Although typically described as reliable and valid, the Psychopathy Checklist-Revised (PCL-R) has come under some criticism by researchers in the last half-decade due to evidence of poor interrater reliability and adversarial allegiance being reported in applied settings in North America. This study examines the field reliability of the PCL-R using a naturalistic test-retest design among a sample of Swedish life sentenced prisoners (N = 27) who had repeatedly been assessed as part of their application to receive a reduced prison term. The prisoners, who were assessed by a team of forensic evaluators retained by an independent government authority, had spent on average 14 years in prison with a mean time from Assessment 1 to Assessment 2 of 2.33 years. The overall reliability of the PCL-R (ICC(A1)) was .70 for the total score and .62 and .76 for Factor 1 and 2 scores, respectively. Facet 1-3 scores ranged from .54 to .60, whereas Facet 4 was much higher (.90). Reliability of individual items was quite variable, ranging from .23 to .80. In terms of potential causes of unreliability, both high and low PCL-R scores at the initial assessment tended to regress toward the mean at the time of the second evaluation. Our results are in line with previous research demonstrating concerns regarding the reliability of the PCL-R within judicial settings, even among independent evaluation teams not retained by a particular side in a case. Collectively, these findings question whether the interpersonal (Facet 1) and affective (Facet 2) features tapped by the PCL-R are reliable enough to justify their use in legal proceedings.

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To date, systematic studies of sexual homicides from Europe are scarce, in which none have been conducted in Sweden. This study aims to describe male-on-female sexual homicides in Sweden and differentiate from corresponding nonsexual homicides. Unsolved and solved sexual homicide ( n = 33) cases were identified in a database containing all homicides in Sweden between 1990 and 2013 ( N = 2,126), and subsequently data from forensic psychiatric evaluations were collected for convicted offenders. Male-on-female sexual homicides constituted 1.6% of all homicides and the clearance rate was 82%, which is comparable with the 83% overall clearance rate but took longer time to solve. Three factors differentiated sexual from nonsexual homicides: strangulation, younger age of the victim, and the absence of eyewitnesses. In solved cases, distance from the offender's home to the crime scene was strongly correlated with time to clearance. A majority of the offenders suffered from personality disorders, while other diagnoses were uncommon.

This small, but population-based, study demonstrates that antisocial behaviour shows incremental predictive validity for reoffending among life-sentenced offenders, but other measures have little to add for this specific task. The fact that those life sentenced prisoners who reoffended did so so soon after release should prompt allocation of earlier interventions towards preventing this.