Prevalence
The population prevalence of sexual sadism  disorder is unknown and is largely based on
individuals in forensic settings. Depending on the criteria for sexual sadism, prevalence
varies widely, from 2% to 30%. Among civi lly committed sexual offenders in the United
States, less than 10% have sexual sadism. Among individuals who have committed sexu-
ally motivated homicides, rates of sexual  sadism disorder range from 37% to 75%.