When yes, for how long? – Duration of antiandrogenic treatment of sexual offenders with paraphilic disorders

“One a Day Keeps the Prison Away”: Understanding the Experiences of Individuals Convicted of Sexual Offences Receiving Anti-Androgens for the Treatment of Problematic Sexual Arousal

“…The reduction in legal restraints and external pressures leading to a decline in treatment motivation has been indicated elsewhere in the literature on anti-androgen treatment in individuals who have committed sexual offences (Voß et al, 2016 ; Wolba et al, 2023 ). This is further supported in the wider forensic literature; when individuals are extrinsically motivated or feel coerced to comply with treatment programs, extended engagement with interventions is poor (Day et al, 2004 ; Sturgess et al, 2016 ).…”

“…Length of treatment should however be considered alongside the updated WFSBP guidelines and ethical considerations surrounding side-effects of anti-androgens (Thibaut et al, 2020 ). Studies have demonstrated that pharmacological treatment can be stopped without an immediate association with increased risk of sexual recidivism (Sauter et al, 2018 ; Voß et al, 2016 ); however, navigating the journey of discontinuing medication is a complex decision, which can lead individuals to stay on their medication for possibly longer than necessary periods (Sauter et al, 2021 , 2022 ).…”

The impact of testosterone-lowering medication on recidivism in individuals convicted of sexual offenses

“…Based on the insufficient state of research, it seems understandable and comprehensible that in practice, although guidelines recommend a two-to-five-year treatment duration, hardly any withdrawal attempts are made (Voß et al. 2016 ; Sauter et al. 2018 ; Colstrup et al.…”

“…If the patient stops TLM-treatment, he usually does so without the professional monitoring and risk-management that forensic outpatient follow-up can offer (Voß et al. 2016 ; Sauter et al. 2018 ).…”

Urolithiasis bei der Langzeitherapie mit GnRH-Agonisten bei Paraphilien – 3 Fallberichte

“…In der Forensisch-Therapeutischen Ambulanz (FTA) Berlin haben seit 2010 bis Sommer 2015 insgesamt 32 Patienten im Rahmen einer ambulanten forensischen Rehabilitationsbehandlung eine antiandrogene Medikation erhalten. Die antiandrogene Behandlung von Sexualstraftätern gilt als sichere und effektive Behandlung bei paraphilen Störungen [1][2][3]. Leitliniengemäß erfolgt sie als Teil eines multiprofessionellen Gesamtbehandlungsplans mit begleitender Psychound Soziotherapie [4].…”