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  1. Medical assessment and legal Outcome in child sexual abuse.

    Article - En anglais

    Objective 

    To examine the relationship of behavioral symptoms, interview disclosures, and physical examination findings with changing legal outcomes in child sexual abuse.

    Design 

    Retrospective case series.

    Setting 

    Hospital-and community-based multidisciplinary child abuse evaluation teams in the same county in 2 periods.

    Patients 

    Children ages 0 to 17 years referred for evaluation of sexual abuse.

    Main Outcome Measures 

    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.

    Results 

    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

    Logo du centre Notice produite par :
    Inist-CNRS - Institut de l'Information Scientifique et Technique

    Cote : 99-0227493

    Code Inist : 002B18F02. Création : 16/11/1999.