Adolescent girls investigated for sexual abuse : history, physical findings and legal outcome.
The aim of the study was to summarize the history of assault and record the results of medicolegal examination in adolescent girls under investigation for alleged sexual abuse, and to monitor the outcome of the legal process.
The investigation period was 1990-94.
A consecutive series of 94 0-para girls, aged 9-22, median age 15.0 years, were examined in the head-to-toe manner including anogenital examination.
Girls were referred from investigating police and social authorities.
Only non-acute examinations were performed.
Findings considered consistent with abusive vaginal penetration were hymenal distortion including deep clefts, hymenal and vestibular scarring, and introital diameter permitting vaginal inspection with a 17 mm speculum in the absence of consensual intercourse.
Perianal scarring was recorded.
STD sampling was made on indication.
Findings were documented on body sketches
Medicolegal conclusions were grouped into three categories according to history and physical findings.
Information on the outcome of legal procedures was collected from referring authorities.
For 82% (77/94) of the girls, referring agencies provided examining physicians with a detailed and consistent history of abuse, presented results comprise these 77 girls.
Intrafamiliar abuse was alleged by 81% (62/77), onset prior to menarche by 53% (41/77), and repeated abuse by 74% (57/77) of the girls. (...)
Mots-clés Pascal : Abus sexuel, Adolescent, Homme, Femelle, Suède, Europe, Exploration clinique, Appareil génital femelle, Aspect médicolégal, Aspect juridique, Symptomatologie, Périnée, Vulve, Vestibule, Hymen, Anus, Victimologie
Mots-clés Pascal anglais : Sexual abuse, Adolescent, Human, Female, Sweden, Europe, Clinical investigation, Female genital system, Forensic aspect, Legal aspect, Symptomatology, Perineum, Vulva, Vestibule, Hymen, Anus, Victimology
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 99-0517475
Code Inist : 002B18F02. Création : 18/05/2000.