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Abstract

Objective:

With the addition of the “with limited prosocial emotions” specifier within the diagnosis of conduct disorder (DSM-5) and of conduct-dissocial disorder (ICD-11) to designate those with elevated callous-unemotional traits, the authors examined the role that callous-unemotional traits play in the risk for gun carrying and gun use during a crime in a sample at high risk for gun violence.

Methods:

Male juvenile offenders (N=1,215) from three regions of the United States were assessed after their first arrest and then reassessed every 6 months for 36 months and again at 48 months. Callous-unemotional traits and peer gun carrying and ownership were measured via self-report after the first arrest (i.e., baseline). Gun carrying and use of a gun during a crime were self-reported at all follow-up points.

Results:

Callous-unemotional traits at baseline increased the frequency of gun carrying and the likelihood of using a gun during a crime across the subsequent 4 years after accounting for other risk factors. Furthermore, callous-unemotional traits moderated the relationship between peer gun carrying and ownership and participant gun carrying, such that only participants low on callous-unemotional traits demonstrated increased gun carrying as a function of their peers’ gun carrying and ownership.

Conclusions:

This study demonstrates the importance of considering callous-unemotional traits in gun violence research both because callous-unemotional traits increase gun carrying and use in adolescents and because the traits may moderate other key risk factors. Notably, the influence of peer gun carrying and ownership may have been underestimated in past research for the majority of adolescents by not considering the moderating influence of callous-unemotional traits.
Gun violence is a serious public health concern in the United States, with an estimated 133,895 people victimized by gun-related violence in 2017 (1). Of the estimated 14,415 firearm-related homicides committed in 2016, approximately 31.6% were committed by adolescents and young adults ages 12–24 (2). Among these adolescents and young adults, 22% of homicides were committed by those with previous juvenile or criminal justice system contact (2). Given the societal cost and pain and suffering of those affected, reducing gun violence by youths is a critical public health concern.
In the most recent revisions of major classification systems for psychiatric disorders, DSM-5 and ICD-11 (3), a new specifier, “with limited prosocial emotions,” was included within the diagnosis of conduct disorder (DSM-5) and conduct-dissocial disorder (ICD-11) to designate those youths with elevated callous-unemotional traits. Callous-unemotional traits are defined by limited guilt, reduced empathic concern, reduced displays of appropriate emotion, and a lack of concern over performance in important activities (4). Callous-unemotional traits are found in 25%−30% of adolescents with serious conduct problems (5), but these adolescents display more persistent and severe aggression and violent offending (6, 7), use aggression for personal gain (8), engage in behavior that causes more harm toward victims (9, 10), display conduct problems that are more stable (11), and have worse treatment outcomes (1215).
However, the association of callous-unemotional traits with gun violence specifically has not been extensively examined in youths. In one notable exception, in a population-based sample of 4,855 Finnish adolescents, callous-unemotional traits were associated with a higher risk of carrying a weapon, and this effect was the largest for carrying a gun, even after controlling for other risk factors (i.e., self-reported delinquency, victimization, perceived peer delinquency) (16). Thus, more work is needed to determine whether this association is found in other samples, especially in the United States, where gun carrying is more common, and in justice system–involved adolescents who are at high risk for gun violence (17).
Furthermore, although this previous study controlled for key predictors of gun violence that could be confounded with callous-unemotional traits, it did not consider possible interactive effects. That is, peer gun carrying is one of the strongest predictors of adolescent gun use (18). However, the delinquent behavior of adolescents with elevated callous-unemotional traits has been shown to be less influenced by the behavior of their peers (19). Thus, the peer influences on an adolescent’s gun carrying may be moderated by the youth’s level of callous-unemotional traits.
Therefore, in this study we sought to determine whether callous-unemotional traits measured after an adolescent’s first arrest predicted self-reported gun carrying and gun use over the subsequent 4 years. Specifically, we hypothesized that callous-unemotional traits would predict increased frequency of gun carrying and increased probability of using a gun during a crime, even after accounting for other risk factors associated with gun use (i.e., age, race, IQ, lifetime self-reported offending, parental supervision, peer delinquency, violence exposure, impulsivity, and neighborhood dysfunction). We also hypothesized that callous-unemotional traits would moderate the relationship between peer gun carrying and ownership and participant gun carrying and use, such that adolescents who had peers who carried and owned guns would show increased gun carrying and use over the subsequent 4 years but that this effect would be found only among adolescents low on callous-unemotional traits.

Methods

Participants and Procedures

The sample included 1,215 male youths, from three regions of the United States, who were arrested for the first time. Participants were eligible if they spoke English, were arrested for an eligible offense of moderate severity, and were between 13 and 17 years of age (see Table 1 for characteristics of the sample). Institutional review boards at all institutions approved the study procedures. Parental informed consent and youth assent were obtained at the time of assessment until the participant turned 18, at which point consent was received from the participant. Participants were informed that participation was voluntary, that participation would not influence their relationship with the justice system, that they were able to withdraw from the study at any time without penalty, and that their data were protected by a privacy certificate from being subpoenaed for use in court. Youths completed the baseline assessment within 6 weeks of the disposition date for their first arrest. They were then reassessed every 6 months for 36 months and then again at 48 months (seven follow-up assessments). Additional sample characteristics and study procedures have been published previously (6).
TABLE 1. Demographic characteristics of participants, variables of interest, and covariates in a study of callous-unemotional traits and risk of gun carrying and use during crime
VariableFull Sample (N=1,215)Low Callous-Unemotional Traits (N=1,031)High Callous-Unemotional Traits (N=184)t or χ2dfη2Odds Ratio
 MeanSDMeanSDMeanSDt   
Demographic informationa          
 Age (years)15.281.2815.281.3015.301.19–0.238266.470.00 
 IQ88.4311.5988.6011.6687.5211.201.1612130.001 
 N%N%N%χ2   
 Black44836.938637.46233.70.941  
 Latino55745.846044.69752.74.13*1  
 White18014.815915.42111.41.991  
 MeanSDMeanSDMeanSDt   
Variables of interest          
 Callous-unemotional traitsa26.278.0824.036.4138.823.91–42.17***385.240.430 
 Gun carrying frequency12.9471.109.8064.0230.61100.50–2.71**210.270.0112.84
 N%N%N%    
  Did not carry a gun1,00983.088485.712567.9    
  1–3 occasions665.4504.8168.7    
  Four or more occasions14011.5979.44323.4    
 MeanSDMeanSDMeanSDt   
 Gun used during one or more crimes0.080.270.060.230.220.41–5.11***204.090.0444.64
 N%N%N%    
  None1,11691.997294.314478.3    
  One or more998.1595.74021.7    
 MeanSDMeanSDMeanSDt   
Covariatesa          
 Peer gun ownership1.340.781.270.681.731.13–5.37***207.270.045 
 Peer gun carrying1.260.691.200.601.591.01–5.13***206.500.042 
 Peer delinquency1.660.631.590.572.050.78–7.62***218.780.069 
 Lifetime offending3.443.103.062.635.574.39–7.52***207.140.084 
 Impulse control3.310.913.400.892.840.897.74***12130.047 
 Parental monitoring3.270.723.310.703.060.794.38***12130.016 
 Parental education2.110.782.120.792.050.7731.0212130.001 
 Neighborhood dysfunction2.040.762.000.752.280.75–4.57***253.230.017 
 Exposure to violence1.101.680.951.501.982.29–5.89***211.670.048 
a
Variable measured at baseline.
*
p<0.05. **p<0.01. ***p<0.001.
Given the mild to moderate severity of the crimes committed by youths recruited into the study, very few were ever placed into detention. Specifically, 77.2% (N=884) of the sample were never incarcerated at any point in the study, 10.9% (N=133) were incarcerated for between 1 and 6 months (although not necessarily consecutively), 7.5% were incarcerated for between 7 and 12 months, and 8.7% were incarcerated for between 13 and 37 months. When participants who were incarcerated for more than 6 months across the entire 48-month follow-up period were excluded from the analysis, the results were consistent with those reported for the full sample. Thus, results of the full sample are reported here.

Main Variables

Callous-unemotional traits.

Callous-unemotional traits were assessed at baseline using the self-report version of the Inventory of Callous-Unemotional Traits (20). This 24-item instrument has been positively associated with antisocial behavior and negatively associated with prosocial behavior across a range of adolescent samples (21). The internal consistency for the baseline total score on the Inventory of Callous-Unemotional Traits (mean=26.27, SD=8.08) in this sample was acceptable (Cronbach’s alpha=0.76).

Peer gun carrying and ownership.

Peer gun carrying and ownership were assessed at baseline using two items from the Association With Deviant Peers Scale (22). Participants were asked how many of their friends have “carried a gun” and “owned a gun” (responses range from 1 [“none of them”] to 5 [“all of them”]).

Gun carrying and use.

