Victim to abuser: mental health and behavioral sequels of child sexual abuse in a community survey of young adult males.

Respondents in a stratified random sample of 750 males aged 18 to 27 in Calgary, Canada were asked to recall unwanted sexual contacts occurring before their 17th birthday: 117 (15.6%) had experienced one or more unwanted sexual contacts. Those recalling multiple events of abuse (52 individuals, 6.9% of all respondents) were distinguished from other respondents at a statistically significant level on the following indicators: emotional abuse in childhood, higher rates of current or recent depression, anxiety, suicidal feelings and behavior, and current sexual interest in or actual behavior involving minors. The combination of emotional abuse in the respondent's childhood with multiple events of sexual abuse was a relatively good predictor of both poor mental health, and later sexual interest in or sexual contact with children. Eight apparently active pedophiles were identified, using a computer response system that assured anonymity. This study underscores the need for preventive measures, and the prompt identification and treatment of victims before they enter the victim-to-abuser cycle.