No. The VAST methodology investigates psychological traits within a subclinical norm. High scores may indicate a specific sense of humor, interest in violent media, or a tendency toward social dominance, but they do not constitute a medical diagnosis or predict criminal behavior.
Understanding the level of everyday sadism helps in self-discovery and controlling one's reactions. In some cases, it is useful for understanding the causes of conflicts in a team or in personal relationships, as well as for making an informed choice of professions where such traits can be sublimated.