Self-reported gun carrying and use of a gun during a crime were assessed at each of the seven follow-up time points using one item from the Self-Report Offending Scale (23). Each item asked participants (yes=1 or no=0) if they had carried a gun at any point since the last interview, and if yes, how many times. A total gun carrying variable was created for the purpose of this study by summing the number of times participants endorsed carrying a gun across all follow-up time points. Self-reported gun use during the commission of a violent crime was also assessed using the Self-Report Offending Scale. Participants were asked (yes=1 or no=0) if, since the last interview, they carjacked someone, shot someone, shot at someone, committed armed robbery, participated in gang violence, or killed someone. If participants endorsed engaging in any of these offenses, they were then asked if they used a gun (yes=1 or no=0). Because of the low base rate of this variable (8.1% of the sample reporting having used a gun during the 48 months after first arrest), a dichotomous variable was used to represent use of a gun at least once during the follow-up period.

Baseline Control Variables

To assess demographic control variables, participants’ self-reported age and race/ethnicity were collected. Race/ethnicity was dichotomized such that endorsement of the ethnicity or race was coded as 1, and no endorsement was coded as 0 (i.e., 1=black, 0=not black, 1=Latino, 0=not Latino). Intelligence was assessed at baseline (mean score=88.43, SD=11.59) using the matrix reasoning and vocabulary subtests of the Wechsler Abbreviated Scale of Intelligence (24). Self-reported lifetime offending prior to a first official arrest was assessed at baseline using the Self-Report Offending Scale (23) by asking adolescents if they ever in their life engaged in a variety of illegal behaviors (Cronbach’s alpha=0.76). Items include a range of antisocial behaviors of various types and severity, including “purposely set fire to a house, building, car, or vacant lot,” “been in a fight,” “forced someone to have sex with you,” “stolen something from a store,” and “gone joyriding.” The measure also included three questions related to gun use prior to a first arrest, including “carried a gun,” “shot at someone, where you pulled the trigger,” and “shot someone, where the bullet hit the victim.” Peer delinquency was assessed at baseline using the Peer Delinquency Scale (22), which asks youths to state how many of their friends have engaged in illegal behaviors (Cronbach’s alpha=0.93). To reduce redundancy, we calculated the total peer delinquency score using 11 items, removing two items related to peer gun carrying and ownership. Exposure to violence was measured at baseline using the Exposure to Violence Scale (25), which asks participants if they were victimized by five different types of violence or witnessed someone else victimized by violence. Impulse control was assessed at baseline using the eight-item self-report impulse control subscale of the Weinberger Adjustment Inventory (26) (Cronbach’s alpha=0.73). Parental supervision was measured at baseline using the Parental Monitoring Inventory (27), which assesses how much the caregiver tried to know and actually knows about domains of the adolescent’s life and how often the caregiver required various forms of curfew (Cronbach’s alpha=0.78). Neighborhood disorder around the adolescent’s home at baseline was measured using 21 items to assess the physical disorder and social disorder of the neighborhood (Cronbach’s alpha=0.94) (28).

Statistical Analysis

Multiple imputation was conducted in SPSS, version 25 (IBM, Armonk, N.Y.), using regression-based imputation, with 20 imputations (29). All variables, including covariates, were used in the imputation. The data were missing completely at random (χ2=106.48, df=112, p=0.63). Eight variables had no missing data, and eight variables had some missing data. The percentage of missing data across these variables ranged from 5.3% for parental monitoring to 0.4% for peer delinquency. Among all participants (N=1,215), 11.6% (N=141) had some missing data, which led to 0.77% of all values missing.
To test the main hypotheses, we conducted a series of negative binomial and Firth logistic regression analyses, all of which were two-tailed tests. Negative binomial regressions were utilized when predicting total self-reported gun carrying because this variable was a count with a large number of “0” values, and it followed a skewed, overdispersed distribution, such that the variance of the dependent variable was greater than the mean. Further, as noted above, none of the participants were unable to engage in gun carrying or gun use across the entire follow-up period, and only a few had a reduced opportunity due to short periods of detention. Firth logistic regressions were utilized when predicting self-reported gun use during the commission of a violent crime and arrests for gun-related crimes because of a low base rate of endorsement of these crimes. Firth logistic regression, conducted in R, uses penalized likelihood, which reduces bias in the prediction of low base rate events in maximum likelihood estimation (30). Callous-unemotional traits, peer gun carrying, and peer gun ownership were mean centered and, with their interactions, entered as independent variables.

