[Autism spectrum disorders in adolescent sexually inappropriate behavior and sex offending].

Background: Autism spectrum disorders (ASD) in juvenile sex offenders present a unique challenge in forensic child and adolescent psychiatry. Specific characteristics of ASD, such as deficits in social cognition and obsessions, may theoretically contribute to sexually inappropriate behavior (SIB), however this has been scarcely studied in adolescents. Research on normative sexual development in adolescents with ASD shows no significant differences compared to neurotypical peers.

Aim: To synthesize the available evidence of the relationship between ASD, SIB and sexual offending in adolescents.

Method: A systematic search was conducted across multiple databases, yielding 16 relevant studies.

Results: There is evidence suggesting a higher prevalence of ASD among juvenile sexual offenders and preference for specific sexual offenses. Few specific therapeutic approaches have been identified for this group. Although there is some consensus regarding the use of cognitive behavioral therapy (CBT) and multisystemic therapy (MST), there is limited evidence supporting pharmacological interventions. Research into prevention and risk factors is limited.

Conclusion: There is a need for further research into the prevalence, prevention, the role of parental knowledge, family dynamics, and how specific developmental skills in ASD may contribute to the emergence of problematic sexual behavior. No specific treatment strategy is currently favored for this population. We highlight several factors that warrant further investigation regarding the relationship between ASD and SIB or sexual delinquency.