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Simultaneously, PTSD is associated with several adverse outcomes, including increased risk of suicidality in prison, poorer treatment outcomes, and higher rates of recidivism. This review seeks to systematize trauma-focused therapies for adult justice-involved populations. It examines their effectiveness across diverse approaches, forensic settings (e.g., prisons, forensic hospitals, probation), and demographic groups (e.g., men, women), expanding on prior reviews. Six databases (PubMed, Scopus, Web of Science, B-On, PsycInfo, and Scielo) were searched, resulting in 20 studies included. Results showed that most studies were conducted in the United States, primarily involving female participants in prisons. The findings suggested that both EMDR therapy and the Seeking Safety program are promising approaches for improving mental health outcomes\u2014including PTSD, anxiety, and depression\u2014among men and women in both prison and non-prison settings. However, evidence regarding behavioral change remains inconsistent. These approaches and programs show potential as effective treatments for individuals who have committed crimes. However, methodological limitations within the studies prevent definitive conclusions about their effectiveness.<\/jats:p>","DOI":"10.1177\/15248380251397413","type":"journal-article","created":{"date-parts":[[2025,12,26]],"date-time":"2025-12-26T05:05:52Z","timestamp":1766725552000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":1,"title":["The Effectiveness of Trauma-Focused Interventions With Individuals Who Perpetrated Crimes: A Systematic Review"],"prefix":"10.1177","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-3258-9932","authenticated-orcid":false,"given":"Marta","family":"Sousa","sequence":"first","affiliation":[{"name":"HEI-LAB: Digital Human-Environment Interaction Labs, Lus\u00f3fona University, Porto, Portugal"}]},{"given":"T\u00e2nia","family":"Gon\u00e7alves","sequence":"additional","affiliation":[{"name":"University of Minho, Braga, Portugal"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0387-7900","authenticated-orcid":false,"given":"S\u00f3nia","family":"Caridade","sequence":"additional","affiliation":[{"name":"University of Minho, Braga, Portugal"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0992-8572","authenticated-orcid":false,"given":"Andreia","family":"de Castro-Rodrigues","sequence":"additional","affiliation":[{"name":"Instituto Universit\u00e1rio, Lisbon, Portugal"}]},{"given":"\u00c2ngela","family":"Maia","sequence":"additional","affiliation":[{"name":"University of Minho, Braga, Portugal"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9747-2343","authenticated-orcid":false,"given":"Olga","family":"Cunha","sequence":"additional","affiliation":[{"name":"University of Minho, Braga, Portugal"}]}],"member":"179","published-online":{"date-parts":[[2025,12,25]]},"reference":[{"key":"e_1_3_3_3_1","doi-asserted-by":"crossref","unstructured":"Baranyi G. 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