Results

Callous-Unemotional Traits Predicting Gun Carrying and Use of a Gun during a Crime

To assess whether callous-unemotional traits would predict the frequency of gun carrying after a first arrest, we conducted negative binomial regressions. The analysis revealed a significant main effect of callous-unemotional traits (B=0.078, SE=0.004, p<0.001, 95% CI=0.071–0.086). As shown in Table 2, this result remained even after controlling for other known risk factors, including age, IQ, race/ethnicity, self-reported offending prior to first arrest, impulse control, parental monitoring, neighborhood dysfunction, exposure to violence, and peer delinquency. After controlling for covariates, every one-point increase in callous-unemotional traits was associated with a 7.6% increase in the likelihood of carrying a gun.
TABLE 2. Main effects of callous-unemotional traits and covariates in the prediction of the frequency of participant gun carrying and gun use during a crime
ModelCoefficientSE95% CIOdds Ratio
Frequency of gun carryinga    
 Callous-unemotional traits0.073***0.0040.065, 0.081 
 Age0.077**0.0270.024, 0.130 
 IQ–0.016***0.003–0.023, –0.010 
 Black0.308**0.1190.074, 0.542 
 Latino0.0390.106–0.168, 0.247 
 Lifetime offending0.251***0.0190.214, 0.288 
 Impulse control0.180***0.0410.100, 0.260 
 Peer delinquency–0.581***0.081–0.740, –0.422 
 Peer gun ownership0.197**0.0700.061, 0.334 
 Peer gun carrying–0.311***0.078–0.463, –0.159 
 Parental monitoring0.547***0.0550.440, 0.655 
 Neighborhood dysfunction0.176**0.0550.068, 0.283 
 Exposure to violence0.408***0.0250.359, 0.457 
 Parental education0.387***0.0440.301, 0.474 
Gun use during crimeb    
 Callous-unemotional traits0.067***0.0160.035, 0.1001.069
 Age–0.366***0.097–0.561, –0.1760.691
 IQ–0.0140.011–0.037, 0.0080.986
 Black0.926*0.4370.103, 1.8572.524
 Latino0.5780.434–0.240, 1.5001.782
 Lifetime offending0.201***0.0440.115, 0.2901.223
 Impulse control0.2360.140–0.040, 0.5141.266
 Peer delinquency–0.1070.252–0.614, 0.3820.899
 Peer gun ownership0.2190.190–0.162, 0.5861.245
 Peer gun carrying–0.0450.217–0.473, 0.3800.956
 Parental monitoring0.2420.171–0.092, 0.5881.274
 Neighborhood dysfunction–0.1180.166–0.450, 0.2080.889
 Exposure to violence0.198**0.0620.076, 0.3171.219
 Parental education0.0140.160–0.303, 0.3301.014
a
Negative binomial regression; unstandardized coefficients are reported.
b
Firth logistic regression; log odd units are reported.
*
p<0.05. **p<0.01. ***p<0.001.
Next, we conducted a Firth logistic regression to test the prediction that callous-unemotional traits would increase the probability of using a gun during the commission of a serious crime within the 48 months after a first arrest. Again, the analyses revealed a main effect of callous-unemotional traits (B=0.102, SE=0.014, p<0.001, 95% CI=0.075–0.130) that remained significant after controlling for covariates (see Table 2). Specifically, with every one-point increase in callous-unemotional traits, there was a 6.9% increase in the probability of using a gun during a violent crime, after accounting for the covariates.

Callous-Unemotional Traits as a Moderator of the Association Between Peer Gun Carrying and Ownership and Adolescent Gun Carrying and Use

To examine whether callous-unemotional traits would moderate the relationship between peer gun carrying (and peer gun ownership) and participant gun carrying, we ran two separate negative binomial regressions, first with callous-unemotional traits, peer gun carrying, and their interaction and then with callous-unemotional traits, peer gun ownership, and their interaction. For both analyses, there were conditional effects for callous-unemotional traits and for peer gun carrying and ownership, and a significant interaction. As indicated by the regression coefficients in Table 3, the form of this interaction was the same for both variables. Thus, we plotted only the interaction with peer gun carrying in Figure 1. Specifically, we calculated and plotted the marginal mean differences in peer gun carrying across levels of callous-unemotional traits in the prediction of total gun carrying across the 48-month follow-up period. As predicted, peer gun carrying led to increased adolescent gun carrying only at low to average levels of callous-unemotional traits. That is, at scores below, but not above, 42 on callous-unemotional traits, or two standard deviations above the mean, the association between peer gun carrying was significantly related to adolescent gun carrying.
TABLE 3. Interactive effects of callous-unemotional traits and peer gun ownership and carrying in the prediction of total frequency of participant gun carrying and gun use during a crime
ModelCoefficientSE95% CIOdds Ratio
Frequency of gun carryinga    
 Callous-unemotional traits0.067***0.0040.059, 0.074 
 Peer gun carrying0.807***0.0620.686, 0.928 
 Interaction between callous-unemotional traits and peer gun carrying–0.029***0.006–0.039, –0.018 
 Callous-unemotional traits0.060***0.0040.053, 0.067 
 Peer gun ownership0.896***0.0500.798, 0.994 
 Interaction between callous-unemotional traits and peer gun ownership–0.02***0.005–0.03, –0.011 
Gun use during crimeb     
 Callous-unemotional traits0.095***0.0150.066, 0.1261.10
 Peer gun carrying0.678***0.1300.419, 0.9271.97
 Interaction between callous-unemotional traits and peer gun carrying–0.024c0.013–0.048, 0.0010.97
 Callous-unemotional traits0.093***0.0150.064, 0.1241.10
 Peer gun ownership0.592***0.1170.354, 0.8111.77
 Interaction between callous-unemotional traits and peer gun ownership–0.0170.011–0.037, 0.0050.98
a
Negative binomial regression; unstandardized coefficients are reported.
b
Firth logistic regression (0=none, 1=at least one); log odd units are reported.
c
p<0.06.
***
p<0.001.
FIGURE 1. Interaction between baseline callous-unemotional traits and baseline peer gun carrying in the prediction of participant gun carrying across 48 months after an adolescent’s first arresta
a Callous-unemotional traits and peer gun carrying were centered before plotting. Unstandardized coefficients are reported.
Firth logistic regression analyses were conducted to test the prediction of use of a gun during a crime following first arrest (Table 3). Again, there were main effects for callous-unemotional traits and both peer gun variables (carrying and ownership), but the interaction was not significant (p<0.06) for callous-unemotional traits and peer gun carrying. Although not significant, the coefficients indicate a form of interaction similar to that reported in Figure 1.

