PT - JOURNAL ARTICLE AU - Schlesinger, Louis B. AU - Ramirez, Stephanie AU - Tusa, Brittany AU - Jarvis, John P. AU - Erdberg, Philip TI - Rapid-Sequence Serial Sexual Homicides DP - 2017 Mar 01 TA - Journal of the American Academy of Psychiatry and the Law Online PG - 72--80 VI - 45 IP - 1 4099 - http://jaapl.org/content/45/1/72.short 4100 - http://jaapl.org/content/45/1/72.full SO - J Am Acad Psychiatry Law2017 Mar 01; 45 AB - Serial sexual murderers have been described as committing homicides in a methodical manner, taking substantial time between offenses to elude the authorities. The results of our study of the temporal patterns (i.e., the length of time between homicides) of a nonrandom national sample of 44 serial sexual murderers and their 201 victims indicate that this representation may not always be accurate. Although 25 offenders (56.8%) killed with longer than a 14-day period between homicides, a sizeable subgroup was identified: 19 offenders (43.2%) who committed homicides in rapid-sequence fashion, with fewer than 14 days between all or some of the murders. Six offenders (13.6%) killed all their victims in one rapid-sequence, spree-like episode, with homicides just days apart or sometimes two murders in the same day. Thirteen offenders (29.5%) killed in one or two rapid-sequence clusters (i.e., more than one murder within a 14-day period, as well as additional homicides with greater than 14 days between each). The purpose of our study was to describe this subgroup of rapid-sequence offenders who have not been identified until now. These findings argue for accelerated forensic assessments of dangerousness and public safety when a sexual murder is detected. Psychiatric disorders with rapidly occurring symptom patterns, or even atypical mania or mood dysregulation, may serve as exemplars for understanding this extraordinary group of offenders.