The Use of Leuprolide Acetate in the Management of High-Risk Sex Offenders

Sex Abuse. 2019 Dec;31(8):930-951. doi: 10.1177/1079063218791176. Epub 2018 Jul 26.

Abstract

The present study investigates whether leuprolide acetate (Lupron) adds to the efficacy of traditional sex offender treatment. A group of sex offenders receiving both Lupron and cognitive behavioral therapy (CBT; n = 25) were compared with a group of sex offenders receiving only CBT (n = 22). Treated subjects were compared with norms available with reference to the Static-99R, as well as compared with a sample of untreated, nonsexual violent offenders (n = 81), to provide baseline data regarding risk of violent recidivism. Results indicated that subjects receiving Lupron were at significantly higher risk of recidivism and significantly more likely to be diagnosed with a paraphilia than subjects receiving only CBT, a priori. Both treated groups of sexual offenders recidivated at substantially lower rates than predicted by the Static-99R. Currently, this study represents the only, long-term outcome study on Lupron administration using officially recorded recidivism as the primary dependent measure.

Keywords: Lupron; leuprolide acetate; recidivism; sex offender; treatment.

MeSH terms

  • Adult
  • Aged
  • Aged, 80 and over
  • Cognitive Behavioral Therapy*
  • Criminals*
  • Humans
  • Leuprolide / therapeutic use*
  • Male
  • Middle Aged
  • Paraphilic Disorders / drug therapy
  • Paraphilic Disorders / psychology
  • Paraphilic Disorders / therapy*
  • Recidivism / prevention & control*
  • Sex Offenses*

Substances

  • Leuprolide