A Rapid Evidence Assessment on The Effectiveness of Interventions for Autistic Adolescents with Harmful Sexual Behaviors

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Trew, S. & Russell, D. H. (2024). A Rapid Evidence Assessment on The Effectiveness of Interventions for Autistic Adolescents with Harmful Sexual Behaviors. Trauma, Violence, & Abuse, 25(4), 3149-3163. https://doi.org/10.1177/15248380241241024

Publication date: 29 Mar 2024 Added to AutiHub: 16 Sep 2026 Type: Article Article language: English
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Authors

Publication authors
2
Publication authors identified as autistic
1 / 2 (50.0%)
  1. Sebastian Trew *
  2. Douglas Hugh Russell

Abstract

The management and treatment of harmful sexual behaviors (HSBs) in autistic adolescents is a complex area of research and clinical practice. Autistic adolescents face unique challenges in understanding social and sexual interactions, putting them at a higher risk of engaging in HSBs. Existing research on interventions for HSBs among autistic adults is growing, but evidence for adolescents is not well understood. Thus, understanding the effectiveness of interventions targeting HSBs in autistic adolescents is crucial. We conducted a rapid evidence assessment to review peer-reviewed research on the effectiveness of interventions for autistic adolescents at risk of or engaging in HSBs. In all, 12 studies met the criteria for review. Inclusion criteria required articles to be published in a peer-reviewed journal, be related to HSB prevention and intervention in adolescents aged 12 to 18 with autism spectrum disorder, be written in English, and include original data. Six databases were used, and we screened the titles and abstracts of 34 studies. The reviewed studies described cognitive-behavioral therapy, pharmacological interventions, family involvement, and multidisciplinary team approaches in addressing HSBs. However, the literature has significant limitations and we suggest that the literature is not robust enough to indicate a promising evidence-based approach for interventions for autistic adolescents who are at risk of or who display and engage in HSBs, and the findings are not transferable to practice. Additional research is required to better prepare healthcare professionals for addressing HSBs in autistic adolescents.

Bibliography cited by this reference

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Cited bibliography overview

These indicators describe the bibliography cited by this publication. An author name is counted each time it appears in one cited reference, so the same person can be counted more than once. Names not yet linked to an author already present in AutiHub are treated as unknown, not as non-autistic. Last computed: 19 Sep 2026 01:01.

Cited references
65
With a DOI
50
Without a DOI, from raw bibliography text
13
4 / 65 (6.2%) cited references include at least one author identified as autistic.
References with data to complete
8 / 65 (12.3%)
References with detected author names
59 / 65 (90.8%)
Without detected author names
6
Without a structured title
7
Without a stable identifier
12
References with raw author names still to review
5
References with external metadata lookup issues
2
These indicators apply to cited references displayed on this page, after technical duplicates have been merged. A reference without a DOI can still support author statistics when a title and author names are available.
Author names detected in the cited bibliography
199
From DOI or external metadata
199
From validated raw bibliography text
0
Raw names already validated
0
Raw names still to review
13
39 / 199 (19.6%) names are linked to an author already present in AutiHub. 160 / 199 (80.4%) names are not yet linked.
Names linked to a person identified as autistic
4 / 199 (2.0%)
Calculated across all author names detected in the cited bibliography. Among names linked to an author already present in AutiHub: 4 / 39 (10.3%). Distinct people identified as autistic: 3 / 193 (1.6%).
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