PT - JOURNAL ARTICLE AU - Matthew E. Hirschtritt AU - Douglas Tucker AU - Renée L. Binder TI - Risk Assessment of Online Child Sexual Exploitation Offenders AID - 10.29158/JAAPL.003830-19 DP - 2019 Jun 01 TA - Journal of the American Academy of Psychiatry and the Law Online PG - 155--164 VI - 47 IP - 2 4099 - http://jaapl.org/content/47/2/155.short 4100 - http://jaapl.org/content/47/2/155.full SO - J Am Acad Psychiatry Law2019 Jun 01; 47 AB - Over the past two decades in the United States, a dramatic increase in access to the Internet has facilitated an increase in the production, viewing, and distribution of child pornography. In this context, forensic mental health professionals may be called on to estimate the risk of future violence, especially of contact sexual offenses, among individuals charged with online sexual offenses. We summarize demographic and clinical characteristics that differentiate online from contact and “mixed” offenders (those who commit both online and contact offenses), offending histories of these three groups, and the current state of knowledge regarding risk of progression from online-only to contact offending. Multiple studies suggest that online, contact, and mixed offenders demonstrate distinct profiles, and wide variations exist in the offense histories of online-offending groups. Longitudinal studies of individuals charged with online offenses are few in number and are mostly limited to detection of formal charges. Nevertheless, available studies suggest that most individuals who are charged with online offenses and who do not have histories of contact offenses are unlikely to engage in future contact offenses. Within the limitations of the current literature, we suggest guidance for the evaluation and treatment of online offenders.