North London Forensic Services, Barnet Enfield and Haringey Mental Health Trust, Chase Farm Hospital, 127 the Ridgeway, Enfield, England, EN2 8JL, UK; Offender Care Services, Central and Northwest London Foundation Trust, HMP High Down, Sutton Lane, Sutton, SM2 5PJ, UK.
North London Forensic Services, Barnet Enfield and Haringey Mental Health Trust, Chase Farm Hospital, 127 the Ridgeway, Enfield, England, EN2 8JL, UK.
J Forensic Leg Med. 2021 Jul;81:102188. doi: 10.1016/j.jflm.2021.102188. Epub 2021 May 25.
Attempts to address the threat of harm posed by perpetrators of child sexual abuse (CSA) have rightly increased in recent years, with well-known efforts such as operation NOTARISE resulting in 750 arrests; however, the cost of such operations is also high. Operation NOTARISE resulted in 24 suicides; the estimated economic and social cost of which has been estimated to be £34.8 million. Perpetrators who view child sexual abuse materials (CSAM) are not only at higher risk of suicide than the general population, individuals diagnosed with a mental health disorder, and perpetrators of other violent and sexual crimes, but they also appear to be at higher risk of suicide than perpetrators of CSA who engage directly in sexual acts with a child . An in-depth understanding of the experiences of CSAM offenders is missing in the literature, but is required to understand how to mitigate the risk of suicide amongst this high risk group. This qualitative study investigates the experiences of CSAM perpetrators from the perspectives of law enforcement officers (n = 16), CSAM perpetrators themselves (n = 5), and help-line operators who have provided support to CSAM perpetrators through the Lucy Faithfull Foundation "Stop it now!" helpline (n = 6). Analysis was conducted separately for each dataset and in accordance with guidelines set out by Braun and Clark . The focus of this paper is the six over-arching themes that were common across all datasets: (i) offender demographics; (ii) psychological impact of arrest; (iii) coping with the investigation; (iv) cognitive distortion; (v) shame and stigma; and (vi) professional support. Findings are discussed in the context of the challenges faced by law enforcement and healthcare professions when providing support to this high risk group, and eight key recommendations are made to reduce the risk of suicide.
近年来，人们越来越重视解决儿童性虐待（CSA）犯罪者造成的伤害威胁，著名的行动“NOTARISE”取得了 750 次逮捕等成果；然而，此类行动的代价也很高。“NOTARISE”行动导致了 24 人自杀；据估计，其经济和社会成本为 3480 万英镑。观看儿童性虐待材料（CSAM）的犯罪者不仅比一般人群、被诊断患有精神健康障碍的个体以及其他暴力和性犯罪的犯罪者自杀风险更高，而且似乎比直接与儿童发生性行为的 CSA 犯罪者自杀风险更高。文献中缺乏对 CSAM 犯罪者经历的深入了解，但为了了解如何降低这一高风险群体的自杀风险，这是必要的。本定性研究从执法官员（n=16）、CSAM 犯罪者本身（n=5）以及通过露西·费思富尔基金会“现在就停止！”热线为 CSAM 犯罪者提供支持的帮助热线运营商（n=6）的角度调查了 CSAM 犯罪者的经历。按照 Braun 和 Clark 规定的准则，分别对每个数据集进行了分析。本文的重点是所有数据集共有的六个总体主题：（i）犯罪者人口统计学；（ii）被捕的心理影响；（iii）应对调查；（iv）认知扭曲；（v）羞耻和耻辱；以及（vi）专业支持。研究结果在为这一高风险群体提供支持时，执法和医疗保健专业人员面临的挑战的背景下进行了讨论，并提出了八项降低自杀风险的关键建议。
