Several meta-analyses have examined the Central Eight risk factors for reoffending in the general forensic population. To our knowledge, this is the first meta-analysis to focus exclusively on the predictive validity of risk factors for recidivism in forensic outpatients. A multilevel meta-analysis was conducted of studies in which static and dynamic risk factors were investigated as predictors of violent and/or general recidivism in forensic outpatients. Twenty-seven studies were included, with 543 effect sizes in a unique population of 116,982 adult offenders. The Central Eight risk domains were found to be predictive of violent and general recidivism; however, these factors predicted recidivism with small-to-moderate effects. Overall, in the same domain, the dynamic risk factors were more strongly related to recidivism than the static risk factors. This knowledge may be used to guide future outpatient treatment.

Stop It Now! aims to prevent child sexual abuse using a free anonymous helpline. It provides information, advice, and guidance to anyone concerned about child sexual abuse. It targets people who have sexually abused children or who are worried that they might do so. This article presents findings from a pilot study on the operation and outcomes of the helplines in the United Kingdom and the Netherlands. The findings underline the strength of the public health approach to prevention efforts. More specifically, benefits reported by helpline users are shown to correspond with the aims of the helplines. A number of factors were reported by users that helped them modify their own or others' actions to minimize risk of abuse. However, a challenge that remains is ensuring that helplines are accessible to those most in need. Recommendations are included to further expand the effect of Stop It Now! in reducing CSA.

Legal and clinical efforts to reduce the level of coercive pressures on patients need to recognize the importance of mental-health professionals, including especially those who are not legally mandated to participate in the admission process.

Arsonists are considered a type of violent offender by some and a distinct group of offenders by others. Assuming the latter could be beneficial to offer tailor-made psychotherapeutic treatment to these offenders. The present study investigated whether arsonists ( n = 55) and violent offenders ( n = 41) are differentiable regarding several demographic and personal characteristics, and criminal career. Results indicated that arsonists were significantly more often diagnosed with a Diagnostic and Statistical Manual of Mental Disorders ( DSM) Axis II disorder, and more socially isolated and lacking coping skills. Violent offenders, on the other hand, demonstrated more drug abuse/dependence, a younger age at the first manifestation of antisocial behavior, a more extensive criminal history and higher percentage of recidivism. In light of these results, it is conceivable that arsonists could benefit from a slightly different treatment approach, for example, with more attention to relational and emotion regulation skills.

Both experimental and clinical studies suggest that the prehospital administration of aspirin may be beneficial in patients with unstable angina and acute myocardial infarction. Experimental studies indicate that within 1 hour of aspirin administration, serum levels peak and significant inhibition of platelet aggregation occurs. Clinical studies demonstrate that early treatment with aspirin reduces mortality and reinfarction rates in patients with unstable angina and acute myocardial infarction. However, these same studies also indicate that prolonged delays often occur before in-hospital therapy with aspirin is initiated. Since the potential benefits are great and the risks and costs are low, physicians should encourage the prehospital administration of aspirin in patients with symptoms suggestive of unstable angina or acute myocardial infarction.