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Research ArticleRegular Articles

A Review of the Prevalence of Psychosis in Sexual Homicide

Austin A. Lam, Stephanie R. Penney and Alexander I. F. Simpson
Journal of the American Academy of Psychiatry and the Law Online March 2020, 48 (1) 56-64; DOI: https://doi.org/10.29158/JAAPL.003887-20
Austin A. Lam
Mr. Lam is a Research Trainee, Division of Forensic Psychiatry, Centre for Addiction and Mental Health, Toronto, Ontario, Canada. Dr. Penney is an Independent Scientist, Division of Forensic Psychiatry, Centre for Addiction and Mental Health, and Assistant Professor, Department of Psychiatry, University of Toronto, Toronto, Ontario, Canada. Dr. Simpson is Chief of Forensic Psychiatry, Centre for Addiction and Mental Health, and Head of the Division of Forensic Psychiatry, Department of Psychiatry, University of Toronto, Toronto, Ontario, Canada.
BSc
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Stephanie R. Penney
Mr. Lam is a Research Trainee, Division of Forensic Psychiatry, Centre for Addiction and Mental Health, Toronto, Ontario, Canada. Dr. Penney is an Independent Scientist, Division of Forensic Psychiatry, Centre for Addiction and Mental Health, and Assistant Professor, Department of Psychiatry, University of Toronto, Toronto, Ontario, Canada. Dr. Simpson is Chief of Forensic Psychiatry, Centre for Addiction and Mental Health, and Head of the Division of Forensic Psychiatry, Department of Psychiatry, University of Toronto, Toronto, Ontario, Canada.
PhD
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Alexander I. F. Simpson
Mr. Lam is a Research Trainee, Division of Forensic Psychiatry, Centre for Addiction and Mental Health, Toronto, Ontario, Canada. Dr. Penney is an Independent Scientist, Division of Forensic Psychiatry, Centre for Addiction and Mental Health, and Assistant Professor, Department of Psychiatry, University of Toronto, Toronto, Ontario, Canada. Dr. Simpson is Chief of Forensic Psychiatry, Centre for Addiction and Mental Health, and Head of the Division of Forensic Psychiatry, Department of Psychiatry, University of Toronto, Toronto, Ontario, Canada.
MB, ChB, BMedSci
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    Table 1

    Data from Studies That Reported the Percentage of Participants Diagnosed with Psychosis Among Individuals who Committed Sexual Murders

    Study (By order of % diagnosed with psychosis)Diagnosis of Psychosis (%)Sample Size (n/N)aSampling MethodSample SourceInformation Source
    Langevin et al.38 (2003)27.3%9/33ConvenienceCases referred to the Clarke Institute of PsychiatrybStandard tests and interviews
    Revitch45 (1965)20.9%9/43ConveniencePrimarily from the New Jersey Diagnostic CentercNot stated
    Firestone et al.44 (1998)14.6%7/48ConvenienceCases from the Sexual Behaviors Clinic, Royal Ottawa HospitalStandard tests and interviews
    Warren et al.36 (1996)5.0%1/20Population-basedFBI's National Center for the Analysis of Violent CrimeMultiple sources, including police investigation reports, psychiatric reports, and interviews with the offender
    Hill et al.46 (2007)3.0%5/166ConvenienceReports by forensic psychiatrists in GermanyAssessments by forensic psychiatrists
    Oliver et al.49 (2007)2.3%1/44ConvenienceSex offender treatment programs in prisonsInterviews and file reviews
    Folino37 (2000)0%0/16Population-basedFiles from the Judiciary Department of La Plata, ArgentinaFile reviews
    Rosman & Resnick50 (1989)0%0/16ConvenienceAvailable literature and unpublished clinical casesCase reviews
    • ↵a n = number of individuals diagnosed with psychosis and N = number of individuals who committed sexual homicides.

    • ↵b Former name.

    • ↵c Source(s) not stated for the other cases.

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Journal of the American Academy of Psychiatry and the Law Online: 48 (1)
Journal of the American Academy of Psychiatry and the Law Online
Vol. 48, Issue 1
1 Mar 2020
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A Review of the Prevalence of Psychosis in Sexual Homicide
Austin A. Lam, Stephanie R. Penney, Alexander I. F. Simpson
Journal of the American Academy of Psychiatry and the Law Online Mar 2020, 48 (1) 56-64; DOI: 10.29158/JAAPL.003887-20

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A Review of the Prevalence of Psychosis in Sexual Homicide
Austin A. Lam, Stephanie R. Penney, Alexander I. F. Simpson
Journal of the American Academy of Psychiatry and the Law Online Mar 2020, 48 (1) 56-64; DOI: 10.29158/JAAPL.003887-20
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    • Psychosis and Sexual Offending
    • Psychosis and Homicide
    • Psychosis and Sexual Homicide
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