[Is disulfiram (Antabus) indicated in the treatment of offenders with alcohol use disorders?].
BACKGROUND
Research studies and clinical experience provided us with valuable information about the efficacy of disulfiram. Although supervised disulfiram treatment has been shown to improve outcome in court-referred patients too it is obviously rarely used in German forensic hospitals.


METHODS
Two cases illustrated the application of disulfiram to constitute an adjunct to treatment of forensic inpatients.


RESULTS
Disulfiram can be used as an adjunct for maintenance of abstinence when the relapse risk is due to insufficient impulse control.


CONCLUSIONS
The decision to use disulfiram to assure sobriety for high risk groups, e.g. criminal offenders is discussed.
Stolpmann
Georg
G
Universitätsklinik für Psychiatrie und Psychotherapie Göttingen, Abteilung Forensische Psychiatrie und Psychotherapie, Göttingen. georg.stolpmann@nlkh-goettingen.niedersachsen.de
Müller
Jürgen
J
D000328:Adult; D000427:Alcohol Deterrents / Q000009:adverse effects / Q000627:therapeutic use*; D000437:Alcoholism / Q000235:genetics / Q000523:psychology / Q000534:rehabilitation*; D000987:Antisocial Personality Disorder / Q000523:psychology / Q000534:rehabilitation; D004221:Disulfiram / Q000009:adverse effects / Q000627:therapeutic use*; D005500:Follow-Up Studies; D006208:Halfway Houses; D006801:Humans; D007175:Impulsive Behavior / Q000517:prevention & control / Q000523:psychology; D008297:Male; D011329:Prisoners / Q000523:psychology*; D011613:Psychotherapy; D055502:Secondary Prevention; D013695:Temperance / Q000523:psychology; D016896:Treatment Outcome; D014754:Violence / Q000517:prevention & control / Q000523:psychology
D000427:Alcohol Deterrents; D004221:Disulfiram