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Diego Olaya Mantilla, Oliver Berthold, Astrid Helling-Bakki

    Praxis Der Kinderpsychologie Und Kinderpsychiatrie
    |January 13, 2026
    PubMed
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    This article outlines holistic medical care for minors after sexual violence, emphasizing trauma-sensitive communication and interdisciplinary cooperation. It highlights the growing need for structured diagnosis of technology-assisted sexual abuse and standardized care protocols.

    Area of Science:

    • Medical Care
    • Child Protection
    • Forensic Medicine

    Background:

    • Sexual violence significantly impacts minors' health and well-being.
    • Technology-assisted sexual abuse (online child sexual abuse, OCSA) presents unique challenges in medical care.
    • Existing care structures require adaptation to address diverse forms of sexual violence.

    Purpose of the Study:

    • To provide a practical overview of holistic somatic medical care for minors after sexual violence.
    • To detail key processes from initial consultation to aftercare, incorporating trauma-sensitive approaches.
    • To emphasize the importance of interdisciplinary cooperation and standardized protocols for OCSA.

    Main Methods:

    • Review of current guidelines and established practices at Charite-Universitatsmedizin Berlin.
    Keywords:
    Medizinischer Kinderschutz - sexualisierte Gewalt - technologiegestutzte sexualisierte Gewalt - online child sexual abuse (OCSA)medical child protection - child sexual abuse - technology-assisted sexual violence - online child sexual abuse (OCSA)

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  • Description of procedures including examination, documentation, diagnosis, prophylaxis, and aftercare.
  • Focus on trauma-sensitive communication and legal frameworks.

    • Main Results:

    • A comprehensive framework for medical care for minors affected by sexual violence is presented.
    • Structured diagnostic approaches for technology-assisted sexual abuse are increasingly relevant.
    • Standardized procedures, supported by transnational recommendations like EU PROMISE-Elpis, improve care quality.

    Conclusions:

    • Holistic, trauma-sensitive medical care is crucial for minors experiencing sexual violence.
    • Interdisciplinary and transdisciplinary cooperation is essential for effective treatment and prevention of re-traumatization.
    • Uniform and comprehensive further training in medical child protection is advocated.