Clinical practice. Care of the adult patient after sexual assault.

@article{Linden2011ClinicalPC,
  title={Clinical practice. Care of the adult patient after sexual assault.},
  author={Judith A. Linden},
  journal={The New England journal of medicine},
  year={2011},
  volume={365 9},
  pages={
          834-41
        }
}
  • J. Linden
  • Published 2011
  • Medicine
  • The New England journal of medicine
This article reviews the treatment of patients presenting for care after sexual assault, including guidance for evidence collection in case of prosecution, psychological support for the victim, and prevention of pregnancy and sexually transmitted infections. 
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80 Citations
Highly Influential Citations
7
Background Citations
31
Methods Citations
3

80 Citations

Citation Type

Citation Type

Health care utilization by women sexual assault survivors after emergency care: Results of a multisite prospective study
TLDR
The current study evaluated health outcomes and service utilization among women in the 6 weeks after sexual assault. Expand
Adult and Adolescent Sexual Assault Patients in the Emergency Care Setting.
  • Medicine
  • Journal of forensic nursing
  • 2017
Patients seeking care in the emergency setting after sexual assault are an at-risk, vulnerable population. It is imperative that they have access to and receive patient-centered and trauma-informed… Expand
Treating the Adult Sexual Assault Victim: Evidence-Based Assessment and Treatment
TLDR
The efficacy of psychological and medical treatments for survivors, as well as current protocols and standards of care, are explored and limitations in care options, opportunities for research, and future directions in treatment are discussed. Expand
Care of the Adolescent After an Acute Sexual Assault
TLDR
New information to update physicians is provided on the acute assessment and care of adolescent victims who have experienced a recent sexual assault and follow-up of the acute assault. Expand
Care of the adolescent after an acute sexual assault
TLDR
New information to update physicians is provided on the acute assessment and care of adolescent victims who have experienced a recent sexual assault and follow-up of the acute assault. Expand
Sexual Assault Injuries and Increased Risk of HIV Transmission
Sexual assault and HIV are coexisting public health problems. Sexual assault may increase HIV transmission risk through diverse mechanisms, such as infliction of anal, oral, and genital injuries by… Expand
Sexual Assault And Rape of the Older Person
Abstract Sexual assault and rape is a life-altering event, undermining an individual's confidence and perception of safety, regardless of the developmental age or stage of life. When an older person… Expand
Emergency Centre care for sexual assault victims
TLDR
The patient's immediate and future safety and emotional needs should be evaluated and a plan formulated for safety when the patient is discharged, and medical follow up is recommended and should be strongly encouraged. Expand
Evaluation and Management of Female Victims of Sexual Assault.
  • R. Vrees
  • Medicine
  • Obstetrical & gynecological survey
  • 2017
TLDR
This report focuses specifically on the immediate evaluation and management of adult female victims of sexual assault and best practices include the utility of the Sexual Assault Nurse Examiner and Sexual Assault Forensic Examiner programs, as well as standardized treatment protocols. Expand
Evidence Collection for the Unconscious and Unconsented Patient
TLDR
Ethical, legal, and policy considerations that complicate this scenario are discussed and the window of opportunity for forensic collection may disappear before contacts are made or proper consent is established. Expand
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References

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Defining patterns of genital injury from sexual assault: a review.
TLDR
Several of the cited studies indicate that new avenues of investigation, such as refined measurement strategies for injury severity and skin color, may lead to advancements in health care, forensic, and criminal justice science. Expand
Female sexual assault: medical and legal implications.
TLDR
A physical and evidentiary examination is warranted in all cases of female sexual assault presenting within 36 hours of the assault and institutions dealing with victims from a transient, lower socioeconomic population should offer prophylactic treatment for sexually transmitted disease and pregnancy rather than rely on compliance with follow-up schedules. Expand
The Effectiveness of Sexual Assault Nurse Examiner (SANE) Programs
TLDR
Preliminary evidence suggests that Sane programs are effective in all domains, but such conclusions are tentative because most published studies have not included adequate methodological controls to rigorously test the effectiveness of SANE programs. Expand
Examination for sexual assault: is the documentation of physical injury associated with the laying of charges? A retrospective cohort study.
TLDR
The results of this study show that the extent of documented injury is associated with the laying of charges in cases of sexual assault, however, many questions remain about the effectiveness of the medical component of gathering such evidence. Expand
HIV postexposure prophylaxis in sexual assault: current practice and patient adherence to treatment recommendations in a large urban teaching hospital.
TLDR
HIV nPEP was offered to less than half of sexual assault patients, and few completed treatment, and further studies are needed to evaluate and improve appropriateness of HIV nPep administration and follow-up. Expand
HIV infection and rape.
TLDR
The case of a woman who was found to be HIV positive after a sexual assault, in the absence of other risk factors for HIV infection, supports the view that HIV may be transmitted to a victim of a single sexual assault. Expand
Analysis of 1,076 cases of sexual assault.
TLDR
Health care professionals should be aware that general body trauma is common, that the assailant is often someone known to the victim, and that evidence of semen is commonly found by the crime laboratory even when it is not found in the ED analysis of a wet mount. Expand
Predictors of genitorectal injury in female victims of suspected sexual assault.
  • C. Sachs, L. Chu
  • Medicine
  • Academic emergency medicine : official journal of the Society for Academic Emergency Medicine
  • 2002
TLDR
This study presents an important first look at variables that may predict genitorectal injury in sexual assault victims, and explored associations between genitor variables, nine assault characteristics, and the time between assault and exam or postcoital interval (PCI). Expand
Lifetime sexual assault prevalence rates and reporting practices in an emergency department population.
TLDR
Lifetime female SA rates in ED populations are significant, and women assaulted by a partner are significantly less likely to report the SA to police or seek medical care. Expand
HIV Postexposure Prophylaxis Use Among Ontario Female Adolescent Sexual Assault Victims: A Prospective Analysis
TLDR
The findings highlight the importance of the health care provider's role in counseling sexually assaulted female adolescents about HIV PEP use and suggest that at-risk adolescents not enrolled in school and those from culturally diverse backgrounds may require additional supports. Expand
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