Understanding Sexually Victimized Male Adolescents With Sexually Abusive Behaviors: A Narrative Review and Clinical Implications.

A high percentage of adolescents with sexually abusive behaviors have been found to have a history of childhood sexual abuse (CSA). The purpose of this review is to synthesize literature specific to adolescents with sexually abusive behaviors who have histories of CSA. This review will explore characteristics of this subset of adolescents with sexually abusive behaviors, risk factors, etiological theories that aim to explain the pathway from childhood sexual victimization to sexually abusive behavior in adolescence, and the clinical implications of this literature. Using Kiteley and Stogdon's narrative review framework, findings from 66 peer-reviewed articles published between 1990 and 2017 that included male adolescent participants with sexually abusive behaviors were integrated to inform the purpose of this review. The literature presented that different characteristics of CSA experiences, such as a younger age at the time of abuse and a longer period of abuse, were more prevalent among adolescents with sexually abusive behaviors. The CSA experiences of these adolescents could act as triggers for their sexual offenses, and the Trauma Outcome Process Assessment model addresses the importance of processing past trauma in treatment with adolescents with sexually abusive behaviors. This review concludes with clinical recommendations for how the reviewed literature could be applied within trauma-informed interventions with adolescents with sexually abusive behaviors with a history of CSA.