Opportunities and challenges in screening for childhood sexual abuse

Sekhar, Deepa L.; Kraschnewski, Jennifer L.; Stuckey, Heather L.; Witt, Pamela; Francis, Erica; Moore, Ginger A.; Morgan, Paul L.; Noll, Jennie G.

doi:10.1016/j.chiabu.2017.07.019

Cited by 10 publications

(22 citation statements)

References 25 publications

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“… 7. Sekhar et al, 2018 Explore experiences of reporting suspected CSA and impression of a new screening tool 17 American school nurses (1–29 years of experience), 6 American school counsellors (5–20 years of experience), 14 paediatricians (10 months-25 years of experience) Key stake holders for CSA detection in a US context. All from the same state 2 focus group interviews with school nurses, 2 focus group interviews with paediatricians, 2 focus group interviews with schoolteachers, counsellors and administration (only counsellors included in the analyses) Children get better at hiding abuse as they get older.…”

mentioning

confidence: 99%

Possible paths to increase detection of child sexual abuse in child and adolescent psychiatry: a meta-synthesis of survivors’ and health professionals’ experiences of addressing child sexual abuse

Stige

Andersen

Halvorsen

et al. 2022

International Journal of Qualitative Studies on Health and Well

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Background Efforts are directed both towards prevention and early detection of Child sexual abuse (CSA). Yet, only about 50% of CSA survivors disclose before adulthood, and health professionals rarely are the first disclosure recipients. Increasing the detection rate of CSA within the context of Child and Adolescent Psychiatry (CAP) therefore represents a significant secondary prevention strategy. However, facilitating CSA disclosure when the survivor is reluctant to tell is a highly complex and emotionally demanding clinical task. We therefore argue that efforts to increase detection rates of CSA within CAP need to rest on knowledge of how both survivors and health professionals experience addressing CSA. Method Using meta-ethnography as method, we present separate sub-syntheses as well an overarching joint synthesis of how survivors and health professionals experience addressing CSA. Results Results show how both survivors and health professionals facing CSA disclosure feel deeply isolated, they experience the consequences of addressing CSA as highly unpredictable, and they need support from others to counteract the negative impact of CSA. Conclusion The results indicate that adapting the organization of CAP to knowledge of how the survivors and health professionals experience addressing CSA is critical to facilitate earlier disclosure of CSA within CAP.

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confidence: 99%

Possible paths to increase detection of child sexual abuse in child and adolescent psychiatry: a meta-synthesis of survivors’ and health professionals’ experiences of addressing child sexual abuse

Stige

Andersen

Halvorsen

et al. 2022

International Journal of Qualitative Studies on Health and Well

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“…On the other hand, according to some researchers, due to the high latency of this type of crime, this information is somewhat distorted and not entirely reliable [3], [16]. The high latency of sexual crimes among minors is associated with their physiological and psychological age characteristics [2], [8]. According to the literature, from 85% to 90% of perpetrators who commit sexual violence against children are men [1], [10], [14].…”

Section: Discussionmentioning

confidence: 99%

“…According to most researchers, child sexual abuse can have multiple and long-lasting consequences at different levels: possible physical consequences include injuries, sexually transmitted infections, and unwanted pregnancy [20], [23]. In addition, researchers have identified a wide range of possible psychological consequences, such as anxiety, depression, and suicidal thoughts [8], [24]. Thus, according to the literature, 30.2-39% of children who have been victims of rape are diagnosed with various psychological disorders within a few months after the incident [10], [25].…”

Section: Discussionmentioning

confidence: 99%

“…Group forms of rape and violent sexual acts are directly dependent on the age of the perpetrators [25]. Another feature identified in the analysis of group forms of violent acts of sexual character is the greater focus of such actions in relation to males [8]. According to Choudhary et al up to 33% of rapes are of a group nature [18].…”

Section: Discussionmentioning

confidence: 99%

“…However, due to the high latency of sexual crimes, statistics on child sexual abuse are inconsistent and unreliable. Absolute indicators in this sphere do not always objectively reflect the real picture of the studied phenomena [2], [8]. At the same time, the issues of Since 2002 preventing sexual crimes against minors in each region of Kazakhstan do not lose their relevance.…”

Section: Introductionmentioning

confidence: 95%

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Sexual Inviolability of Minors in Central Kazakhstan: A Forensic Medical Analysis

Mussabekova

Mkhitaryan²

2022

Open Access Maced J Med Sci

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Abstract Child sexual abuse is a social phenomenon that requires special attention from society, as it leads to the suffering of the most vulnerable part of the world's population. Child sexual abuse around the world not only persists, but also continues to grow, despite the active measures of the world community against it. Taking into account the high latency of crimes against sexual inviolability and sexual freedom of the person, measures for their detection and prevention are of particular relevance. All this requires constant monitoring of the current situation not only in the world or in the country, but also in each region of the country separately. Forensic medical examination of victims of sexual violence plays an important role in the analysis of the situation on this problem, not only in the legal, but also in the medical aspect. Research aim: Analysis of quantitative and qualitative indicators of crimes against the sexual inviolability of minors on the territory of Central Kazakhstan for the formation of indicators for assessing the current situation in the region and recommendations for the prevention of these types of crimes. Methods A retrospective analysis of the situation on the number and structure of sexual crimes committed against children from 2018 to 2021 was carried out, and their dynamics was studied. There were investigated 1252 forensic medical examinations on cases of sexual crimes against the sexual inviolability of the person on the territory of Central Kazakhstan. Methods of applied statistical analysis were used to analyz obtained results. Results A detailed analysis made it possible to assess the structure and peculiarities of sexual crimes committed against children on the territory of Central Kazakhstan over the specified period of time. The number of sexual crimes against minors in the region is increasing every year. Statistically significant age characteristics of victims and specific indicators characterizing the socio-psychological aspects of sexual crimes in the region were revealed. It has been established that in most cases the aggressor is part of the victim's family or is very close to it. The analysis of the age structure of children showed that boys from 6 to 14 years old and girls over 14 are more likely to become victims. In the studied territory, the number of sexual harassment of children is more often committed by one person, often known to them, and in most cases occurs in enclosed spaces than on the street. Conclusion The progressive growth of crimes against the sexual inviolability of children in the region requires strengthening measures to improve legal means of countering sexual crimes against minors. A detailed study of the issue made it possible to identify lacks (organizational, tactical, diagnostic) and give the forensic medical examination of sexual conditions a qualitatively new level. The strategy of combating sexual crimes against minors should be based on active preventive work. Key words: forensic medical examination, sexual violence, Central Kazakhstan, children, minors.

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A systematic review of the effectiveness of interventions designed for mothers who experienced child sexual abuse

Lange

Bach-Mortensen

Condon

et al. 2020

Child Abuse & Neglect

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Opportunities and challenges in screening for childhood sexual abuse

Cited by 10 publications

References 25 publications

Possible paths to increase detection of child sexual abuse in child and adolescent psychiatry: a meta-synthesis of survivors’ and health professionals’ experiences of addressing child sexual abuse

Possible paths to increase detection of child sexual abuse in child and adolescent psychiatry: a meta-synthesis of survivors’ and health professionals’ experiences of addressing child sexual abuse

Sexual Inviolability of Minors in Central Kazakhstan: A Forensic Medical Analysis

A systematic review of the effectiveness of interventions designed for mothers who experienced child sexual abuse

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