peters R DeV. 2002, NewYork: Kluwer Academic/Plenum Publishers, 105-126.View ArticleGoogle Scholar
- Putkonen A, Ryynänen O-P, Eronen M, Tiihonen J: The quantitative risk of violent crime and criminal offending: a case control study among the offspring of recidivistic Finnish homicide offenders. Acta Psychiatr Scand Suppl. 2002, 54-57. 412Google Scholar
- Smith CA, Farrington DP: Continuities in antisocial behavior and parenting across three generations. J Child Psychol Psychiatry. 2004, 45: 230-247.View ArticlePubMedGoogle Scholar
- Christian RE, Frick PJ, Hill NL, Tyler L, Frazer DR: Psychopathy and conduct problems in children: II. Implications for subtyping children with conduct problems. J Am Acad Child Adolesc Psychiatry. 1997, 36: 233-241.View ArticlePubMedGoogle Scholar
- Frick PJ, O'Brien B, Wootton J, McBurnett K: Psychopathy and conduct problems in children. J Abnorm Psychol. 1994, 103: 700-707.View ArticlePubMedGoogle Scholar
- Moffitt TE, Henry B: Neuropsychological studies of juvenile delinquency and juvenile violence. Neuropsychology of aggression. Edited by: Milner JS. 1991, Boston: Kluwer Academic, 67-91.View ArticleGoogle Scholar
- Moffitt TE: Adolescence-limited and life-course persistent antisocial behavior: A developmental taxonomy. Psychol Rev. 1993, 100: 674-701.View ArticlePubMedGoogle Scholar
- Salekin R: Psychopathy and therapeutic pessimism: Clinical lore or clinical reality?. Clin Psychol Rev. 2002, 22: 79-112.View ArticlePubMedGoogle Scholar
- Maxfield MG, Widom CS: The cycle of violence. Revisited 6 years later. Arch Pediatr Adolesc Med. 1996, 150: 390-395.View ArticlePubMedGoogle Scholar
- The pre-publication history for this paper can be accessed here:http://www.biomedcentral.com/1471-244X/9/18/prepub
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