Assault and injury in clinical forensic medical practice.

A prospective study was undertaken of 150 individuals in police custody, seen by a Forensic Medical Examiner (FME) for documentation of alleged assault and associated injuries. Ninety-six per cent consented to participate in the study of whom 86% were male. The mean age was 29.8 years. Most assaults (35%) were said to be unprovoked, 26% of injuries were alleged to have occurred at the time of arrest, 17% as a result of domestic incidents and 8% due to driving incidents. Twenty-nine per cent of examinees were victims of assault, 21% complained of alleged police assault and 20% were police officers injured during arrests. There was no significant difference between the mean ages of victims and assailants, and no significant difference in the proportions of each group under the influence of alcohol. Those individuals alleging police assault were all male, and significantly more likely to be unemployed and single. Victims of assault were significantly more likely to be female. Weapons were used in only 15% of cases. The head was the most common site of injury. Twenty-three per cent of the study population required hospital assessment. The study has characterized the different groups of individuals requiring medical assessment for assault and injury in police custody. The findings in this study population differ from similar studies undertaken in alternative settings.