Federal Evaluation Centre for Violent and Sexual Offenders (FECVSO), Austrian Ministry of Justice, Vienna, Austria.
Centre for Criminology (Kriminologische Zentralstelle - KrimZ), Wiesbaden, Germany.
Acta Psychiatr Scand. 2019 Jun;139(6):572-581. doi: 10.1111/acps.13024. Epub 2019 Apr 9.
Mental disorders in sexual offenders are relevant in terms of risk assessment and psychotherapeutic and pharmacological treatment.
The present cross-sectional study was conducted between 2001 and 2017 and included 1511 sexual offenders who were assessed at the Federal Evaluation Center for Sexual and Violent Offenders in the Austrian Prison System. All sexual offenders were assessed with the Structured Clinical Interview for Axis I (SCID I) and Axis II disorders (SCID II).
N = 1250 (92.9%) sexual offenders were diagnosed with a mental disorder, whereby the great majority received multiple diagnoses. The most frequently found disorders were alcohol misuse (40.0%), paraphilic (43.3%), and personality disorders (53.6%) with a special emphasis on Cluster B personality disorders (47.8%). While sexual offenders against children were more likely to be diagnosed with paraphilic disorders, sexual offenders against adults were more likely to be diagnosed with a personality disorder.
Prevalence rates of mental disorders in sexual offenders are considerable. Besides specific risk reducing treatment, the psychological and social sequelae of the mental disorder have to be addressed in interventions in order to reach an effective and sustainable risk reduction.
性犯罪者的精神障碍与风险评估以及心理和药物治疗有关。
本横断面研究于 2001 年至 2017 年进行，共纳入 1511 名在奥地利监狱系统联邦性犯罪和暴力罪犯评估中心接受评估的性犯罪者。所有性犯罪者均接受了轴 I（SCID I）和轴 II 障碍（SCID II）的结构性临床访谈评估。
n=1250（92.9%）名性犯罪者被诊断为精神障碍，其中绝大多数被诊断出多种障碍。最常见的障碍是酒精滥用（40.0%）、性癖好障碍（43.3%）和人格障碍（53.6%），特别是 B 类人格障碍（47.8%）。性犯罪儿童的性癖好障碍的诊断率更高，而性犯罪成人的人格障碍的诊断率更高。
性犯罪者的精神障碍发生率相当高。除了特定的降低风险的治疗外，还必须在干预措施中解决精神障碍的心理和社会后果，以达到有效的和可持续的风险降低。