Discussion

With the addition of the “with limited prosocial emotions” specifier within the diagnosis of conduct disorder (DSM-5) and conduct-dissocial disorder (ICD-11) (4), we sought to examine the role that callous-unemotional traits may play in the risk for gun carrying and gun use during a violent crime in a sample of justice system–involved adolescents, a group at high risk for this serious public health concern.
Our results suggest, first, that callous-unemotional traits measured shortly after adolescents’ first arrest predicted increased frequency of gun carrying and a higher likelihood of using a gun during a violent crime across the subsequent 4 years. Importantly, this relationship remained after accounting for other risk factors associated with both callous-unemotional traits and gun use. These findings align with a substantial amount of previous research suggesting that callous-unemotional traits are a risk factor for severe delinquency, violence, and recidivism (4, 7). Our results suggest that callous-unemotional traits need to be considered as a risk factor specifically for gun use in arrested adolescents, who are at particularly high risk for gun use (31).
Second, our results indicate another reason to consider callous-unemotional traits in research on gun use in adolescents. Callous-unemotional traits moderated the relationship between peer gun carrying and ownership and adolescent gun carrying, such that only participants low on callous-unemotional traits demonstrated increased gun carrying as a function of their peers’ gun carrying and ownership. Similar interaction effects approached significance in predicting gun use during a crime. Thus, adolescents with elevated callous-unemotional traits appear to carry and use guns at higher rates, regardless of gun carrying and ownership by their peers, consistent with previous research suggesting that these adolescents may be less susceptible to peer influences (19). Further, past research linking peer gun use with adolescents’ own gun use may have underestimated the effect of peers for the majority of youths, who do not have elevated callous-unemotional traits (20). However, it is important to note that compared with other predictors, the effect size for callous-unemotional traits predicting gun carrying is smaller than many other covariates (e.g., lifetime offending, exposure to violence). Thus, research should continue to study, and interventions should continue to target, these other predictors as well.
Although this study has multiple strengths, including the longitudinal design and use of a large, diverse sample of adolescents from three geographically distinct regions of the United States, it is not without limitations. First, our sample included only male participants, and although there is evidence to suggest that males are more likely to be elevated on callous-unemotional traits (32) and own guns at an earlier age (33), further research should attempt to replicate these findings in females. Second, while a sample of justice system–involved youths is considered a strength because of the higher rate of gun carrying in such samples, it can also be viewed as a limitation because of the limited generalizability of these findings to community-based samples. With this in mind, further research should investigate the effect of callous-unemotional traits and peer gun use on adolescent gun carrying and use in general populations. Third, we relied on the youths’ self-reported gun use. This method is justified in that the vast majority of gun carrying and gun use by adolescents goes undetected by authorities and is typically not known by others (e.g., parents, teachers) (34). However, this method does lead to shared method variance between our key predictor (i.e., callous-unemotional traits) and outcome, which may have inflated associations.
The present study has important implications regarding the risk factors for gun carrying and use in adolescent boys in the juvenile justice system. First, interventions to reduce gun violence need to consider methods that have proven effective for youths with elevated callous-unemotional traits (12), who often do not respond as well to traditional mental health treatments (1315). Second, our findings demonstrate the importance of considering callous-unemotional traits in future gun violence research because they may moderate the influence of other known risk factors, such as peer gun use, and lead to underestimates of the impact of this risk factor in the majority of youths, who do not have elevated callous-unemotional traits.

