Antisocial Personality Disorder in Men

Key things to know What the evidence shows
How common is it? Substantially higher than women; general community estimates heavily male-weighted
Is it more common among men? Clearly higher prevalence
Are men at higher risk? #N/A
How much higher is the risk? Not established clean pooled RR; consistent large male excess
How often can it be missed? High
Does it show up differently among men? Yes / Somewhat
How might it look different? More overt aggression, rule violation, criminality and substance misuse often appear in clinical/forensic samples
What commonly occurs alongside it? Alcohol/drug-use disorders; ADHD; mood disorders; other PDs
What can it be confused with? Substance-use disorder; bipolar mania; NPD; intermittent explosive disorder; criminal behaviour without ASPD
Common screening tool PDQ-4 ASPD scale → structured personality-disorder interview
Separate screening tool for men None
1 of 14