A three-wave, prospective panel design was used to assess the extent to which static and dynamic risk factors could predict criminal recidivism in a sample of 136 adult male offenders released from Canadian federal prisons. Static measures were assessed only once, prior to release while dynamic measures were assessed on three separate occasions: pre-release, 1 month, and 3 months post-release. Recidivism was coded during an average of 10.2-month follow-up period (SD=19.2). A series of Cox regression survival analyses with time-dependent covariates and Receiver Operator Characteristic (ROC) analyses were conducted to assess predictive validity. Although the combined static and time-dependent dynamic model (AUC=.89, CI=.81-.93) significantly (p<.01) outperformed the pure static model (AUC=.81, CI=.73-.87) the confidence intervals did overlap to some extent. Implications for dynamic risk assessment and management are discussed.
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http://dx.doi.org/10.1007/s10979-008-9139-7 | DOI Listing |
BMC Emerg Med
January 2025
Department of Emergency Medicine, University of Florida College of Medicine-Jacksonville, 655 West 8th Street, Jacksonville, FL, 32209, USA.
Background: The ongoing opioid epidemic in the United States has reinforced the need to provide multimodal and non-opioid pain management interventions. The PAMI-ED ALT program employed a multifaceted approach in the Emergency Department (ED) developing electronic health record (EHR) pain management order panels and discharge panels, as well as educating patients, clinicians, and ED staff on opioid alternatives, including non-pharmacologic interventions. The primary objective of this analysis was to compare changes in opioid and non-opioid analgesic administrations and prescribing in ED patients with select pain conditions (renal colic, headache, low back, and non-low back musculoskeletal pain) before and after implementation of PAMI ED-ALT.
View Article and Find Full Text PDFNordisk Alkohol Nark
January 2025
Swedish National Board of Health and Welfare, Stockholm, Sweden.
Involvement in minor drug offences at an early age can be a signal of the onset of a potential drug issue. This is why Sweden has considered the criminalization of personal use as a strategy to deter the progression of drug use. This study investigated how the judiciary and social services succeed in identifying and providing support to adolescents convicted of drug offences.
View Article and Find Full Text PDFAm J Epidemiol
January 2025
Department of Public Health Leadership and Practice, Gillings School of Global Public Health, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina, USA.
Exposure to the United States criminal legal system - whether through contact with law enforcement, incarceration in a jail or prison, or community supervision - is associated with a range of adverse health outcomes. There is mounting evidence that mass incarceration drives health inequities, particularly for Black, Indigenous, and People of Color. However, relative to its outsized impacts on health and health inequities, the criminal legal system has received limited attention in epidemiology.
View Article and Find Full Text PDFJMIR Form Res
December 2024
Child and Adolescent Psychiatry & Psychosocial Care, Amsterdam UMC location Vrije Universiteit Amsterdam, Amsterdam, Netherlands.
Background: Delinquent behavior in adolescence is a prevalent issue, often associated with difficulties across multiple life domains, which in turn perpetuates negative life outcomes. While current treatment programs show partial success in improving behavioral changes and reducing recidivism, comprehensive conclusions regarding the overall efficacy of these interventions have yet to be established. In forensic outpatient settings, the discrepancy between adolescents' limited emotional awareness and the predominant emphasis on cognitive reflection, combined with low treatment adherence, may be factors that undermine treatment efficacy.
View Article and Find Full Text PDFAm J Emerg Med
December 2024
Department of Emergency Medicine, Good Samaritan University Hospital, 1000 Montauk Highway, West Islip, New York, United States of America. Electronic address:
Introduction: Renal colic is generally considered a diagnosis appropriate for discharge home once pain is adequately controlled and no other admission criteria are met. The increasing prevalence of ED observation units (EDOU) represent another disposition option for patients with renal colic. In this study, we sought to describe the rates of 14-day revisits for renal colic among patients placed in an EDOU as compared to those discharged from the ED.
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