Clinical trial Recruiting at 1 site Observational Ages 18 and up

Risk patterns before a crime among people undergoing forensic psychiatric evaluation

Official title: The Time Before the Crime: Risk Patterns in Individuals Who Commit Criminal Acts and Undergo a Forensic Psychiatric Evaluation

Run by Karolinska Institutet · NCT07162909 · Data updated 2026-11-12

This study tests whether there are identifiable risk patterns in people who will have a forensic psychiatric evaluation after a crime, by comparing those whose records were requested for evaluation with similar patients who were not.

Quick facts

Study typeObservational
Ages18 Years and up
SexAll
Enrollment500 (estimated)
SponsorKarolinska Institutet
Academic / other
Locations1 site (Stockholm)
StatusRecruiting
StartedJune 1, 2026
Main results expectedJune 1, 2027
Study endsDecember 31, 2027
Registry record updatedAugust 19, 2026
Trial IDNCT07162909 on ClinicalTrials.gov

Is this trial a fit for you?

Likely a good fit

Adults (18+) with current or past psychiatric care contact in Region Stockholm, whose records were requested by the forensic board for evaluation in 2023.

Probably not a fit

Individuals without psychiatric care history or whose records were not requested for evaluation in 2023 may not see direct benefits.

A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.

What this trial studies

This is a case-control observational study in Region Stockholm, Sweden. It includes adults with psychiatric care contact and compares those whose records were requested for forensic psychiatric evaluation in 2023 with matched controls who were not. The aim is to identify psychiatric, care-related, and contextual factors that precede offenses leading to forensic evaluation. Exclusions include offenses occurring before 2018 and controls who have previously undergone an evaluation. Data will come from shared electronic medical records to analyze potential risk patterns.

Why it matters

Potential benefit: Understanding risk patterns could inform prevention and management strategies for individuals at higher risk of offenses requiring forensic evaluation.

How similar studies have gone: Past research in forensic psychiatry suggests patterns can be identified, though this exact design is observational and region-specific.

Who can join: the full rules

Show full inclusion / exclusion criteria
Inclusion criteria, case group:

* Age ≥ 18 years
* Contact with a psychiatric care provider within Region Stockholm
* Medical records requested by the NBFM in 2023 for forensic psychiatric evaluation

Inclusion criteria, control group:

* Age ≥ 18 years
* Contact with a psychiatric care provider within Region Stockholm
* Medical records NOT requested by the NBFM in 2023 for forensic psychiatric evaluation

Matching criteria:

* Gender (male/female)
* Age group (18-24, 24-39 and \>39 years)
* Psychiatric care unit

Exclusion Criteria, general:

* No registered psychiatric care contact in Region Stockholm's shared electronic medical record system, three months prior to the date of the index offense.

Exclusion Criteria, case group:

* The index offense before 2018.

Exclusion Criteria, control group:

* Individual previously underwent an FPE at some point.

Where it's running

  • Karolinska Institutet
    Stockholm, Sweden
    Recruiting

Study contacts

Similar studies

Other studies for the same condition or treatment. Recruiting studies are listed first.

How to take part

  1. Review the eligibility criteria above with your treating physician.
  2. Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
  3. Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.
Last reviewed 2026-11-14 by the Find a Trial editorial team. Information on this page is for educational purposes and is not medical advice. Always consult qualified healthcare professionals about clinical trial participation.