Division of General Pediatrics, Children's Hospital of Philadelphia, Philadelphia, Pennsylvania.
Division of Emergency Medicine, Children's Hospital of Philadelphia, Philadelphia, Pennsylvania.
J Pediatr Adolesc Gynecol. 2022 Dec;35(6):659-661. doi: 10.1016/j.jpag.2022.06.003. Epub 2022 Jun 26.
To determine whether differences exist between the acute presentations and post-assault needs of youth presenting to an emergency department (ED) following multiple perpetrator sexual assault (MPSA) compared with those presenting after single perpetrator sexual assault.
A retrospective cohort study of all female adolescents evaluated in an urban pediatric ED between 2014 and 2021 for acute sexual assault was conducted. Demographic characteristics and assault outcomes were assessed using bivariate analyses.
Survivors of MPSA were not more likely than survivors of single perpetrator assaults to be diagnosed with an anal-genital injury or sexually transmitted infection but were more likely to re-present in the subsequent year for an emergent mental health concern (31% vs 11%, P = .001), including suicide attempt (6% vs 1%, P = .022).
The high rate of subsequent ED visits for mental health concerns among female adolescent survivors of MPSA highlights the need for providing specialized support to this population.
确定与单一施害者性侵犯后到急诊科就诊的青少年相比，多名施害者性侵犯（MPSA）后到急诊科就诊的青少年在急性发作时的表现和性侵后需求是否存在差异。
对 2014 年至 2021 年期间在城市儿科急诊科因急性性侵犯接受评估的所有女性青少年进行了回顾性队列研究。使用双变量分析评估人口统计学特征和侵犯结果。
MPSA 幸存者被诊断为肛门生殖器损伤或性传播感染的可能性并不高于单一施害者侵犯的幸存者，但更有可能在随后的一年中因紧急心理健康问题再次就诊（31%比 11%，P=0.001），包括自杀未遂（6%比 1%，P=0.022）。
MPSA 后女性青少年幸存者随后因心理健康问题到急诊科就诊的比率很高，这凸显了为这一人群提供专门支持的必要性。
