Best Practice & Research Clinical Obstetrics, Gynaecology 26, Caterham, Surrey CR3 5SY, UK.
Best Pract Res Clin Obstet Gynaecol. 2013 Feb;27(1):77-90. doi: 10.1016/j.bpobgyn.2012.08.020. Epub 2012 Oct 10.
Complainants of sexual assault may disclose to different agencies, the police and health professionals being the most likely. It is possible for certain evidence types to be collected before a clinical forensic assessment takes place that do not require the need for a Forensic Medical Practitioner. If the time frames after the incident and the nature of assault warrant the need for a forensic medical examination of either a complainant or a suspect, this should only be conducted by doctors and nurses who have received relevant, up-to-date specialist theoretical and practical training. Clear evidence shows that few other criminal offences require as extensive an examination and collection of forensic evidence as that of a sexual assault. The forensic evidence in a case may identify an assailant, eliminate a nominated suspect(s), and assist in the prosecution of a case. The elements of forensic medical examination, reviewed in this chapter, are those that are the most varied across jurisdictions around the world currently. Key focus points of this chapter are considerations for early evidence collection, utilising dedicated medical examination facilities for sample collection, contamination issues associated with evidence collection and certain practical aspects of forensic sampling methods which have evolved given results identified by Forensic Scientists processing evidential samples in sexual assault cases, Some of the problems encountered by the forensic science provider will also be discussed.
性侵犯的投诉者可能会向不同的机构披露信息,其中警察和医疗专业人员是最有可能的。在进行临床法医评估之前,有可能收集某些类型的证据,这些证据不需要法医医生的参与。如果事件发生后的时间框架和攻击的性质需要对投诉人或嫌疑人进行法医检查,那么只有接受过相关、最新的专业理论和实践培训的医生和护士才能进行这种检查。明确的证据表明,很少有其他犯罪需要像性侵犯那样广泛的检查和收集法医证据。案件中的法医证据可以确定攻击者,排除指定的嫌疑人,并有助于案件的起诉。本章回顾了法医检查的要素,这些要素在目前全球各地的司法管辖区之间存在最大的差异。本章的重点是考虑早期证据的收集,利用专门的医疗检查设施进行样本收集,与证据收集相关的污染问题,以及鉴于法医科学家在性侵犯案件中处理证据样本所确定的结果而演变的某些实际法医采样方法。还将讨论法医科学提供者遇到的一些问题。