The generalization of the results of the present study are subjected to limitations. First, although clinical protocols were scrutinized for invalid, this is only for extreme responses, in juvenile delinquent protocols overreporting (to avoid treatment obligations) is suspected [
44]. Second, actual dangerous persons, as characterized by severe personality disorders, may not respond or respond inconsistently (see dangerousness subsection) to psychometric measures [
43]. Third, the inconsistency in the results for dangerousness between the statistical significance (non-significant) and the effect size (between moderate and large), states that Type II error is substantial. Fourth, the errors of the statistical models stablish the limits of the generalization to the populations. Fifth, the raw observed prevalence should not be considered as a benchmark, the true prevalence is a score into the limits of the confidence intervals.
Having in mind the previous limitations to the generalization of the results, the following conclusions are driven. First, dangerousness is not a distinctive characteristic of child-to-parent offenders from other juvenile offenders. Moreover, although the prevalence of severe psychopathology among juvenile offenders is higher than in the relationship between criminal behavior and severe psychopathology is not causal [
15]. Causality has been attributed to early traumatic experiences which increase anger, hostility and irritability being symptoms of the neurotic triad disorders in MMPI-A [
45]. As for psychotic disorders, positive symptoms (e.g., hallucinations, delusions) are rarely registered before late teens. Contrariwise, negative symptoms (e.g., anhedonia, avolition, asociality) course in adolescence. Thus, subclinical psychotic disorders (negative symptoms) may be diagnosed in adolescence, but psychotic disorders are rarely diagnosed in juvenile offenders [
15]. In any case, psychotic disorders may be associated with hostility and aggression, but spontaneous attacks are exceptional (psychopathology causation). Like in mood disorders, aggression in psychotic disorders is consequence of previous experiences of violence, substance abuse and impulsivity (American Psychiatric Association, 2013). Second, the prevalence of dangerousness (to self, others and/or public) is extraordinarily high among CPOs. As the effective juvenile offender intervention programs, mainly cognitive-behavioral programs, are focused on training offender criminological needs [
1,
2,
3] the intervention is futile for treatment of dangerousness (clinical symptoms). In consequence, socio-cognitive competence interventions should be complemented with clinical treatment for dangerous offenders. Third, psychopathic traits are common (±50%) in CPOs. As psychopathic traits are related to recidivism [
46], reluctant to treatment [
47] and go jointly [
48], intervention with CPOs in psychopathic traits must be broad implying all, i.e., interpersonal, affective, lifestyle and antisocial traits. In this regard, contradictory results about the successful of the treatment (generally measured in recidivism rates) were reported. Thus, [
49] found for all treatments studied an average effectiveness of .62 (proportion of non-recidivism after treatment) with extraordinary high rates of effectiveness (so high to be the true rates) of 91% for intensive individual psychotherapy, of 82% for eclectic therapy and of 59% for psychoanalytic therapy. Contrariwise, other reviews [
50,
51] attribute the effectiveness in reducing recidivism to the improvement in psychopaths of the strategies to avoid legal detention as a consequence of the skills acquired in treatment. In any way, psychopathic traits have an indirect effect on emotional intelligence, a critical skill for an effective treatment of psychopathy [
52] and the palliation of the emotional clinical symptoms and, by extension, a mitigation of recidivism [
53]. Fourth, a superficial, grandiose, and manipulative personality (interpersonal traits) as well as callousness and lack of remorse (affective traits) define CPOs in comparison to non-child-to-parent offenders. Callousness (the most severe affective trait) do also discriminate of juvenile offenders from non-offenders [
54]. In consequence, intervention programs with CPOs should emphasize the focus in the treatment of interpersonal and affective traits. Fifth, the prevalence of high risk of recidivism for CPOs is common, i.e., encompass 50% of the CPOs population. Consequently, secondary intervention programs must be designed for CPOs to mitigate the risk of recidivism. Sixth, CPOs weight higher in family circumstances, consisting in inadequate supervision, difficulty controlling behavior, inappropriate discipline; inconsistent parenting, father/mother poor relations, and personality and behavior, entailing inflated self-esteem, physically aggressive, tantrums, short attention span, poor frustration tolerance, inadequate guilt feelings, verbally aggressive, criminogenic risk factors than non-CPOs. Hence, criminogenic risk factors predict higher rates of recidivism for CPOs in comparison to non-CPOs requiring additional intervention. Seventh, as a consequence of the joining of the elevated prevalence of dangerousness (75.0% of CPOs were caseness, 18.4% comorbid and 34.2% multimorbid), the large (a large effect size over baseline) prevalence observed prevalence of COPs diagnosed of psychopathy, and the common prevalence of high-risk cases (50%) according to criminogenic risk factors, the probability of recidivism for CPOs is extreme.