To examine the relationship of behavioral symptoms, interview disclosures, and physical examination findings with changing legal outcomes in child sexual abuse.
Retrospective case series.
Hospital-and community-based multidisciplinary child abuse evaluation teams in the same county in 2 periods.
Children ages 0 to 17 years referred for evaluation of sexual abuse.
Substantiation by child protective services, issuance of a warrant by law enforcement authorities, and criminal penalties were compared with reported changes in behavior, disclosure by the child, and physical evidence on examination.
Among 497 children evaluated in 1991-1992 and 1995-1996, those with a positive examination finding were 2.5 times more likely to result in a criminal prosecution with a finding of perpetrator guilt (P<. 001).
Similar rates of disclosure, positive examination findings, child protective services substantiation, and warrant issuance were noted in the 2 periods.
Decreasing rates of guilt determination and increasing criminal penalties were identified in 1995-1996 (P<. 002).
Disclosure of child sexual abuse during medical assessment was significantly associated with a positive physical examination finding, child protective services substantiation, and issuance of a warrant, but not a finding of guilt or criminal penalty. (...)
Mots-clés Pascal : Abus sexuel, Aspect juridique, Exploration clinique, Entretien, Comportement, Diagnostic, Corrélation, Enfant, Homme, Victimologie, Violence
Mots-clés Pascal anglais : Sexual abuse, Legal aspect, Clinical investigation, Interview, Behavior, Diagnosis, Correlation, Child, Human, Victimology, Violence
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 99-0227493
Code Inist : 002B18F02. Création : 16/11/1999.