Acknowledgments

The authors thank the many research assistants involved in data collection across the three study sites; the youths and their families for their participation; and the agencies that funded the Crossroads Study, including the Office of Juvenile Justice and Delinquency Prevention, the John D. and Catherine T. MacArthur Foundation, the William T. Grant Foundation, the County of Orange, Calif., and the Fudge Family Foundation.

References

1.
Centers for Disease Control and Prevention (CDC): Web-based Injury Statistics Query and Reporting System (WISQARS). National Center for Injury Prevention and Control, CDC, 2017. https://www.cdc.gov/injury/wisqars/index.html
2.
Xu JQ, Murphy SL, Kochanek KD, et al: National Vital Statistics Reports: Deaths: Final Data for 2016. Hyattsville, Md, National Center for Health Statistics, July 2018. https://www.cdc.gov/nchs/data/nvsr/nvsr67/nvsr67_05.pdf
3.
Reed GM, First MB, Kogan CS, et al: Innovations and changes in the ICD-11 classification of mental, behavioural and neurodevelopmental disorders. World Psychiatry 2019; 18:3–19
4.
Frick PJ, Ray JV, Thornton LC, et al: Can callous-unemotional traits enhance the understanding, diagnosis, and treatment of serious conduct problems in children and adolescents? A comprehensive review. Psychol Bull 2014; 140:1–57
5.
Kahn RE, Frick PJ, Youngstrom EA, et al: Distinguishing primary and secondary variants of callous-unemotional traits among adolescents in a clinic-referred sample. Psychol Assess 2013; 25:966–978
6.
Ray JV, Frick PJ, Thornton LC, et al: Callous-unemotional traits predict self-reported offending in adolescent boys: the mediating role of delinquent peers and the moderating role of parenting practices. Dev Psychol 2017; 53:319–328
7.
Baskin-Sommers AR, Waller R, Fish AM, et al: Callous-unemotional traits trajectories interact with earlier conduct problems and executive control to predict violence and substance use among high risk male adolescents. J Abnorm Child Psychol 2015; 43:1529–1541
8.
Fanti KA, Frick PJ, Georgiou S: Linking callous-unemotional traits to instrumental and non-instrumental forms of aggression. J Psychopathol Behav 2009; 31:285–298
9.
Kruh IP, Frick PJ, Clements CB: Historical and personality correlates to the violence patterns of juveniles tried as adults. Crim Justice Behav 2005; 32:69–96
10.
Lawing K, Frick PJ, Cruise KR: Differences in offending patterns between adolescent sex offenders high or low in callous-unemotional traits. Psychol Assess 2010; 22:298–305
11.
McMahon RJ, Witkiewitz K, Kotler JS; Conduct Problems Prevention Research Group: Predictive validity of callous-unemotional traits measured in early adolescence with respect to multiple antisocial outcomes. J Abnorm Psychol 2010; 119:752–763
12.
White SF, Frick PJ, Lawing K, et al: Callous-unemotional traits and response to functional family therapy in adolescent offenders. Behav Sci Law 2013; 31:271–285
13.
Hawes DJ, Dadds MR: The treatment of conduct problems in children with callous-unemotional traits. J Consult Clin Psychol 2005; 73:737–741
14.
Dadds MR, Cauchi AJ, Wimalaweera S, et al: Outcomes, moderators, and mediators of empathic-emotion recognition training for complex conduct problems in childhood. Psychiatry Res 2012; 199:201–207
15.
