{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,31]],"date-time":"2026-07-31T16:38:37Z","timestamp":1785515917436,"version":"3.56.0"},"reference-count":43,"publisher":"SAGE Publications","issue":"4","license":[{"start":{"date-parts":[[2026,1,12]],"date-time":"2026-01-12T00:00:00Z","timestamp":1768176000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,1,12]],"date-time":"2026-01-12T00:00:00Z","timestamp":1768176000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"funder":[{"DOI":"10.13039\/100014528","name":"World Childhood Foundation","doi-asserted-by":"crossref","id":[{"id":"10.13039\/100014528","id-type":"DOI","asserted-by":"crossref"}]},{"name":"Centre for Psychiatry Research"},{"name":"S\u00f6derstr\u00f6m K\u00f6nigska Foundation"},{"name":"Fredrik and Ingrid Thuring Foundation"},{"name":"Krica Foundation"},{"DOI":"10.13039\/501100007687","name":"Swedish Society of Medicine","doi-asserted-by":"crossref","id":[{"id":"10.13039\/501100007687","id-type":"DOI","asserted-by":"crossref"}]}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Sex Abuse"],"published-print":{"date-parts":[[2026,6]]},"abstract":"<jats:p>\n                    In the field of child sexual abuse prevention, there is a need for risk assessment tools that are time-sensitive and can predict an individual\u2019s risk of acting on sexual urges, whether this is watching child sexual abuse material (CSAM), interacting socially with a child for sexual purposes, or committing sexual abuse. We evaluated the predictive ability of the Sexual Child Molestation Risk Assessment (SChiMRA+), a self-report scale that assesses current motivation to act on sexual urges toward children (Part A) and captures past-week sexual behaviors toward children (Part B). Longitudinal data from two clinical trials aiming to reduce sexual behaviors toward children were analyzed; Priotab (testosterone-lowering medication;\n                    <jats:italic toggle=\"yes\">n<\/jats:italic>\n                    = 52 men with pedophilic disorder; pseudonymized) and Prevent It (internet-delivered cognitive behavioral therapy;\n                    <jats:italic toggle=\"yes\">n<\/jats:italic>\n                    = 160 active CSAM users; anonymous). A ROC analysis identified an optimal cutoff of 4.5 on Part A for indicating a clinically significant heightened risk for sexually abusive acts (same week: specificity 63.7%, sensitivity 83.7%, AUC = .802; next week: specificity 53.1%, sensitivity 83.0%, AUC = .727). These results indicate that SChiMRA+ part A can be used to identify increased risk for future offending behavior as well as probable ongoing CSAM use among self-identified help-seekers.\n                  <\/jats:p>","DOI":"10.1177\/10790632261415813","type":"journal-article","created":{"date-parts":[[2026,1,13]],"date-time":"2026-01-13T02:24:44Z","timestamp":1768271084000},"page":"447-473","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":2,"title":["Predictive Ability of the Sexual Child Molestation Risk Assessment (SChiMRA+)"],"prefix":"10.1177","volume":"38","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-4120-0610","authenticated-orcid":false,"given":"Allison","family":"McMahan","sequence":"first","affiliation":[{"name":"Karolinska Institutet"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5513-6605","authenticated-orcid":false,"given":"Timothy J.","family":"Luke","sequence":"additional","affiliation":[{"name":"University of Gothenburg"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gerhard","family":"Andersson","sequence":"additional","affiliation":[{"name":"Karolinska Institutet"},{"name":"Link\u00f6ping University"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8934-5130","authenticated-orcid":false,"given":"Christoffer","family":"Rahm","sequence":"additional","affiliation":[{"name":"Karolinska Institutet"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6155-1947","authenticated-orcid":false,"given":"Malin","family":"Joleby","sequence":"additional","affiliation":[{"name":"Karolinska Institutet"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2026,1,12]]},"reference":[{"key":"e_1_3_5_2_1","doi-asserted-by":"publisher","DOI":"10.1177\/15248380251361065"},{"key":"e_1_3_5_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/0749-5978(91)90020-T"},{"key":"e_1_3_5_4_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10508-014-0270-x"},{"key":"e_1_3_5_5_1","doi-asserted-by":"publisher","DOI":"10.1027\/1016-9040\/a000326"},{"key":"e_1_3_5_6_1","doi-asserted-by":"publisher","DOI":"10.18637\/jss.v067.i01"},{"key":"e_1_3_5_7_1","doi-asserted-by":"publisher","DOI":"10.1037\/amp0000059"},{"key":"e_1_3_5_8_1","volume-title":"The psychology of criminal conduct","author":"Bonta J.","year":"2017","unstructured":"Bonta J., Andrews D. 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Soderquist E. Oberg K. G. Rozental A. Andersson G. Kaldo V. Langstrom N. Rahm C. (2022). Effects of internet-delivered cognitive behavioral therapy on use of child sexual abuse material: A randomized placebo-controlled trial on the darknet. Internet Interv 30 Article 100590. https:\/\/doi.org\/10.1016\/j.invent.2022.100590","DOI":"10.1016\/j.invent.2022.100590"},{"key":"e_1_3_5_28_1","doi-asserted-by":"publisher","DOI":"10.1002\/bsl.2340"},{"key":"e_1_3_5_29_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11920-016-0707-0"},{"key":"e_1_3_5_30_1","doi-asserted-by":"publisher","DOI":"10.1080\/13552600.2020.1741709"},{"key":"e_1_3_5_31_1","doi-asserted-by":"publisher","DOI":"10.1002\/jip.83"},{"key":"e_1_3_5_32_1","volume-title":"R: A language and environment for statistical computing","author":"R Core Team","year":"2023","unstructured":"R Core Team. (2023). 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(Eds.), What works in offender rehabilitation: An evidence-based approach to assessment and treatment (pp. 230\u2013252). Wiley-Blackwell. https:\/\/doi.org\/10.1002\/9781118320655.ch11"},{"key":"e_1_3_5_40_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1749-6632.2003.tb07308.x"},{"key":"e_1_3_5_41_1","doi-asserted-by":"publisher","DOI":"10.1037\/0033-2909.133.5.859"},{"key":"e_1_3_5_42_1","doi-asserted-by":"publisher","DOI":"10.1177\/0093854805284409"},{"key":"e_1_3_5_43_1","doi-asserted-by":"crossref","unstructured":"Wittstrom F. Langstrom N. Landgren V. Rahm C. (2020). Risk factors for sexual offending in self-referred men with pedophilic disorder: A Swedish case-control study. 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