University of Manchester Medical School, Stopford Building, Oxford Road, Manchester, M13 9PT, UK.
Saint Mary's Sexual Assault Referral Centre, York Place, Oxford Road, Manchester, M13 9WL, UK.
J Forensic Leg Med. 2021 May;80:102158. doi: 10.1016/j.jflm.2021.102158. Epub 2021 Apr 20.
Being a victim of sexual assault is linked to many psychological and physical health problems. Experiencing one episode of assault is a risk factor for revictimisation. Saint Mary's Sexual Assault Referral Centre (SARC) provides aftercare for clients in Greater Manchester and Cheshire who have suffered sexual assault and rape, with physical, psychological and sexual health services.
This work's primary aim was to establish the prevalence of re-attendance of adults for a forensic medical examination to Saint Mary's SARC. The secondary aim was to identify the characteristics and vulnerabilities of clients who re-attended Saint Mary's SARC during a twelve-month period.
Retrospective analysis of 42 sets of forensic medical notes for repeat attenders in 2017 was performed. A control sample of 42 single attenders from 2017 was randomly selected for comparison.
A total of 740 adult clients attended Saint Mary's for a forensic medical examination in 2017, 5.7% of whom had previously attended. Amongst these clients, significantly higher numbers experienced unemployment (p < 0.001), recent mental health complaints (p < 0.001), previous self-harm (p < 0.001), and previous suicide attempts (p = 0.001). There was a significantly larger number of repeat attenders who scored below the threshold that indicates likelihood of having a learning disability (p = 0.008). All clients who disclosed a history of alcohol abuse were repeat attenders. Repeat attenders were more likely to receive safeguarding than single attenders (p < 0.001).
Prevalence of repeat attenders at Saint Mary's SARC is lower than reported in many other studies. However consistent with the wider literature, this demographic showed higher level of vulnerability, and higher likelihood of receiving safeguarding. SARC staff and services should be prepared to attend to the additional needs of this group. Powered.
遭受性侵犯与许多身心健康问题有关。经历过一次攻击事件是再次受害的风险因素。圣玛丽性侵犯转介中心（SARC）为大曼彻斯特和柴郡遭受性侵犯和强奸的客户提供护理，提供身体、心理和性健康服务。
这项工作的主要目的是确定成年人到圣玛丽 SARC 进行法医检查的再就诊率。次要目的是确定在 12 个月期间再次到圣玛丽 SARC 就诊的客户的特征和脆弱性。
对 2017 年 42 名重复就诊者的 42 套法医记录进行回顾性分析。随机选择 2017 年的 42 名单次就诊者作为对照组进行比较。
2017 年，共有 740 名成年客户到圣玛丽接受法医检查，其中 5.7%的人曾来过。在这些客户中，失业人数明显较多（p<0.001），最近有心理健康投诉（p<0.001），以前有过自残行为（p<0.001）和以前的自杀企图（p=0.001）。显著更多的重复就诊者的分数低于表明存在学习障碍可能性的阈值（p=0.008）。所有披露酗酒史的客户均为重复就诊者。重复就诊者比单次就诊者更有可能受到保护（p<0.001）。
圣玛丽 SARC 的重复就诊者比例低于许多其他研究报告的比例。然而，与更广泛的文献一致，这一人群显示出更高的脆弱性，并且更有可能受到保护。SARC 工作人员和服务应做好准备，满足这一群体的额外需求。
