A sexual murder prevented? A case study of evidence-based practice

Clinical work with offenders histories of sexual violence is an important aspect forensic practice. A key feature this the clinical interview, which allows individual and offence-related issues to be explored. Research suggests that some offences contain motivations may therefore related deviant fantasies. This case study reports on assessment formulation a patient detained in regional secure unit. Although he had no previous convictions, history being sexually violent towards others. During interviews disclosed having fantasies for several years relating rape strangulation women. These fuelled his daily masturbatory behaviour reported attempts enact them before detention hospital. Once hospital object desires became female nurse, whom wanted strangle, idea again behaviour. disclosures necessitated preventative measures taken by team re-enforced importance giving due consideration evidence-based risk formulations inform care management patients.