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Updated: Nov 12, 2025
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A Novel Approach for the Administration of Medications and Fluids in Emergency Scenarios and Settings
Published on: November 9, 2016
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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.
Journal of Interpersonal Violence
|March 19, 2021
Summary
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.
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.
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