家庭内性虐待的儿童受害者:法医部门的一项回顾性研究
Amandine Tchouprikoff1, Lucile Tuchtan2, Emmanuelle Bosdure3
1Forensic Department, APHM, La Timone, 264 rue St Pierre, 13385 Marseille Cedex 05, France.
概括
儿童性虐待是一个日益严重的公共卫生问题. 这项研究发现,虐待的实物证据往往会消失,强调需要改善儿童受害者的多学科护理和法医实践.
科学领域:
- 法医医学 法医医学
- 儿科 儿科 儿科
- 公共卫生 公共卫生
背景情况:
- 虐待儿童,特别是性虐待,是一个重大的公共卫生问题,具有严重的长期后果.
- 越来越多的报告需要改进儿童虐待受害者检测,诊断和管理的策略.
研究的目的:
- 为了记录有关家庭内性虐待的儿童受害者的流行病学数据,将其提交给法医部门.
- 为预防工作提供信息,并加强医疗,法医,心理和社会管理实践.
主要方法:
- 一个为期2年的历史性观察性描述性和分析性研究.
- 数据来自法国马赛市La Timone法医部门收集的.
主要成果:
- 对儿童 (平均年龄为9岁) 进行了190次围检查.
- 只有30名儿童 (全部是女孩) 发现了身体病变,这些儿童往往是老年人.
- 对21名儿童进行了心理或精神病学后续检查.
结论:
- 目前对儿童性虐待案件的法医实践需要重新评估,因为经常没有病变,遗传样本的产量很低.
- 对于获取儿童证词的多学科管理和专业培训非常需要.
- 危险儿童儿科单位 (UAPED) 为综合,多学科的护理提供了一个框架.
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