Care of the Adolescent After an Acute Sexual Assault

Abstract

Sexual violence is a broad term that encompasses a wide range of sexual victimizations. Since the American Academy of Pediatrics published its last policy statement on sexual assault in 2008, additional information and data have emerged about sexual violence affecting adolescents and the treatment and management of the adolescent who has been a victim of sexual assault. This report provides new information to update physicians and focuses on the acute assessment and care of adolescent victims who have experienced a recent sexual assault. Follow-up of the acute assault, as well as prevention of sexual assault, are also discussed.

Sexual Assault in an Adolescent Female: A Pediatric Simulation Case for Emergency Medicine Providers

“…They can be displayed with the materials for evidence collection in a stepwise fashion, to facilitate the learner's familiarity and knowledge with each step of the evidence collection process. Third, since there are published national guidelines on the best practices for the medical and behavioral health evaluation of adolescents with sexual assault, 27 that information is easily generalizable and can be adapted to the educational needs of an emergency medicine training program and incorporated into clinical pathways to complement any knowledge gained from the simulated exercise.…”

“…The faculty facilitator provided a detailed formative assessment using the critical actions checklist (Appendix E). Items for the critical actions checklist were created based on the existing published clinical guidelines for the management of adolescent sexual assault 27 and the expertise of the faculty facilitator. The checklist was iteratively revised to include items identified as important, necessary, and within the scope of knowledge for emergency medicine trainees.…”

How to interpret urine toxicology tests

“…In sexual assault cases, alcohol or drug use immediately before the event is reported in over 40% of adolescent victims and adolescent perpetrators. This may be coincidental due to recreational drug use being common in adolescents, but if drug facilitated sexual assault is suspected, it can be important to establish the substance involved 12. In the UK, the faculty of forensic and legal medicine recommends that when doing a forensic examination following a sexual assault, a urine sample to test for drugs and/or alcohol be obtained if the incident happened within the preceding 5 days.…”

Aspectos Epidemiológicos Da Leishmaniose Visceral No Estado Do Piauí No Período De 2015 a 2018

“…A violência sexual pode ser definida como: qualquer situação na qual há contato sexual não voluntário, com ou sem penetração e/ou toque nas áreas anogenital ou nas mamas, que decorre de coerção psicológica, uso de força física, incapacitação ou comprometimento do estado de alerta (por exemplo, secundária a álcool ou uso de drogas), além de também ocorrer quando as vítimas não podem consentir ou entender as consequências da sua escolha devido à idade ou por questões de desenvolvimento (CRAWFORD-JAKUBIAK et al, 2017).…”

“…abuso de idosos e incapazes), apresenta certas características epidemiológicas e configurações sociais e contextuais que favorecem uma maior prevalência dessa agressão. Neste caso, alguns fatores comumente encontrados nas situações de violência sexual são o abuso de álcool ou de drogas, seja pelo agressor, seja pela vítima (CRAWFORD-JAKUBIAK et al, 2017;VALLE et al, 2018) e a forte correlação com ambientes universitários e escolares, além do familiar (MELLINS et al, 2017).…”