Bicanic Iva, Snetselaar Hanneke, De Jongh Ad, Van de Putte Elise
National Psychotrauma Center for Children and Youth, University Medical Center Utrecht, Utrecht, the Netherlands.
Department of Behavioral Sciences, Academic Centre for Dentistry in Amsterdam (ACTA), University of Amsterdam and VU University in Amsterdam, Amsterdam, the Netherlands ; School of Health Sciences, Salford University, Manchester, United Kingdom.
Eur J Psychotraumatol. 2014 Jun 18;5. doi: 10.3402/ejpt.v5.23645. eCollection 2014.
Prior research endorsed the establishment of sexual assault centres in the Netherlands because of the potential benefit for victims' mental recovery. In 2012, the first Dutch sexual assault centre was founded at the University Medical Center Utrecht. The aim of the centre is to provide 24/7 coordinated and integrated services (i.e., medical, forensic, and psychological) in one location.
The purpose of the present study was to describe demographic, background, and assault characteristics of victims seen at the centre within one week post-assault, and their use of post-assault services in order to improve current services.
From January 2012 to September 2013, prospective data of 108 patients were collected. To describe the population included, frequency counts and proportions were generated for categorical variables.
The mean age was 21.3 years (SD=9.8). Most victims were female (91.7%). A large proportion of victims reported background characteristics known to increase the risk for post-traumatic stress disorder (PTSD) and revictimisation such as prior sexual abuse (32.4%), pre-existing use of mental health services (45.4%), and not living with both biological parents (61.7%). Most patients (88.9%) consulted the centre within 72 hours post-assault. The uptake of services was high: 82.4% received emergency medical care, 61.7% underwent a forensic-medical exam, 34% reported to the police, and 82.4% utilised psychological services.
To prevent revictimisation and PTSD, current psychological services could be improved with immediate trauma-focused treatments. Current forensic services may be improved with the use of standard top to toe forensic-medical examinations for both children and adults.
先前的研究支持在荷兰设立性侵犯中心,因为这对受害者的心理恢复有潜在益处。2012年,荷兰首个性侵犯中心在乌得勒支大学医学中心成立。该中心的目标是在一个地点提供全天候协调和综合服务(即医疗、法医和心理服务)。
本研究的目的是描述性侵犯中心在性侵犯发生后一周内接待的受害者的人口统计学、背景和侵犯特征,以及他们对性侵犯后服务的使用情况,以便改进当前服务。
收集了2012年1月至2013年9月期间108名患者的前瞻性数据。为描述纳入的人群,对分类变量生成了频数计数和比例。
平均年龄为21.3岁(标准差=9.8)。大多数受害者为女性(91.7%)。很大一部分受害者报告了已知会增加创伤后应激障碍(PTSD)风险和再次受害风险的背景特征,如先前遭受性虐待(32.4%)、先前使用心理健康服务(45.4%)以及并非与亲生父母双方同住(61.7%)。大多数患者(88.9%)在性侵犯发生后72小时内咨询了该中心。服务利用率很高:82.4%接受了紧急医疗护理,61.7%接受了法医检查,34%向警方报案,82.4%使用了心理服务。
为防止再次受害和创伤后应激障碍,当前的心理服务可通过立即开展以创伤为重点的治疗加以改进。当前的法医服务可通过对儿童和成人都采用标准的从头到脚法医检查来改进。