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性侵犯临床法医检查报告分析。

Analysis of clinical forensic examination reports on sexual assault.

机构信息

Hanover Medical School, Institute of Legal Medicine, Carl-Neuberg-Strasse 1, 30625, Hanover, Germany.

出版信息

Int J Legal Med. 2010 May;124(3):227-35. doi: 10.1007/s00414-010-0430-z. Epub 2010 Feb 25.

DOI:10.1007/s00414-010-0430-z
PMID:20182738
Abstract

Medical-forensic examination of sexual assault victims and alleged offenders is a common task of many forensic institutes. In the current study, the results from samples taken at the Institute of Legal Medicine, Hanover Medical School, during a period from 2005 to 2007 were retrospectively evaluated. In total, 292 victims (283 females and nine males) and 88 suspects were examined. At the time of the assault, 41.8% of the victims and 43.2% of the alleged perpetrators were under the influence of alcohol. Injuries were found in 84.9% of the victims and 39.8% of the suspects. Thirty victims (10.3%) reported having been choked or strangled. Cytology was performed in 218 victims. In 81 cases (38.0%), sperm could be detected in vaginal swabs up to 3 days post-assault. In seven (18.9%) out of 37 anal samples, evidence of sperm could be found 24 h post-assault. None of 22 oral samples was positive for sperm. Out of 301 sexual assault cases, 171 could be proved by means of medical-forensic examination. In summary, our evaluation shows that an early medical-forensic examination of both victim and suspect can secure numerous medical findings. Furthermore, persons intoxicated by alcohol, handicapped persons and persons with psychiatric disorders are more vulnerable to become a sexual assault victim.

摘要

对性侵犯受害者和犯罪嫌疑人进行法医检查是许多法医机构的常见任务。在目前的研究中,回顾性评估了汉诺威医学院法医学研究所 2005 年至 2007 年期间采集的样本的结果。共有 292 名受害者(283 名女性和 9 名男性)和 88 名嫌疑人接受了检查。在袭击时,41.8%的受害者和 43.2%的犯罪嫌疑人处于醉酒状态。84.9%的受害者和 39.8%的嫌疑人身上有受伤痕迹。30 名受害者(10.3%)报告被勒颈或扼颈。对 218 名受害者进行了细胞学检查。在 81 例(38.0%)阴道拭子中,可在袭击后 3 天内检测到精子。在 37 例直肠样本中,有 7 例(18.9%)可在袭击后 24 小时发现精子。22 例口腔样本均未检测到精子。在 301 例性侵犯案件中,有 171 例可通过法医检查得到证实。总之,我们的评估表明,对受害者和嫌疑人进行早期的法医检查可以获得大量的医学发现。此外,醉酒者、残疾人以及有精神障碍的人更容易成为性侵犯的受害者。

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本文引用的文献

1
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Forensic Sci Int. 2008 Sep 18;180(2-3):98-104. doi: 10.1016/j.forsciint.2008.07.009. Epub 2008 Sep 2.
2
Analysis of 756 cases of sexual assault in Tours (France): medico-legal findings and judicial outcomes.法国图尔市756起性侵案件分析:法医鉴定结果与司法判决
Med Sci Law. 2007 Oct;47(4):315-24. doi: 10.1258/rsmmsl.47.4.315.
3
Severity of injuries among sexual assault victims.性侵犯受害者的受伤严重程度。
青春期后女性在报告性暴力后接受法医检查时生殖器损伤的患病率:一项系统综述
Int J Legal Med. 2024 May;138(3):997-1010. doi: 10.1007/s00414-023-03117-8. Epub 2023 Nov 16.
4
Differences in patterns of sexual assault among female victims preceding and during the COVID-19 pandemic: an analysis of encounters in an emergency department.新冠疫情前后女性性侵犯模式的差异:急诊科遭遇分析。
Forensic Sci Med Pathol. 2024 Jun;20(2):595-602. doi: 10.1007/s12024-023-00725-z. Epub 2023 Oct 10.
5
Comparison of the quality of clinical forensic examination of victims of physical violence conducted by clinicians and forensic examiners.比较临床医生和法医检查人员对身体暴力受害者进行临床法医检查的质量。
Int J Legal Med. 2023 Nov;137(6):1777-1786. doi: 10.1007/s00414-023-02985-4. Epub 2023 Mar 25.
6
Forensic Medical Examination After Sexual Violence: Implications Based on Victims' Perceptions.性暴力后的法医检查:基于受害者认知的影响。
In Vivo. 2023 Mar-Apr;37(2):848-857. doi: 10.21873/invivo.13152.
7
Male Victims of Rape: An Observational Study over Four Years in Paris, France.法国巴黎四年观察研究:男强奸受害者
Int J Environ Res Public Health. 2022 Oct 26;19(21):13909. doi: 10.3390/ijerph192113909.
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Statement of the DGGG - Recommendations on the Care and Support of Female Minors Suspected of Having Been Subjected to Acute Sexual Violence or Rape.德国儿科学会声明——关于疑似遭受急性性暴力或强奸的未成年女性的护理与支持建议
Geburtshilfe Frauenheilkd. 2022 Jul 7;82(7):694-705. doi: 10.1055/a-1860-0562. eCollection 2022 Jul.
9
Recommendations for Care and Support of Female Rape Victims.针对女性强奸受害者的护理与支持建议。
Geburtshilfe Frauenheilkd. 2022 Apr 5;82(4):384-391. doi: 10.1055/a-1687-9584. eCollection 2022 Apr.
10
Sexual Assault of Women in the region of Kairouan, Tunisia: an 8-year retrospective study on epidemiological and medicolegal characteristics.突尼斯凯鲁万地区女性的性侵犯:一项关于流行病学和法医学特征的 8 年回顾性研究。
BMC Womens Health. 2022 Mar 8;22(1):64. doi: 10.1186/s12905-022-01647-8.
J Forensic Leg Med. 2007 Jul;14(5):266-9. doi: 10.1016/j.jcfm.2006.08.008. Epub 2006 Nov 16.
4
The detection of female DNA from the penis in sexual assault cases.性侵案件中阴茎上女性DNA的检测。
J Forensic Leg Med. 2007 Apr;14(3):159-60. doi: 10.1016/j.jcfm.2006.05.003. Epub 2006 Jul 28.
5
[Examination of live victims of violent crimes at the Institutes of Legal Medicine of Hanover, Cologne and Leipzig].[在汉诺威、科隆和莱比锡法医学研究所对暴力犯罪活体受害者的检查]
Arch Kriminol. 2005 Jul-Aug;216(1-2):7-14.
6
Physical injury after sexual assault: findings of a large case series.性侵犯后的身体损伤:一项大型病例系列研究的结果
Am J Obstet Gynecol. 2004 Jan;190(1):71-6. doi: 10.1016/s0002-9378(03)00912-8.
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"Don't destroy the evidence!".“不要销毁证据!”
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BMJ. 2000 Oct 28;321(7268):1034-5. doi: 10.1136/bmj.321.7268.1034.
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Involvement of drugs in sexual assault.药物与性侵犯的关联。
J Reprod Med. 2000 May;45(5):425-30.