Acute Sexual Assault in the Pediatric and Adolescent Population - 28/10/16

Doi : 10.1016/j.jpag.2015.05.001

Gylynthia E. Trotman, MD, MPH ^1,^⁎ , Christian Young-Anderson, MSN, RN ³, Katherine P. Deye, MD ^2,³
¹ Department of Women's and Infants' Services, Division of Pediatric and Adolescent Gynecology, Medstar Washington Hospital Center/Children's National Health System, Washington, District of Columbia
² Department of Pediatrics, George Washington University School of Medicine and Health Sciences, Washington, District of Columbia
³ Freddie Mac Foundation Child and Adolescent Protection Center, Children's National Health System, Washington, District of Columbia

^∗Address correspondence to: Gylynthia E. Trotman, MD, MPH, Department of Obstetrics and Gynecology, Division of Pediatric and Adolescent Gynecology, University of Cincinnati College of Medicine/Cincinnati Children's Hospital Medical Center, 3333 Burnett Ave, MLC 2026, Cincinnati, OH 45229; Phone: 513-636-7815Department of Obstetrics and GynecologyDivision of Pediatric and Adolescent GynecologyUniversity of Cincinnati College of Medicine/Cincinnati Children's Hospital Medical Center3333 Burnett Ave, MLC 2026, Phone: 513-636-7815CincinnatiOH45229

Abstract

Children and adolescents are at high risk for sexual assault. Early medical and mental health evaluation by professionals with advanced training in sexual victimization is imperative to assure appropriate assessment, forensic evidence collection, and follow-up. Moreover, continued research and outreach programs are needed for the development of preventative strategies that focus on this vulnerable population. In this review we highlight key concepts for assessment and include a discussion of risk factors, disclosure, sequelae, follow-up, and prevention.

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Key Words : Sexual assault, Anogenital injury, Forensic examination, HIV postexposure prophylaxis, Sexually transmitted infections