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Medications at the Emergency Department After Recent Rape.

Amanda K Gilmore1, Grace McKee2,3, Julianne C Flanagan4,5

  • 1Georgia State University, Atlanta, GA, USA.

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Factors like intimate partner violence, strangulation, and victim gender influenced medication acceptance after sexual assault forensic exams. Understanding these factors can improve post-assault care.

Keywords:
adult victimsalcohol and drugsreporting/disclosuresexual assault

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Area of Science:

  • Forensic Medicine
  • Public Health
  • Clinical Pharmacy

Background:

  • Rape causes significant physical and mental health issues.
  • Limited research exists on medical prescribing patterns after emergency room visits for rape.

Purpose of the Study:

  • To investigate factors associated with same-day medication prescriptions following a sexual assault medical forensic examination (SAMFE).

Main Methods:

  • Retrospective analysis of 939 medical records paired with SAMFE records.
  • Examined demographic and assault characteristics as correlates of medication prescription.
  • Data collected from a Southeastern US medical university (July 2014 - May 2019).

Main Results:

  • Intimate partner violence (IPV) was linked to lower antibiotic and emergency contraception prescriptions.
  • Genital injury and male victim gender correlated with higher antiviral prescriptions.
  • Non-genital injury, strangulation reports influenced pain medication acceptance.
  • IPV and strangulation were associated with increased psychotropic prescription acceptance.

Conclusions:

  • Medication acceptability following SAMFE is influenced by patient demographics and assault characteristics.
  • Tailoring medication offers based on individual factors may enhance adherence and outcomes.
  • Further research is needed to optimize pharmacologic interventions for sexual assault survivors.