The present study investigates whether leuprolide acetate (Lupron) adds to the efficacy of traditional sex offender treatment. A group of sex offenders receiving both Lupron and cognitive behavioral therapy (CBT; = 25) were compared with a group of sex offenders receiving only CBT ( = 22). Treated subjects were compared with norms available with reference to the Static-99R, as well as compared with a sample of untreated, nonsexual violent offenders ( = 81), to provide baseline data regarding risk of violent recidivism. Results indicated that subjects receiving Lupron were at significantly higher risk of recidivism and significantly more likely to be diagnosed with a paraphilia than subjects receiving only CBT, a priori. Both treated groups of sexual offenders recidivated at substantially lower rates than predicted by the Static-99R. Currently, this study represents the only, long-term outcome study on Lupron administration using officially recorded recidivism as the primary dependent measure.
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Article Synopsis
- This study investigates gender differences in a forensic psychiatric population, focusing on treatment needs of highly dangerous patients in Italian security measures facilities.
- Analyzing 730 patients, the research found that female offenders had higher rates of personality and depressive disorders, and were involved in more severe crimes like homicide compared to male offenders.
- Despite these differences, there were no significant variations in other sociodemographic or clinical factors, emphasizing the need for customized treatment approaches in forensic psychiatry.
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