Kimonis ER, Bagner DM, Linares D, et al: Parent training outcomes among young children with callous-unemotional conduct problems with or at-risk for developmental delay. J Child Fam Stud 2014; 23:437–448
16.
Saukkonen S, Laajasalo T, Jokela M, et al: Weapon carrying and psychopathic-like features in a population-based sample of Finnish adolescents. Eur Child Adolesc Psychiatry 2016; 25:183–191
17.
Lizotte A, Sheppard D: Gun Use by Male Juveniles: Research and Prevention. Washington, DC, U.S. Department of Justice, Office of Justice Programs, July 2001. https://www.ncjrs.gov/pdffiles1/ojjdp/188992.pdf
18.
Blumberg EJ, Liles S, Kelley NJ, et al: Predictors of weapon carrying in youth attending drop-in centers. Am J Health Behav 2009; 33:745–758
19.
Kerr M, Van Zalk M, Stattin H: Psychopathic traits moderate peer influence on adolescent delinquency. J Child Psychol Psychiatry 2012; 53:826–835
20.
Kimonis ER, Frick PJ, Skeem JL, et al: Assessing callous-unemotional traits in adolescent offenders: validation of the Inventory of Callous-Unemotional Traits. Int J Law Psychiatry 2008; 31:241–252
21.
Cardinale EM, Marsh AA: The reliability and validity of the Inventory of Callous Unemotional Traits: a meta-analytic review. Assessment 2020; 27:57–71
22.
Thornberry TP, Lizotte AJ, Krohn M, et al: Delinquent peers, beliefs, and delinquent behavior: a longitudinal test of interactional theory. Criminology 1994; 32:47–83
23.
Huizinga D, Esbensen F-A, Weiher AW: Are there multiple paths to delinquency? J Crim Law Criminol 1991; 82:83–118
24.
Wechsler D: Manual for the Wechsler Abbreviated Scale of Intelligence (WASI). San Antonio, Tex, Psychological Corp, 1991
25.
Selner-O’Hagan MB, Kindlon DJ, Buka SL, et al: Assessing exposure to violence in urban youth. J Child Psychol Psychiatry 1998; 39:215–224
26.
Weinberger DA, Schwartz GE: Distress and restraint as superordinate dimensions of self-reported adjustment: a typological perspective. J Pers 1990; 58:381–417
27.
Steinberg L, Lamborn SD, Dornbusch SM, et al: Impact of parenting practices on adolescent achievement: authoritative parenting, school involvement, and encouragement to succeed. Child Dev 1992; 63:1266–1281
28.
Sampson RJ, Raudenbush SW: Systematic social observation of public spaces: a new look at disorder in urban neighborhoods. Am J Sociol 1999; 105:603–651
29.
Little RJ, Rubin DB: Bayes and multiple imputation, in Statistical Analysis With Missing Data, 2nd ed. Edited by Little RJ, Rubin DB. New York, Wiley, 2002, pp 200–220
30.
Wang X: Firth logistic regression for rare variant association tests. Front Genet 2014; 5:187
31.
Watkins AM, Huebner BM, Decker SH: Patterns of gun acquisition, carrying, and use among juvenile and adult arrestees: evidence from a high‐crime city. Justice Q 2008; 25:674–700
32.
Frick PJ, Bodin SD, Barry CT: Psychopathic traits and conduct problems in community and clinic-referred samples of children: further development of the psychopathy screening device. Psychol Assess 2000; 12:382–393
33.
Parker K, Menasce Horowitz J, Igielnik R, et al: America’s Complex Relationship With Guns. Washington, DC, Pew Research Center, 2017. https://www.pewsocialtrends.org/2017/06/22/americas-complex-relationship-with-guns/
34.
Junger-Tas J, Marshall IH: The self-report methodology in crime research. Crime Justice 1999; 25:291–367

