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This retrospective observational study used data from a hospital for men; Sample 1 (S1,\n                    <jats:italic toggle=\"yes\">N<\/jats:italic>\n                    \u2009=\u200997) collected in 1990, and Sample 2 (S2,\n                    <jats:italic toggle=\"yes\">N<\/jats:italic>\n                    \u2009=\u2009176) in 2009\u20132012. A data-driven multiple correspondence analysis and a cluster analysis was conducted on S1 based on clinical needs, then applied to S2. ACEs and assault proportions within each cluster were compared using chi-square tests. Clusters identified: minimal needs (S1\u2009=\u200923%, S2\u2009=\u200920%); psychotic disorders (S1\u2009=\u200919%, S2\u2009=\u200917%); personality disorders (S1\u2009=\u200921%, S2\u2009=\u200922%); complex needs (S1\u2009=\u200937%, S2\u2009=\u200941%). Participants reporting ACEs (\n                    <jats:italic toggle=\"yes\">p<\/jats:italic>\n                    \u2009=\u2009.004) and assault (\n                    <jats:italic toggle=\"yes\">p<\/jats:italic>\n                    \u2009&lt;\u2009.001) differed between clusters. The third cluster reported the highest ACEs (84.6%) and assault (61.5%).\n                  <\/jats:p>","DOI":"10.1177\/0306624x251391790","type":"journal-article","created":{"date-parts":[[2025,12,16]],"date-time":"2025-12-16T09:52:37Z","timestamp":1765878757000},"page":"895-916","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":2,"title":["Clinical Subgroups of Individuals Receiving Care in a Forensic Hospital: A 20-Year Comparison and Treatment Need Implications"],"prefix":"10.1177","volume":"70","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-5339-200X","authenticated-orcid":false,"given":"Arianne","family":"Imbeault","sequence":"first","affiliation":[{"name":"Institut National de psychiatrie l\u00e9gale Philippe-Pinel, Montreal, QC, Canada"},{"name":"Universit\u00e9 de Montr\u00e9al, Montreal, QC, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anne G.","family":"Crocker","sequence":"additional","affiliation":[{"name":"Institut National de psychiatrie l\u00e9gale Philippe-Pinel, Montreal, QC, Canada"},{"name":"Universit\u00e9 de Montr\u00e9al, Montreal, QC, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Elke","family":"Ham","sequence":"additional","affiliation":[{"name":"Waypoint Research Institute, Penetanguishene, ON, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marie-Christine","family":"Stafford","sequence":"additional","affiliation":[{"name":"Institut National de psychiatrie l\u00e9gale Philippe-Pinel, Montreal, QC, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7961-0615","authenticated-orcid":false,"given":"N. 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