Forensic medical results and law enforcement actions following sexual assault: A comparison of child,adolescent and adult cases |
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| Institution: | 1. Te Puaruruhau (Child Protection Team), Starship Children’s Health, Private Bag 92024, Auckland 1142, New Zealand;2. Department of Paediatrics: Child and Youth Health, Faculty of Medical and Health Sciences, University of Auckland, Private Bag 92019, Auckland 1142, New Zealand;1. Charleston Area Medical Center/West Virginia University – Charleston Division, Charleston, WV, United States;2. West Virginia University School of Medicine, Morgantown, WV, United States;3. Marshall University School of Medicine, Huntington, WV, United States;4. University of Texas Dell Medical School, Austin, TX, United States;5. Health Education and Research Institute, Outcomes Research, Charleston Area Medical Center, Charleston, WV, United States;1. Discipline of Medical, Molecular & Forensic Sciences, Murdoch University, 90 South Street, Murdoch, Western Australia, 6150, Australia;2. Murdoch University Singapore, King’s Centre, 390 Havelock Road, 169662, Singapore;3. Centre for Sustainable Aquatic Ecosystems, Murdoch University, 90 South Street, Murdoch, Western Australia, 6150, Australia;4. Mathematics and Statistics, Murdoch University, 90 South Street, Murdoch, Western Australia, 6150, Australia;1. Scientific Police of Goiás State, Brazil;2. Federal University of Goiás, Brazil;3. Department of Health of Goiás State, Brazil |
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| Abstract: | BackgroundIn sexual assault cases, little research has examined differences in forensic medical findings and law enforcement response by victim age across the entire age range.ObjectiveThis study addressed this gap by comparing four victim age groups: adults, adolescents over the age of consent, adolescents under the age of consent, and children under 12.Participants and settingCases were randomly sampled from a statewide database of medical reports on sexual assault examinations conducted in hospital emergency departments, including only cases reported to law enforcement (N = 563).MethodsData were combined from a medical report database, from coding of medical documentation and crime laboratory reports, and from case data provided by law enforcement.ResultsRates for both younger and older adolescent victims and adult victims were comparable, with no statistically significant differences on most variables: penetration, perpetrator use of force, non-genital and genital injuries, presence of biological evidence, generating assailant DNA profiles, DNA match to suspect, hits in the FBI’s DNA database, and law enforcement unfounding (i.e., determining allegations to be false or baseless). Child victims were significantly less likely to have a non-genital injury, and their cases were significantly more likely to be founded by law enforcement. Arrests were significantly more likely when victims were under the age of consent.ConclusionsDespite significant differences by victim age, similarity between adolescent and adult cases was substantial. Both younger and older adolescents may be at higher risk of physical violence during sexual assault than previously recognized, and need greater attention in response systems. |
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| Keywords: | Sexual assault Child sexual abuse Forensic medical examination Law enforcement Forensic evidence Arrest |
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