{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,4]],"date-time":"2026-05-04T22:48:59Z","timestamp":1777934939682,"version":"3.51.4"},"reference-count":73,"publisher":"SAGE Publications","issue":"1","license":[{"start":{"date-parts":[[2022,4,21]],"date-time":"2022-04-21T00:00:00Z","timestamp":1650499200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Sex Abuse"],"published-print":{"date-parts":[[2023,2]]},"abstract":"<jats:p>The role of serious mental illness among those who sexually offend is not well understood. We investigated clinical and risk-related areas of difference between male forensic psychiatric patients with ( n = 86) and without ( n = 245) a sexual offense history, including the age at which indications of mental disorder and criminal offending first emerged, from a registry of Ontario patients adjudicated Not Criminally Responsible on account of Mental Disorder (NCRMD) from 1999\u20132012. We further explored motivations for offending among a subset of patients deemed NCRMD for a sexual offense specifically ( n = 41). While no differences were found in the age onset of illness or offending across those with and without a sexual offending history, the former group was rated as having higher levels of historical\/static risk for violence. Forensic patients with a sexual offense history were also more likely to offend against a stranger, and less likely to offend against a family member. Sexual index offenses were psychotically-motivated in the majority of cases, but with a meaningful proportion appearing to reflect criminogenic motivations, especially substance use and paraphilic interests. Results suggest greater similarity than difference among forensic patients with and without a sexual offense history, but also highlight an important divergence from the literature showing that victims of sexual offenses are frequently known to the individual committing them.<\/jats:p>","DOI":"10.1177\/10790632221088012","type":"journal-article","created":{"date-parts":[[2022,4,21]],"date-time":"2022-04-21T16:24:39Z","timestamp":1650558279000},"page":"103-126","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":4,"title":["Serious Mental Illness and Sexual Offending in Forensic Psychiatric Patients"],"prefix":"10.1177","volume":"35","author":[{"given":"Austin A.","family":"Lam","sequence":"first","affiliation":[{"name":"Temerty Faculty of Medicine, University of Toronto, Toronto, ON, Canada"},{"name":"Complex Care and Recovery Program, Forensic Division, Centre for Addiction and Mental Health, Toronto, ON, Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5890-4163","authenticated-orcid":false,"given":"Stephanie R.","family":"Penney","sequence":"additional","affiliation":[{"name":"Temerty Faculty of Medicine, University of Toronto, Toronto, ON, Canada"},{"name":"Complex Care and Recovery Program, Forensic Division, Centre for Addiction and Mental Health, Toronto, ON, Canada"},{"name":"Department of Psychiatry, University of Toronto, Mississauga, ON, Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0478-2583","authenticated-orcid":false,"given":"Alexander I. F.","family":"Simpson","sequence":"additional","affiliation":[{"name":"Complex Care and Recovery Program, Forensic Division, Centre for Addiction and Mental Health, Toronto, ON, Canada"},{"name":"Department of Psychiatry, University of Toronto, Mississauga, ON, Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2022,4,21]]},"reference":[{"key":"bibr1-10790632221088012","doi-asserted-by":"publisher","DOI":"10.1177\/107906320001200403"},{"key":"bibr2-10790632221088012","doi-asserted-by":"publisher","DOI":"10.1001\/archpsyc.64.11.1251"},{"key":"bibr3-10790632221088012","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijlp.2007.09.006"},{"key":"bibr4-10790632221088012","first-page":"406","volume-title":"Practical statistics for medical research","author":"Altman D. G.","year":"1991"},{"key":"bibr5-10790632221088012","volume-title":"Diagnostic and statistical manual of mental disorders","author":"APA","year":"1994","edition":"4"},{"key":"bibr6-10790632221088012","first-page":"306624X20944673","volume":"23","author":"Arbanas