Journal of Intellectual Disabilities and Offending Behaviour

Longitudinal Risk Prediction Model for Recidivism in Offenders with Intellectual Disabilities

Vundela Swathi (1), Samaksh Goyal (2), Dr. Reekee Patel (3), Pramod Kumar Panda (4), Nidhi Sharma (5), Dharmsheel Shrivastava (6)

(1) Centre for Multidisciplinary Research, Anurag University, Hyderabad, Telangana, India
(2) Quantum University Research Center, Quantum University, Roorkee, Uttarakhand, India
(3) Professor, Department of Forensic Medicine, Parul Institute of Medical Sciences & Research, Parul University, Vadodara, Gujarat, India
(4) Assistant Professor, Department of Law, SOA National Institute of Law, Siksha 'O' Anusandhan (Deemed to be University), Bhubaneswar, Odisha, India
(5) Associate Professor, Department of Development Studies, Vivekananda Global University, Jaipur, India
(6) Assistant Professor, Department of Biotechnology and Microbiology, Noida International University, Greater Noida, Uttar Pradesh, India
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Abstract

This study aimed to develop and evaluate a longitudinal risk prediction model for recidivism among offenders with intellectual disabilities, integrating static and time-varying risk and protective factors, and to compare its predictive performance with a conventional cross-sectional model. A longitudinal cohort design was used, comprising 1,842 offenders with documented intellectual disability identified through linked criminal justice and disability registers. Participants were followed for a median of 4.8 years (IQR: 2.6–6.9), contributing 8,412 person-years of observation. Recidivism was defined as a new criminal justice concept. Cox proportional hazards models with time-dependent covariates were applied. The concordance index (C-index), time-dependent area under the curve (AUC), and calibration slope were used to evaluate model performance, and internal validation was done through bootstrapping. Follow-up showed 712 individuals (38.7%) reoffended, resulting in an incidence rate of 8.5 events per 100 person-years. The younger age (HR = 0.97 per year, 95% CI: 0.96-0.98) and the previous criminal history (HR = 1.18/offense, 95% CI: 1.14-1.22) were considered as the static predictors. Mild ID was linked to the increased risk of recidivism (HR = 1.42, 95% CI: 1.19-1.69). Mental instability over time (HR = 1.61) was also a risk factor, and treatment attendance (HR = 0.66) and good housing (HR = 0.71) were protective. The longitudinal model was more effective with the C-index = 0.73; AUCs = 0.76 at 1 year, 0.74 at 3, and 0.72 at 5 years, respectively, than the cross-sectional model (C-index = 0.64). Longitudinal models that include dynamic risk and protective variables outperform traditional recidivism prediction with offenders with intellectual disabilities and help focus on personalized and evidence-based risk management approaches.