To determine the current state of knowledge in this research field, Forte was directed by the Swedish Government to evaluate interventions for adults who have committed, or are at risk of committing sexual abuse against children, as well as methods for assessing the risk of an adult (re)offending sexually against children.

Sexual offending against children is generally considered highly repugnant. Although protecting children from sexual abuse has the highest priority in society, previous systematic reviews have disclosed a lack of good quality research on interventions for individuals at risk, partly due to ethical and methodological difficulties associated with conducting randomized controlled trials.

The current report summarizes the scientific evidence in support of preventive medical and psychological interventions for offenders and adults at risk of committing child sexual abuse, and assessment of sexual recidivism risk. We also highlight scientific uncertainties and research priorities, and list suggestions for policy and practice.