Information & Authors

Information

Published In

Go to American Journal of Psychiatry
Go to American Journal of Psychiatry
American Journal of Psychiatry
Pages: 827 - 833
PubMed: 32539529

History

Received: 22 August 2019
Revision received: 26 March 2020
Accepted: 13 April 2020
Published online: 16 June 2020
Published in print: September 01, 2020

Keywords

  1. Adolescents
  2. Gun Violence
  3. Firearms
  4. Forensic Psychiatry

Authors

Details

Emily L. Robertson, M.A. [email protected]
Department of Psychology, Louisiana State University, Baton Rouge (Robertson, Frick, Walker, Kemp); Learning Science Institute of Australia, Australian Catholic University, Melbourne (Frick); Department of Criminal Justice, University of Central Florida, Orlando (Ray); Louisiana Department of Health, Baton Rouge (Thornton); Department of Psychology, University of Dayton, Dayton, Ohio (Wall Myers); Department of Psychology, Temple University, Philadelphia (Steinberg); King Abdulaziz University, Jeddah, Saudi Arabia (Steinberg); Department of Psychological Science, University of California, Irvine, Irvine (Cauffman).
Paul J. Frick, Ph.D.
Department of Psychology, Louisiana State University, Baton Rouge (Robertson, Frick, Walker, Kemp); Learning Science Institute of Australia, Australian Catholic University, Melbourne (Frick); Department of Criminal Justice, University of Central Florida, Orlando (Ray); Louisiana Department of Health, Baton Rouge (Thornton); Department of Psychology, University of Dayton, Dayton, Ohio (Wall Myers); Department of Psychology, Temple University, Philadelphia (Steinberg); King Abdulaziz University, Jeddah, Saudi Arabia (Steinberg); Department of Psychological Science, University of California, Irvine, Irvine (Cauffman).
Toni M. Walker, M.A.
Department of Psychology, Louisiana State University, Baton Rouge (Robertson, Frick, Walker, Kemp); Learning Science Institute of Australia, Australian Catholic University, Melbourne (Frick); Department of Criminal Justice, University of Central Florida, Orlando (Ray); Louisiana Department of Health, Baton Rouge (Thornton); Department of Psychology, University of Dayton, Dayton, Ohio (Wall Myers); Department of Psychology, Temple University, Philadelphia (Steinberg); King Abdulaziz University, Jeddah, Saudi Arabia (Steinberg); Department of Psychological Science, University of California, Irvine, Irvine (Cauffman).
Emily C. Kemp, B.S.
Department of Psychology, Louisiana State University, Baton Rouge (Robertson, Frick, Walker, Kemp); Learning Science Institute of Australia, Australian Catholic University, Melbourne (Frick); Department of Criminal Justice, University of Central Florida, Orlando (Ray); Louisiana Department of Health, Baton Rouge (Thornton); Department of Psychology, University of Dayton, Dayton, Ohio (Wall Myers); Department of Psychology, Temple University, Philadelphia (Steinberg); King Abdulaziz University, Jeddah, Saudi Arabia (Steinberg); Department of Psychological Science, University of California, Irvine, Irvine (Cauffman).
James V. Ray, Ph.D.
Department of Psychology, Louisiana State University, Baton Rouge (Robertson, Frick, Walker, Kemp); Learning Science Institute of Australia, Australian Catholic University, Melbourne (Frick); Department of Criminal Justice, University of Central Florida, Orlando (Ray); Louisiana Department of Health, Baton Rouge (Thornton); Department of Psychology, University of Dayton, Dayton, Ohio (Wall Myers); Department of Psychology, Temple University, Philadelphia (Steinberg); King Abdulaziz University, Jeddah, Saudi Arabia (Steinberg); Department of Psychological Science, University of California, Irvine, Irvine (Cauffman).
Laura C. Thornton, Ph.D.
Department of Psychology, Louisiana State University, Baton Rouge (Robertson, Frick, Walker, Kemp); Learning Science Institute of Australia, Australian Catholic University, Melbourne (Frick); Department of Criminal Justice, University of Central Florida, Orlando (Ray); Louisiana Department of Health, Baton Rouge (Thornton); Department of Psychology, University of Dayton, Dayton, Ohio (Wall Myers); Department of Psychology, Temple University, Philadelphia (Steinberg); King Abdulaziz University, Jeddah, Saudi Arabia (Steinberg); Department of Psychological Science, University of California, Irvine, Irvine (Cauffman).
Tina D. Wall Myers, Ph.D.
Department of Psychology, Louisiana State University, Baton Rouge (Robertson, Frick, Walker, Kemp); Learning Science Institute of Australia, Australian Catholic University, Melbourne (Frick); Department of Criminal Justice, University of Central Florida, Orlando (Ray); Louisiana Department of Health, Baton Rouge (Thornton); Department of Psychology, University of Dayton, Dayton, Ohio (Wall Myers); Department of Psychology, Temple University, Philadelphia (Steinberg); King Abdulaziz University, Jeddah, Saudi Arabia (Steinberg); Department of Psychological Science, University of California, Irvine, Irvine (Cauffman).
Laurence Steinberg, Ph.D.
Department of Psychology, Louisiana State University, Baton Rouge (Robertson, Frick, Walker, Kemp); Learning Science Institute of Australia, Australian Catholic University, Melbourne (Frick); Department of Criminal Justice, University of Central Florida, Orlando (Ray); Louisiana Department of Health, Baton Rouge (Thornton); Department of Psychology, University of Dayton, Dayton, Ohio (Wall Myers); Department of Psychology, Temple University, Philadelphia (Steinberg); King Abdulaziz University, Jeddah, Saudi Arabia (Steinberg); Department of Psychological Science, University of California, Irvine, Irvine (Cauffman).
Elizabeth Cauffman, Ph.D.
Department of Psychology, Louisiana State University, Baton Rouge (Robertson, Frick, Walker, Kemp); Learning Science Institute of Australia, Australian Catholic University, Melbourne (Frick); Department of Criminal Justice, University of Central Florida, Orlando (Ray); Louisiana Department of Health, Baton Rouge (Thornton); Department of Psychology, University of Dayton, Dayton, Ohio (Wall Myers); Department of Psychology, Temple University, Philadelphia (Steinberg); King Abdulaziz University, Jeddah, Saudi Arabia (Steinberg); Department of Psychological Science, University of California, Irvine, Irvine (Cauffman).

Notes

Send correspondence to Ms. Robertson ([email protected]).

Competing Interests

The authors report no financial relationships with commercial interests.

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