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Individuals under voluntary treatment with sexual interest in minors

What risk do they pose

Bibliographic Data

ID15517534
AuthorsFritjof von Franqué (Universität Hamburg, corresponding author), Ralf Bergner-Koether (Sozialstiftung Bamberg), Stefanie J Schmidt (0000-0002-2369-5920, Universität Hamburg), Stefanie Schmidt (0000-0003-2053-0909), Jan S Pellowski (Universität Hamburg), J H PETERS (0000-0001-9184-7108, University of Bamberg), Göran Hajak (Sozialstiftung Bamberg), Peer Briken (0000-0002-1360-014X, Universität Hamburg)
Year2023
Volume14
Pages1277225-1277225
Publication date2023-11-23
Peer ReviewedYes
Open AccessYes
TypeARTICLE
VenueFrontiers in Psychiatry (JOURNAL)
Journal identifiersISSN: 1664-0640 • E-ISSN: 1664-0640
PublisherFrontiers Media (PUBLISHER • CH)
DOI10.3389/fpsyt.2023.1277225
PMID38076694
OpenAlexW4388944758
LanguageEN
Citations received4
References cited36

Child Sexual Abuse (CSA) and the production, use, and distribution of Child Sexual Abuse Material (CSAM) are key threats to children's mental health. From the perspective of indicated prevention, it can be assumed that some persons with a sexual interest in children commit such unreported crimes. Accordingly, the German Network kein Täter werden (meaning do not offend ) has implemented a confidential treatment service for persons with a sexual interest in minors who voluntarily seek therapy, might or might not have offended but have not yet been detected or have fulfilled all legal requirements (here referred to as non-forensic individuals). However, this offer has been questioned for investing resources in a group which critics consider as low risk. The following study addresses the question of recidivism risks for CSA or viewing CSAM among non-forensic individuals. We found significantly higher rates of CSA/CSAM in our participants' history compared to a German study on a representative sample of males. Regarding CSAM, the recidivism rate of 39% was found to be 11 times higher than the expected recidivism rate based on previous publications. Regarding CSA, the recidivism rate of 14% was not significantly different from the expected rate reported for subjects with a conviction for a sexual contact offense. Among various risk instruments, only the CPORT with CASIC rating was able to predict CSA (AUC = 0.69, 95% CI = 0.55, 0.82) and CSAM (AUC = 0.63, 95% CI = 0.53, 0.73) among individuals with a history of CSAM, but with poor discrimination. We conclude that a large proportion of our sample poses a substantial risk and therefore treatment resources are well invested. However, further studies are needed to improve risk assessment among non-forensic clients

Conviction · Psychiatry · Recidivism · Child Abuse and Trauma · Clinical Psychology · Homicide, Infanticide, and Child Abuse · Law · Medicine · Psychology · Psychopathy, Forensic Psychiatry, Sexual Offending

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Unique citing works4
Citations per year2
Citation span2024 - 2026 (3)
Citation velocitycurrent
Highly citedNo
Citation typesNeutral: 4

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