10003016 J Clin Psychiatry / Document Archive

Psychiatrist.com Home    Keyword Search

Close [X]

Search Our Sites

Enter search terms below (keywords, titles, authors, or subjects). Then select a category to search and press the Search button. All words are assumed to be required. To search for an exact phrase, put it in quotes. To exclude a term, precede it with a minus sign (-).

Keyword search:

Choose a category:

Choosing the appropriate category will greatly improve your chances of finding the best match.

All files at our sites: J Clin Psychiatry, Primary Care Companion, CME Institute, and MedFair

Search materials from our journals:

Abstracts from The Journal of Clinical Psychiatry, 1996–present, both regular issues and supplements

PDFs of the full text of The Journal of Clinical Psychiatry, 1996–present, both regular issues and supplements (Net Society Platinum [paid subscribers])

PDFs of the full text of The Primary Care Companion to The Journal of Clinical Psychiatry, 1999–present

Search CME offerings:

CME Institute, including CME from journals , supplements, and Web activities for instant CME credit (Net Society Gold [registered users]); also includes information about our CME program

CME activities from regular issues of The Journal of Clinical Psychiatry (Net Society Gold [registered users])

CME Supplements from The Journal of Clinical Psychiatry (Net Society Gold [registered users])

 

The article you requested is

Severe Mental Illness and Risk of Sexual Offending in Men: A Case-Control Study Based on Swedish National Registers.

J Clin Psychiatry 2007;68:588-596
Copyright 2007 Physicians Postgraduate Press, Inc.

To view this item, select one of the options below.

  1. NONSUBSCRIBERS
    1. Purchase this PDF for $40
      If you are not a paid subscriber, you may purchase the PDF.
      (You'll need the free Adobe Acrobat Reader.)
    2. Subscribe
      Receive immediate full-text access to JCP. You can subscribe to JCP print + online for $166 individual.
      JCP's 75th AnniversaryCelebrate!
      Celebrate JCP's 75th Anniversary with a special online-only subscription price of $75.
  2. PAID SUBSCRIBERS
    1. Activate
      If you are a paid subscriber to JCP and do not yet have a username and password, activate your subscription now.
    2. Sign in
      As a paid subscriber who has activated your subscription, you have access to the HTML and PDF versions of this item.
  1. Did you forget your password?

Still can't log in? Contact the Circulation Department at 1-800-489-1001 x4 or send an email

| 54.211.213.10

Objective: To examine the comorbidity of severe mental illness with sexual offending in men.

Method: A case-control design was used to investigate psychiatric hospitalization and sexual offending. Data were obtained from Swedish national registers for crime, hospital discharge diagnoses (based on International Classification of Diseases revisions 9 and 10), demographic, and socioeconomic factors for the years 1988 through 2000. All male sexual offenders (N = 8495) in Sweden were included and compared with a random sample of male controls taken from the general population (N = 19,935). The population attributable risk fraction (the proportion of all sexual crimes throughout the study period that were committed by patients with a history of psychiatric hospitalization) was also estimated.

Results: After adjustment for demographic and socioeconomic confounders, sexual offenders were 6 times more likely to have a history of psychiatric hospitalization compared with the general population (OR = 6.3, 95% CI = 5.7 to 6.9). Sexual offenders were significantly more likely to have a severe mental illness than the general population, whether this was schizophrenia (OR = 4.8, 95% CI = 3.4 to 6.7), other psychoses (OR = 5.2, 95% CI = 3.9 to 6.8), or bipolar affective disorder (OR = 3.4, 95% CI = 1.8 to 6.4). The proportion of all sexual crimes committed by hospitalized psychiatric patients (the population attributable risk fraction) was 20.1%.

Conclusion: The increased relative risk of psychiatric hospitalization and severe mental illness in sexual offenders is contrary to much expert opinion in the field. If these findings are replicated in other settings, policies in the criminal justice system regarding the assessment, management, and treatment of sexual offenders may need review.