Duchesne Sophie, Seyller Marie, Chariot Patrick
Department of Forensic Medicine, Hôpital Jean-Verdier (AP-HP), F-93140 Bondy, France.
Department of Forensic Medicine, Hôpital Jean-Verdier (AP-HP), F-93140 Bondy, France; Institut de recherche interdisciplinaire sur les enjeux sociaux (IRIS), UMR 8156-997, UFR SMBH, Sorbonne Paris Cité, Université Paris 13, France.
Forensic Sci Int. 2018 Sep;290:16-28. doi: 10.1016/j.forsciint.2018.06.018. Epub 2018 Jun 23.
Male sexual assaults were long ignored, possibly because of the myth acceptance that a man can only be the perpetrator of sexual assaults. It is increasingly admitted that all males can be victims of rape. We described the characteristics of a series of male adolescent and adult victims of sexual assault who had a forensic medical examination.
We conducted an observational study over 8 years.
We included 98 male patients aged 15 years and older (range 15-66, median 25) at the time of a reported sexual assault. Assailants were known by the victim in 59 cases (60%). Forty-four patients (45%) had physical or mental vulnerability. Anal penetration was reported in 49 cases (50%). Genital examination showed abnormalities compatible with traumatic injuries in 23 cases (24%). Psychological symptoms were found in 81 victims (83%), including shame (39, 40%) and anxiety (38, 39%). Of 98 victims, sperm could be detected in 6 cases (6%) (anal, 4; oral, 1; skin, 1). Male victims were more frequently disabled or vulnerable than female victims examined in the same centre (45% vs. 13%, p<0.001). At the one-month follow-up consultation, psychological symptoms, including sleep disorders and fear, were observed in most patients and the proportions of physical and psychological complaints were similar among male and female victims.
Male victims of sexual assault experienced high level of psychological trauma and felt more ashamed than women, which suggests that sexual assaults should be considered as severe among men as among women.
男性性侵犯长期以来一直被忽视，这可能是因为人们普遍认为男性只会是性侵犯的实施者。现在越来越多人承认所有男性都可能成为强奸的受害者。我们描述了一系列接受法医检查的男性青少年和成年性侵犯受害者的特征。
我们进行了一项为期8年的观察性研究。
我们纳入了98名年龄在15岁及以上（年龄范围15 - 66岁，中位数25岁）的男性患者，他们均报告遭受了性侵犯。在59例（60%）案件中，受害者认识袭击者。44名患者（45%）存在身体或精神方面的易损性。49例（50%）报告有肛门插入情况。生殖器检查显示23例（24%）存在与创伤性损伤相符的异常。81名受害者（83%）出现心理症状，包括羞耻感（39例，40%）和焦虑（38例，39%）。在98名受害者中，6例（6%）检测到精子（4例在肛门，1例在口腔，1例在皮肤）。与在同一中心接受检查的女性受害者相比，男性受害者更常存在残疾或易损情况（45%对13%，p<0.001）。在为期一个月的随访咨询中，大多数患者出现心理症状，包括睡眠障碍和恐惧，男性和女性受害者在身体和心理方面的投诉比例相似。
男性性侵犯受害者经历了高度的心理创伤，且比女性更感羞耻，这表明性侵犯对男性而言应被视为与女性一样严重的问题。
