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

    Article - En anglais


    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.

    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.


    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.