G.","year":"2020","journal-title":"International journal of offender therapy and comparative criminology"},{"key":"bibr7-10790632221088012","doi-asserted-by":"publisher","DOI":"10.1080\/09585180210150113"},{"key":"bibr8-10790632221088012","doi-asserted-by":"publisher","DOI":"10.1111\/j.2517-6161.1995.tb02031.x"},{"key":"bibr9-10790632221088012","volume-title":"Mental disorder and the law: A primer for legal and mental health professionals","author":"Bloom H.","year":"2017","edition":"2"},{"key":"bibr73-10790632221088012","doi-asserted-by":"publisher","DOI":"10.1037\/0033-2909.123.2.123.9522681"},{"key":"bibr10-10790632221088012","doi-asserted-by":"publisher","DOI":"10.1016\/j.avb.2014.04.014"},{"key":"bibr11-10790632221088012","doi-asserted-by":"publisher","DOI":"10.1002\/cbm.1926"},{"key":"bibr12-10790632221088012","doi-asserted-by":"publisher","DOI":"10.1080\/09585189808402185"},{"key":"bibr13-10790632221088012","doi-asserted-by":"publisher","DOI":"10.1177\/0093854816658923"},{"key":"bibr14-10790632221088012","doi-asserted-by":"publisher","DOI":"10.1192\/bjp.161.6.846"},{"key":"bibr15-10790632221088012","doi-asserted-by":"publisher","DOI":"10.1037\/lhb0000269"},{"key":"bibr16-10790632221088012","doi-asserted-by":"publisher","DOI":"10.1177\/070674371506000305"},{"key":"bibr17-10790632221088012","doi-asserted-by":"publisher","DOI":"10.1002\/cbm.576"},{"key":"bibr18-10790632221088012","doi-asserted-by":"publisher","DOI":"10.4088\/JCP.v65n0302"},{"key":"bibr19-10790632221088012","doi-asserted-by":"publisher","DOI":"10.1111\/acps.13024"},{"key":"bibr20-10790632221088012","doi-asserted-by":"publisher","DOI":"10.1007\/s001270050216"},{"key":"bibr21-10790632221088012","doi-asserted-by":"publisher","DOI":"10.1891\/0886-6708.2.4.263"},{"key":"bibr22-10790632221088012","doi-asserted-by":"publisher","DOI":"10.1300\/J070v04n03_02"},{"key":"bibr23-10790632221088012","doi-asserted-by":"publisher","DOI":"10.1001\/jama.2009.675"},{"key":"bibr24-10790632221088012","doi-asserted-by":"publisher","DOI":"10.4088\/JCP.v68n0415"},{"key":"bibr25-10790632221088012","doi-asserted-by":"publisher","DOI":"10.1016\/0895-4356(90)90158-L"},{"key":"bibr26-10790632221088012","doi-asserted-by":"publisher","DOI":"10.1037\/0022-006X.73.6.1154"},{"key":"bibr27-10790632221088012","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijlp.2005.11.001"},{"key":"bibr28-10790632221088012","doi-asserted-by":"publisher","DOI":"10.1176\/ps.50.1.62"},{"key":"bibr29-10790632221088012","doi-asserted-by":"publisher","DOI":"10.1098\/rstb.2008.0034"},{"key":"bibr30-10790632221088012","doi-asserted-by":"publisher","DOI":"10.1111\/1556-4029.13707"},{"key":"bibr31-10790632221088012","doi-asserted-by":"publisher","DOI":"10.1176\/ps.2006.57.6.879"},{"key":"bibr32-10790632221088012","doi-asserted-by":"publisher","DOI":"10.1176\/ps.49.2.218"},{"key":"bibr33-10790632221088012","doi-asserted-by":"publisher","DOI":"10.1177\/107906329500700405"},{"key":"bibr34-10790632221088012","doi-asserted-by":"publisher","DOI":"10.1176\/appi.ajp.2013.13010134"},{"key":"bibr35-10790632221088012","doi-asserted-by":"publisher","DOI":"10.1177\/0093854819887204"},{"key":"bibr36-10790632221088012","doi-asserted-by":"publisher","DOI":"10.1080\/14999013.2014.974088"},{"issue":"1","key":"bibr37-10790632221088012","first-page":"56","volume":"48","author":"Lam A. A.","year":"2020","journal-title":"The Journal of the American Academy of Psychiatry and the Law"},{"key":"bibr38-10790632221088012","doi-asserted-by":"publisher","DOI":"10.2307\/2529786"},{"key":"bibr39-10790632221088012","doi-asserted-by":"publisher","DOI":"10.1177\/107906320401600204"},{"key":"bibr40-10790632221088012","doi-asserted-by":"publisher","DOI":"10.1016\/j.schres.2010.11.026"},{"key":"bibr41-10790632221088012","doi-asserted-by":"publisher","DOI":"10.1111\/1471-0528.13093"},{"key":"bibr42-10790632221088012","doi-asserted-by":"publisher","DOI":"10.1016\/j.eurpsy.2003.08.001"},{"key":"bibr43-10790632221088012","doi-asserted-by":"publisher","DOI":"10.1177\/0306624X17740016"},{"key":"bibr44-10790632221088012","doi-asserted-by":"publisher","DOI":"10.1002\/(SICI)1099-0798(200001\/02)18:1<73::AID-BSL378>3.0.CO;2-#"},{"key":"bibr45-10790632221088012","doi-asserted-by":"publisher","DOI":"10.1007\/s11920-017-0863-x"},{"key":"bibr46-10790632221088012","doi-asserted-by":"publisher","DOI":"10.1093\/schbul\/sbn144"},{"key":"bibr47-10790632221088012","doi-asserted-by":"publisher","DOI":"10.1080\/14999013.2003.10471191"},{"issue":"4","key":"bibr48-10790632221088012","first-page":"444","volume":"35","author":"Novak