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Sexual Risks in Young Patients in Inpatient Child and Adolescent Psychiatric and Psychotherapeutic Addiction Treatment Engaging in fulfilling and low-risk sexual relationships is a developmental task in adolescence and young adulthood. At the same time, sexual contact is associated with risks, including early and/or unwanted pregnancies, sexually transmitted infections (STIs) and negative sexual experiences. In the present study, n = 84 inpatients in child and adolescent psychiatric and psychotherapeutic addiction treatment aged between 13 and 19 years were examined. The aim was to determine how many participants had experienced sexual risks due to (1) sexual contact under the influence of alcohol and/or drugs, (2) sexual contact without a condom outside of a committed relationship and (3) regretted sexual contact. It was also checked whether there was a state of intoxication during the situation in the three risk situations. 69.7 % of adolescent SUD patients stated that they had had sexual contact under the influence of alcohol and/or drugs. 46.1 % of SUD patients reported unprotected sexual intercourse in the last 12 months. A total of 53.6 % of female and 12.5 % of male adolescent SUD patients reported regretting sexual contact. 90 % of cases occurred while intoxicated, regardless of gender. No connection to comorbid disorders was found, but there was a clear connection to the impulsivity factor urgency. The figures indicate that young SUD patients are at considerable risk of having unwanted sexual experiences. Preventive measures should take into account aspects of managing urgency.