Department of Forensic Psychiatry and Psychotherapy, Ulm University, Ulm, Germany; Psychiatric Services Grisons, Department of Forensic Psychiatry, Chur, Switzerland.
Department of Forensic Psychiatry and Psychotherapy, Ulm University, Ulm, Germany.
Int J Law Psychiatry. 2021 Nov-Dec;79:101738. doi: 10.1016/j.ijlp.2021.101738. Epub 2021 Sep 28.
The efficacy of sex offender treatment (SOT) is a matter of ongoing discussion and research in forensic psychotherapy. This study evaluates the efficacy of outpatient SOT after discharge from prison. Recidivism rates of participants treated in outpatient departments for sex offenders in Bavaria between 2008 and 2016 (treatment group, TG; n = 353) were compared with those of a matched group of released offenders without treatment (control group, CG; n = 353). The mean follow-up period was 4.5 years. The primary outcome of interest was whether the rates of reoffending differed significantly between the two groups. We compared general and specific rates of reoffending, time to reoffending, and type of reoffending. The groups differed significantly regarding the rates and time of violent reoffending and reoffending overall, but not regarding sexual reoffending respectively the type of sexual reoffending. The results indicate that outpatient SOT is effective in reducing the general but not the specific risk of reoffending.
性犯罪者治疗（SOT）的疗效是法医心理治疗中正在讨论和研究的一个问题。本研究评估了罪犯从监狱获释后的门诊 SOT 的疗效。2008 年至 2016 年间，巴伐利亚州门诊部门治疗的性犯罪者（治疗组，TG；n=353）和未经治疗的释放罪犯（对照组，CG；n=353）的累犯率进行了比较。平均随访时间为 4.5 年。主要研究结果是两组的累犯率是否有显著差异。我们比较了两组一般累犯率和特定累犯率、累犯时间和累犯类型。两组在暴力累犯率和总体累犯率以及时间上存在显著差异，但在性累犯率和性累犯类型上没有显著差异。结果表明，门诊 SOT 可有效降低一般累犯风险，但不能降低特定累犯风险。