B.","year":"2007","journal-title":"The Journal of the American Academy of Psychiatry and the Law"},{"key":"bibr49-10790632221088012","doi-asserted-by":"publisher","DOI":"10.1192\/bjp.150.5.615"},{"key":"bibr50-10790632221088012","doi-asserted-by":"publisher","DOI":"10.1002\/cbm.781"},{"key":"bibr51-10790632221088012","doi-asserted-by":"publisher","DOI":"10.1037\/lhb0000155"},{"key":"bibr52-10790632221088012","doi-asserted-by":"publisher","DOI":"10.1177\/0886260519876719"},{"key":"bibr53-10790632221088012","doi-asserted-by":"publisher","DOI":"10.1007\/s00127-018-1619-6"},{"key":"bibr54-10790632221088012","doi-asserted-by":"publisher","DOI":"10.1176\/ps.2010.61.12.1217"},{"key":"bibr55-10790632221088012","doi-asserted-by":"publisher","DOI":"10.1177\/107906320101300303"},{"key":"bibr56-10790632221088012","doi-asserted-by":"publisher","DOI":"10.1037\/0003-066X.55.1.68"},{"key":"bibr57-10790632221088012","doi-asserted-by":"publisher","DOI":"10.1080\/09585189808402196"},{"key":"bibr58-10790632221088012","doi-asserted-by":"publisher","DOI":"10.1016\/j.cpr.2015.04.001"},{"key":"bibr59-10790632221088012","volume-title":"Adult sex offender typologies","author":"Simons D. A.","year":"2015"},{"key":"bibr60-10790632221088012","doi-asserted-by":"publisher","DOI":"10.1177\/2167702615575879"},{"key":"bibr61-10790632221088012","doi-asserted-by":"publisher","DOI":"10.1007\/s10979-010-9223-7"},{"key":"bibr62-10790632221088012","doi-asserted-by":"publisher","DOI":"10.1192\/bjp.174.3.233"},{"key":"bibr63-10790632221088012","volume-title":"Sexual assault of young children as reported to law enforcement: Victim, incident, and offender characteristics","author":"Snyder H. N.","year":"2000"},{"key":"bibr64-10790632221088012","doi-asserted-by":"publisher","DOI":"10.1001\/archpsyc.55.5.393"},{"key":"bibr65-10790632221088012","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijlp.2011.04.011"},{"key":"bibr66-10790632221088012","doi-asserted-by":"publisher","DOI":"10.1001\/archpsyc.63.5.490"},{"key":"bibr67-10790632221088012","doi-asserted-by":"publisher","DOI":"10.1007\/s00127-011-0356-x"},{"key":"bibr68-10790632221088012","doi-asserted-by":"publisher","DOI":"10.1177\/107906320401600203"},{"key":"bibr69-10790632221088012","doi-asserted-by":"publisher","DOI":"10.1177\/073401680202700205"},{"key":"bibr70-10790632221088012","volume-title":"HCR-20: Assessing risk for violence (version 2)Mental health, law, and policy institute","author":"Webster C.","year":"1997"},{"key":"bibr71-10790632221088012","doi-asserted-by":"publisher","DOI":"10.1177\/1079063214544333"},{"key":"bibr72-10790632221088012","doi-asserted-by":"publisher","DOI":"10.1111\/acps.12113"}],"container-title":["Sexual Abuse"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/10790632221088012","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/10790632221088012","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/10790632221088012","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,5,2]],"date-time":"2026-05-02T02:39:01Z","timestamp":1777689541000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/10790632221088012"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022,4,21]]},"references-count":73,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2023,2]]}},"alternative-id":["10.1177\/10790632221088012"],"URL":"https:\/\/doi.org\/10.1177\/10790632221088012","relation":{},"ISSN":["1079-0632","1573-286X"],"issn-type":[{"value":"1079-0632","type":"print"},{"value":"1573-286X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2022,4,21]]}}}