Clinical trial NCT06499051: Epidemiology of French Sexual Offenders. A Cross-sectional Study
Official title: Epidemiology of Sexual Offenders. A Cross-sectional Study of Auvergne-Rhône-Alpes Referral Platforms
Study type: OBSERVATIONAL
Overall status: RECRUITING
Conditions: Psychiatric Disorder
Keywords: sexual offenses
epidemiology
Lead sponsor: Hôpital le Vinatier
Sponsor class: OTHER
First posted: 2024-07-12
Enrollment: 400
Sex: ALL
Minimum age (years): 18
Standard ages: ADULT
OLDER_ADULT
Accepts healthy volunteers: no
Observational model: OTHER
Time perspective: OTHER
Sampling method: NON_PROBABILITY_SAMPLE
Study population: All sexual offenders who are part of the PFR and meet the inclusion criteria will be invited to participate in this study.

Brief summary: The epidemiology of sexual offenders has been poorly studied in the literature. A retrospective and prospective study will allow for the examination of the clinical profile of sexual offense perpetrators, risk and recurrence factors, as well as psychiatric or medical treatment. Since 2015, the Auvergne-Rhône-Alpes region has 8 reference platforms for sexual offense perpetrators, offering personalized assessment according to criteria defined by the Regional Health Agency (ARS). After this assessment, a multidisciplinary meeting is organized to define a tailored care plan. This study, called ARAVS (Auvergne Rhone-Alpes Sexual Offenders), aims to conduct an epidemiological, clinical, and socio-demographic study of patients in these platforms.

Detailed description: The Auvergne-Rhône-Alpes region, prompted by the Regional Health Agency (ARS), established a unique system of reference platforms starting in 2015, covering a large part of the region\&#39;s territory. These platforms aim to provide comprehensive care for sexual offense perpetrators in addition to the support provided by the CRIAVS (Resource Centers for Professionals Working with Sexual Offenders). There are currently 8 active reference platforms in the region: in Bourg-en Bresse (Ain), Roanne (Loire), Saint-Etienne (Loire), Lyon (Rhône), Clermont-Ferrand (Puy-de-Dôme), Grenoble (Isère), Annecy (Savoie), and Valence (Drôme).

Given this context, it seems pertinent to implement a retrospective-prospective study of the clinical and epidemiological characteristics of patients treated in these reference platforms to better understand this population. These results will contribute to a better understanding of sexual offense perpetrators in France, as there is limited large-scale clinical data available, and will help tailor care tools to the population being treated in the region. Standardizing the use of common tools, which are currently being used heterogeneously, will also enrich the resources available to clinicians across all platforms by generalizing their use.

The coordinated organization of the reference platform network in the Auvergne-Rhône-Alpes region constitutes a unique care network in France, conducive to a clinical analysis of patients and their care pathways. The project will thus allow for the study of care pathways, the clinical and social profile of sexual offenders, and the identification of risk factors for recurrence among patients based on the data collected.

Eligibility criteria: All sexual offenders who are part of the PFR and meet the inclusion criteria will be invited to participate in this study.

Inclusion criteria:

* Adults (age ≥ 18 years).
* Under injunction of care for a sexual offense.
* Or Awaiting sentencing for a sexual offense.
* Or Currently under legal proceedings for a sexual offense.
* Or Under a legal obligation for care related to a sexual offense.
* Or Falling within the scope of an alternative to incarceration for a sexual offense.

Exclusion criteria:

* Patient refusal to participate in the study.
* Patients with physical or mental incapacity to complete the questionnaires.

Primary outcomes:
measure: Risk of re-offending and associated factors of the participant
timeFrame: From May 2024 to May 2027
Secondary outcomes:
measure: Impulsivity of the participant
timeFrame: From May 2024 to May 2027 (cross-sectional study)
measure: Cognition of the participant
timeFrame: From May 2024 to May 2027 (cross-sectional study)
measure: Emotional status of the participant
timeFrame: From May 2024 to May 2027 (cross-sectional study)
measure: Diagnosis of the participant
timeFrame: From May 2024 to May 2027 (cross-sectional study)
measure: Cognitive distorsions of the participant
timeFrame: From May 2024 to May 2027 ((cross-sectional study)
measure: Pedophilic Interests of the participant
timeFrame: From May 2024 to May 2027 ((cross-sectional study)
measure: Motivation of the participant
timeFrame: From May 2024 to May 2027 ((cross-sectional study)
measure: Self-esteem of the participant
timeFrame: From May 2024 to May 2027 (cross-sectional study)
Other outcomes:
Locations:
city: Bron
country: France
facility: CRIAVS - Centre Hospitalier Le Vinatier
Study officials:
References: