Forensic medical examination after sexual violence: implications based on victims’ perceptions

Background/Aim: The objective of this study was to assess the perception of the forensic medical examination (FME) by victims of sexual violence. Based on patient-related outcomes gained in terms of personnel, chronological and spatial parameters, an additional aim was to derive improved examination...

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Main Authors: Berger, Laura (Author) , Tuschy, Benjamin (Author) , Stefanovic, Stefan (Author) , Yen, Kathrin (Author) , Weiß, Christel (Author) , Sütterlin, Marc (Author) , Spaich, Saskia (Author) , Berlit, Sebastian (Author)
Format: Article (Journal)
Language:English
Published: March-April 2023
In: In vivo
Year: 2023, Volume: 37, Issue: 2, Pages: 848-857
ISSN:1791-7549
DOI:10.21873/invivo.13152
Online Access:Verlag, kostenfrei, Volltext: https://doi.org/10.21873/invivo.13152
Verlag, kostenfrei, Volltext: https://iv.iiarjournals.org/content/37/2/848
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Author Notes:Laura Berger, Benjamin Tuschy, Stefan Stefanovic, Kathrin Yen, Christel Weiss, Marc Sütterlin, Saskia Spaich and Sebastian Berlit
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Summary:Background/Aim: The objective of this study was to assess the perception of the forensic medical examination (FME) by victims of sexual violence. Based on patient-related outcomes gained in terms of personnel, chronological and spatial parameters, an additional aim was to derive improved examination procedures. Patients and Methods: A total of 49 sexually assaulted women were enrolled in this study. After standardized FME by a forensic doctor followed by a gynecologist, women were asked to complete a questionnaire addressing general perception, preferences regarding attending staff’s sex, sequence and time frame of the examinations performed. The attending gynecologist also completed a questionnaire addressing demographic and medical parameters of the patient as well as assault-related information. Results: The examination setting in general was evaluated positively. Nevertheless, 52% of examined victims perceived the FME as an additional psychological burden. Overall, 85% of the affected women preferred a female forensic physician and 76% a female gynecologist to perform the examination. When women said they experienced a violation of their privacy during the gynecological examination, a male was more often present (60% vs. 35%, p=0.0866). Regarding the sequence of the examination components, 65% of the victims preferred to start with their medical history followed by the forensic and then the gynecological examination. Conclusion: Forensic medical and gynecological examination after sexual assault is an essential procedure, yet it is a potentially further traumatizing experience for the victim. The identified patient preferences should be taken into account in order to diminish further trauma.
Item Description:Gesehen am 22.05.2024
Physical Description:Online Resource
ISSN:1791-7549
DOI:10.21873/invivo.13152