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This study aimed to assess the reliability and validity of the PCL:SV with autistic adults detained in inpatient psychiatric care. Data were collected from 282 autistic adults at two time points separated by 12\u2010months. Reliability and validity were investigated using omega, regression, receiver operating characteristic curves, and correlational analysis. PCL:SV Total, Factor 1, and Factor 2 had satisfactory to high reliability and construct validity. Higher PCL:SV scores were associated with poorer treatment progress, a longer length of stay, and previous criminal offending. Factor 1 was associated with a forensic history, detention under Part III of the Mental Health Act, and a personality disorder diagnosis, while Factor 2 was also associated with the absence of a forensic history, detention under Part II of the Mental Health Act, but not a personality disorder diagnosis. 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This study provides preliminary evidence to support the use of the PCL:SV with autistic adults, including those with intellectual disabilities, within inpatient psychiatric hospitals.<\/jats:p>","DOI":"10.1002\/aur.70004","type":"journal-article","created":{"date-parts":[[2025,2,18]],"date-time":"2025-02-18T09:10:19Z","timestamp":1739869819000},"page":"614-631","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["The Factor Structure and Validity of the Psychopathy Checklist\u2010Short Version When Used With Autistic Psychiatric Inpatients"],"prefix":"10.1002","volume":"18","author":[{"given":"Kate","family":"Maguire","sequence":"first","affiliation":[{"name":"School of Health and Social Care University of Essex  Colchester 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