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Arch Sci Psychol. 2015 Apr 13;3(1):8-17. doi: 10.1037/arc0000009.

A Prospective Study of Psychiatric Comorbidity and Recidivism Among Repeat DUI Offenders.

Archives of scientific psychology

Sarah E Nelson, Katerina Belkin, Debi A LaPlante, Leslie Bosworth, Howard J Shaffer

Affiliations

  1. Harvard Medical School ; Division on Addiction, Cambridge Health Alliance.
  2. Division on Addiction, Cambridge Health Alliance.
  3. Beth Israel Deaconess Medical Center.

PMID: 26539339 PMCID: PMC4628836 DOI: 10.1037/arc0000009

Abstract

Psychiatric comorbidity has emerged as a key element distinguishing DUI offenders from others, and, in some cases, distinguishing repeat offenders from first-time offenders. This paper utilizes a prospective design to determine whether the comorbid disorders identified among repeat DUI offenders can predict recidivism. Seven hundred forty-three repeat DUI offenders were recruited from a two-week inpatient treatment program at which they received a standardized mental health assessment and followed across five years post-treatment to track DUI offense, motor vehicle-related offenses, and general criminal offenses. Psychiatric comorbidity, though it did not predict DUI recidivism specifically, predicted criminal re-offense more generally. In addition, there was a specific relationship between lifetime attention deficit disorder and repeated motor vehicle-related offenses. These findings suggest that for many repeat offenders, DUI is one outlet in a constellation of criminal behavior, and that psychiatric comorbidity increases vulnerability for criminal re-offense.

Keywords: alcohol; comorbidity; driving under the influence; impaired driving; mental health; prospective; recidivism

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