PDF(Pubmed)
Abstract：
UNASSIGNED: Treatment of individuals who have committed sexual offences with Testosterone-Lowering Medication (TLM) is a comparatively intrusive kind of intervention, which regularly takes place in coercive contexts. Thus, the question of efficacy, but also the question of who should be treated, when and for how long, are of great importance.
UNASSIGNED: Recidivism rates of TLM-treated high-risk individuals (+TLM; n = 54) were compared with high-risk individuals treated with psychotherapy only in the same forensic outpatient clinic (-TLM; n = 79).
UNASSIGNED: Group differences suggested a higher initial risk of + TLM (e.g. higher ris-assessment, previous convictions). Despite the increased risk, after an average time at risk of six years, +TLM recidivated significantly less often and significantly later than - TLM (27.8% vs. 51.9%). Such an effect was also found for violent (1.9% vs. 15.2%), but not for sexual (5.6% vs. 10.1%) and serious recidivism (5.6% vs. 10.1%), which could be explained partly by the small number of cases. In the course of treatment, TLM proved to be a significant variable for a positive process, whereas a high risk-assessment score indicated a rather negative course. In total, n = 19 individuals had stopped their TLM treatment, of these 31.6% recidivated.
UNASSIGNED: The results support the efficacy of TLM, particularly in the group of high-risk offenders.
UNASSIGNED: Recidivism rates of TLM-treated high-risk individuals (+TLM; n = 54) were compared with high-risk individuals treated with psychotherapy only in the same forensic outpatient clinic (-TLM; n = 79).
UNASSIGNED: Group differences suggested a higher initial risk of + TLM (e.g. higher ris-assessment, previous convictions). Despite the increased risk, after an average time at risk of six years, +TLM recidivated significantly less often and significantly later than - TLM (27.8% vs. 51.9%). Such an effect was also found for violent (1.9% vs. 15.2%), but not for sexual (5.6% vs. 10.1%) and serious recidivism (5.6% vs. 10.1%), which could be explained partly by the small number of cases. In the course of treatment, TLM proved to be a significant variable for a positive process, whereas a high risk-assessment score indicated a rather negative course. In total, n = 19 individuals had stopped their TLM treatment, of these 31.6% recidivated.
UNASSIGNED: The results support the efficacy of TLM, particularly in the group of high-risk offenders.
摘要：
■使用降低睾酮的药物（TLM）治疗性犯罪的人是一种相对侵入性的干预措施，这经常发生在强制环境中。因此，功效的问题，还有谁应该被治疗的问题，什么时候，多长时间，非常重要。
■将接受TLM治疗的高危个体（+TLM；n=54）与仅在同一法医门诊接受心理治疗的高危个体（-TLM；n=79）进行了比较。
■群体差异表明+TLM的初始风险较高(例如，较高的风险评估，以前的定罪)。尽管风险增加,在平均风险时间为六年后，+TLM复发的频率明显低于-TLM（27.8%vs.51.9%）。暴力也有这样的影响(1.9%vs.15.2%），但不适用于性(5.6%与10.1%)和严重累犯(5.6%vs.10.1%），这可以部分解释为案件数量少。在治疗过程中,TLM被证明是一个积极过程的重要变量，而较高的风险评估得分表明病程相当负面。总的来说,n=19个人停止了他们的TLM治疗，其中31.6%是重复的。
■结果支持TLM的功效，特别是在高风险罪犯群体中。
■将接受TLM治疗的高危个体（+TLM；n=54）与仅在同一法医门诊接受心理治疗的高危个体（-TLM；n=79）进行了比较。
■群体差异表明+TLM的初始风险较高(例如，较高的风险评估，以前的定罪)。尽管风险增加,在平均风险时间为六年后，+TLM复发的频率明显低于-TLM（27.8%vs.51.9%）。暴力也有这样的影响(1.9%vs.15.2%），但不适用于性(5.6%与10.1%)和严重累犯(5.6%vs.10.1%），这可以部分解释为案件数量少。在治疗过程中,TLM被证明是一个积极过程的重要变量，而较高的风险评估得分表明病程相当负面。总的来说,n=19个人停止了他们的TLM治疗，其中31.6%是重复的。
■结果支持TLM的功效，特别是在高风险罪犯群体中。
