Prior to moving to New York, James L. Knoll, IV, M.D. was the director of psychiatry for the entire New Hampshire State Prison system. He has served as an expert witness in cases of national prominence such as the “Cleveland Strangler” serial murder case of Anthony Sowell, and the “137 shots” Cleveland Police shooting case. Knoll also served as a stalking risk assessment consultant for law enforcement and victims of stalking for over 20 years. He is board certified in both general and forensic psychiatry.

Knoll has researched and published on the phenomenon of homicide-suicide. He has presented as part of the Sandy Hook Promise initiative after the Newtown Tragedy. For the past decade, he has performed forensic evaluations of students who have threatened to engage in violence such as school shootings. He has published scholarly articles on mass murder and was an invited consultant to the National Institute of Justice regarding mass shootings. He serves as the committee chair on threat assessment for the Onondaga County School Safety Task Force.

Knoll is Emeritus Editor-in-Chief of the Psychiatric Times, one of the most widely read publications in the field of psychiatry, and a contributing editor for the Correctional Mental Health Report. He serves as director for the SUNY Upstate Forensic Psychiatry Fellowship training program and lectures nationally and internationally. He is an affiliate fellow of the International Criminal Investigative Analysis Fellowship (ICIAF) which serves to train and collaborate with law enforcement nationally and internationally, with regular meetings at the FBI National Academy. He will serve as president of American Academy of Psychiatry and the Law (2022-23). He teaches basic psychiatric concepts to new FBI agents and assists with crisis negotiation training with the Syracuse Police.