Feeney Hannah, Chiaramonte Danielle, Campbell Rebecca, Greeson Megan R, Fehler-Cabral Giannina
Author Affiliations: 1Department of Psychology, Michigan State University; 2Department of Psychology, DePaul University; and 3Harder + Company Community Research.
J Forensic Nurs. 2017 Apr/Jun;13(2):52-61. doi: 10.1097/JFN.0000000000000148.
Prior research has documented high rates of anogenital and physical injuries among adolescent sexual assault patients. Although a number of factors related to rates of injury detection in adolescents have been identified, there may be additional features of the assault that are disclosed in the patient history that could be important indicators of injury risk. The purpose of the current study was to expand this literature by examining whether factors that are salient in sexual assaults committed against adolescents-victim-offender relationship, substance use, and memory impairment-are associated with documented anogenital and physical injury rates. Results indicated that victim-offender relationship, substance use, and assault memory are significantly related to the number of anogenital injuries and, particularly, the number of physical injuries detected in adolescent sexual assault patients. These results highlight the importance of a comprehensive patient history, including assessment of alcohol and drug use and memory impairment, to guide the medical forensic examination.
先前的研究记录了青少年性侵犯患者中肛门生殖器和身体损伤的高发生率。尽管已经确定了一些与青少年损伤检出率相关的因素，但在患者病史中披露的性侵犯的其他特征可能是损伤风险的重要指标。本研究的目的是通过检查在针对青少年的性侵犯中突出的因素——受害者与犯罪者的关系、物质使用和记忆障碍——是否与记录的肛门生殖器和身体损伤率相关，来扩展这方面的文献。结果表明，受害者与犯罪者的关系、物质使用和性侵犯记忆与肛门生殖器损伤的数量显著相关，特别是与青少年性侵犯患者中检测到的身体损伤数量显著相关。这些结果突出了全面的患者病史的重要性，包括对酒精和药物使用以及记忆障碍的评估，以指导法医医学检查。
