Urgent medical assessment after child sexual abuse

Child Abuse & Neglect
V J PalusciJoel M Schultze

Abstract

Immediate medical assessment has been recommended for children after sexual abuse to identify physical injuries, secure forensic evidence, and provide for the safety of the child. However, it is unclear whether young children seen urgently within 72 hours of reported sexual contact would have higher frequencies of interview or examination findings as compared to those seen non-urgently or whether forensic findings would be affected by child characteristics, type of reported contact, or later events. We evaluated 190 consecutive cases of children under 13 years of age urgently referred during a 5-year period in 1998-2003 to a community child advocacy center and compared them to those non-urgently referred with regard to their physical examination findings, any sexually transmitted infections or forensic evidence, gender, pubertal development, type of contact, reported ejaculation, later bathing or changing clothes, time to examination, and gender, age and relationship of alleged perpetrator. Children seen urgently were younger and had less frequent CPS involvement, more disclosures, and more positive physical examinations, and had more contact with older perpetrators than those seen non-urgently. Overall, most children were fema...Continue Reading

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Citations

Oct 6, 2011·Journal of Child Sexual Abuse·Cindy W Christian
Sep 18, 2008·Current Opinion in Obstetrics & Gynecology·Joyce A Adams
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Jul 27, 2011·Pediatrics·Rebecca GirardetNicole Paes

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