Evidence map›Paper›PMID 41343387›Full record

ArticleLaw and human behavior2026

Dynamic prediction of reoffending in individuals given community sentences: Development and validation of a novel risk monitoring assessment tool (oxMore).

Denis Yukhnenko, Nigel Blackwood, Paul Lichtenstein, Seena Fazel

Abstract readValidation Study
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Article in Law and human behavior, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

4 authors.

Denis YukhnenkoDepartment of Psychiatry, University of Oxford.ORCID 0000-0003-4936-2857
Nigel BlackwoodInstitute of Psychiatry, Psychology, and Neuroscience, King's College London.
Paul LichtensteinDepartment of Medical Epidemiology and Biostatistics, Karolinska Institutet.
Seena FazelDepartment of Psychiatry, University of Oxford.

Funding

Wellcome TrustWellcome Trust 202836
6 · The paper itself

Abstract

objectiveThis study aimed to develop and validate a dynamic risk assessment tool for individuals serving community sentences that accounts for the effects of acute adverse events and desistance from crime. HYPOTHESES: Dynamic risk prediction models that incorporate updated data on mental health relapses, incidents of victimization, and desistance from crime will produce more accurate risk stratification for reoffending than models lacking dynamic measurement of risk factors.

methodWe analyzed a national cohort of 59,676 individuals given community sentences in Sweden, of whom 23,879 (45%) had prior psychiatric diagnoses and 18,546 (31%) had substance use disorder diagnoses. Model development tested prespecified criminal history, sociodemographic, and clinical risk factors. Employing landmarking methods for time-to-event data, we modeled the effects of new health care episodes during community supervision, changes in a supervised individual's circumstances, and the impact of crime desistance. We validated the model in a geographically distinct population.

resultsDuring follow up, 18,307 (31%) were reconvicted, 4,416 (7%) committed a violent offense, and 5,381 (9%) were hospitalized with a psychiatric diagnosis. The model demonstrated strong calibration and discrimination performance (c-index = 0.74 for violent reoffending, c-index = 0.69 for general reoffending). It also outperformed comparison models that did not incorporate dynamic data. The final model was translated into an online risk calculator (OxMore).

conclusionsImplementation of dynamic models could lead to more accurate risk stratification for individuals under community supervision, including those with psychiatric and substance use disorders, potentially improving resource allocation, and linkage to interventions that reduce recidivism rates. (PsycInfo Database Record (c) 2026 APA, all rights reserved).

Indexed as

Mental DisordersRecidivismAdolescentAdultCrimeFemaleHumansMaleMiddle AgedRisk AssessmentSubstance-Related DisordersSwedenYoung Adult

Identifiers

PMID41343387
PMCPMC7618717

What OpenQuestion holds

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LicenceCC BY
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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.