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Psychopathy, as measured by the Hare Psychopathy Checklist-Revised (PCL-R), has emerged as one of the most important factors in understanding and predicting adult criminal behavior, including sex offending. The authors used extensive file information to score a youth version of the PCL-R (the PCL:YV) for 220 adolescent males in an outpatient sex offender treatment program. The authors coded charges and convictions for an average of 55 months following cessation of treatment. The PCL:YV was positively and significantly related to total, violent, and nonviolent reoffense rates. Offenders with a high PCL:YV score and penile plethysmographic evidence of deviant sexual arousal prior to treatment were at very high risk for general reoffending. The results suggest that psychopathy may have much the same implications for the criminal justice system in adolescent offenders as it does in adult offenders.
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