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Cinsel Saldırı - İstismar Olguları Üzerine Retrospektif Bir Çalışma

Year 2022, Volume: 14 Issue: 3, 445 - 453, 20.10.2022
https://doi.org/10.18521/ktd.1136521

Abstract

Amaç: Çalışmada Bolu ilinde meydana gelen ve Ağır Ceza Mahkemesi’nde yargılaması yapılarak karara bağlanan cinsel saldırı - istismar olgularının analizi amaçlanmıştır.
Materyal ve Metod: 2007-2016 yılları arasında Bolu Ağır Ceza Mahkemesi’nde karara bağlanmış toplam 148 cinsel saldırı-istismar olgusu retrospektif olarak incelenmiştir.
Bulgular: Çalışmaya dahil edilen 148 olgunun 131’i (%88,5) kadın, 17’si (%11,5) erkektir. Ortalama yaş 18,6±11,6’dır (min:4, max:83). En fazla olgu %35,2 (n=52) oranı ile 13-15 yaş grubundaydı. Cinsel saldırı-istismar eyleminin en sık vajinal penetrasyon (n:72, %48,6) şeklinde gerçekleşmişti. En sık tespit edilen psikiyatrik hastalık akut stres bozukluğu (n:12, %10,8) ve travma sonrası stres bozukluğuydu (n:12, %10,8). Fiziksel şiddetin, olay sonrasında ruhsal bozukluk oluşmasında istatistiksel olarak etkili (p=0,008) olduğu bulundu. Saldırganların %81,8’i mağdur tarafından tanınıyordu.
Sonuç: Ülke genelinde yapılacak daha geniş çaplı araştırmalar ile ülkemizdeki cinsel saldırı-istismar risk faktörlerinin tespit edilerek, ulusal düzeyde daha etkili cinsel saldırı-istismar önleme stratejilerinin geliştirilebileceğini düşünüyoruz.

Supporting Institution

Yok

Project Number

Yok

References

  • Eckert OL, Sugar N, Fine D. Factors impacting injury documentation after sexual assault: Role of examiner experience and gender. Am J Obstet Gynecol. 2004;190(6):1739-43.
  • Glover K, Olfson M, Gameroff MJ, Neria Y. Assault and mental disorders: a cross-sectional study of urban adult primary care patients. Psychiatr Serv. 2010;61(10):1018-23.
  • World Health Organization. Guidelines for medico-legal care for victims of sexual violence, Geneva [Internet]. WHO Ofset Publication; 2003. [cited 2021 Nov 15] Available from URL: https://apps.who.int/iris/handle/10665/42788.
  • Karayianni E, Fanti KA, Diakidoy IA, Hadjicharalombous MZ, Katsimicha E. Prevalence, contexts, and correlates of child sexual abuse in Cyprus. Child Abuse Negl. 2017;66:41-52.
  • Pereda N, Guilera G, Forns M, Gomez-Benito J. The prevalence of child sexual abuse in community and student samples: A meta- analysis. Clin Psychol Rev. 2009;29(4):328-38.
  • Alexander RA. Medical advances in child sexual abuse. J Child Sex Abuse. 2011;20(5):481-5.
  • Mathews B, Bromfield L, Walsh K, Cheng Q, Norman RE. Reports of child sexual abuse of boys and girls: Longitudinal trends over a 20-year period in Victoria, Australia. Child Abuse Negl. 2017;66:9-22.
  • Krishnakumar P, Satheesan K, Geeta MG, Sureshkumar K. Prevalence and spectrum of sexual abuse among adolescents in Kerala, South India. Indian J Pediatr. 2014;81(8):770-4.
  • Cekin N, Hilal A, Bilgin N, Alper B, Gulmen KM, Savran B. The Review of Sexual Assault Cases Those Reflected to Adana Penalty Courts. Bull Leg Med. 1998;3:81-5.
  • Balcı Y, Erbas M, Isık S, Karbeyaz K. Evaluation of the Sexual Assault Crimes in Muğla Forensic Medicine Department. Bull Leg Med. 2014;19(2):87-95.
  • Karanfil R, Keten A, Zeren C, Arslan MM, Eren A. Evaluation of sexual assaults in Turkey. J Fornesic Leg Med. 2013;20(5):404-7.
  • Finkelhor D, Moore D, Hamby SL, Straus MA. Sexually abused children in a national survey of parents: methodological issues. Child Abuse Negl. 1997;21(1):1-9.
  • Karanfil R, Zeren C. The Analyss of cases under suspicion of anal sexual assault in Kahramanmaraş between 2005 and 2007. Bull Leg Med. 2012;26:1-7.
  • Davies EA. Jones AC. Risk factors in child sexual abuse. J For Leg Med. 2013; 20(3):146-50.
  • Demirci S, Dogan KH, Erkol Z, Deniz İ. Evaluation of Child Cases Examined for Sexual Abuse in Konya. Turkiye Klin J Forensic Med. 2008;5(2):43-9.
  • Yıldırım MH, Guvenc R. Assessment of the assault characteristics and psychiatric symptoms of sexual assault victims who reported to criminal justice system. Anatol J Psychiatry. 2017;18(4):330-7.
  • Korkmaz M, Uysal C, Sivri S, Bozkurt İ, Bulut K, Şimşek Ş, et al. Evaluation of physical and mental health of sexual assault cases applied to forensic medicine department. Dicle Med J. 2014;41(4):656-61.
  • Karbeyaz K, Gunduz T, Balcı Y, Akkaya H. Forensic Psychiatric Reports for Victims of Sexual Assault and Consensus Problems among Expertise Institutes. Turkish J Psychiatry. 2012;23(4):255-63.
  • Gencoglan S, Hekimoglu Y, Mutluer T, Özdemir PG, Gümüş O, Durmaz O, et al. Sociodemographic and Clincal Characteristics of Sexual Abused Children and Adolescents Cases Living in Turkey’s Eastern Anatolia Region. Van Tıp Derg. 2016;23(4):318-23.
  • Bhaskaran S, Seshadri SP, Srinath S, Girimaji S, Sagar JV. Clinical characteristics of children presenting with history of sexual abuse to a tertiary care centre in India. Asian J Psychiatr. 2016;19:44-9.
  • Riggs N, Houry D, Long G, Markovchick V, Feldhaus KM. Analysis of 1076 cases of sexual assault. Ann Emerg Med 2000;35(4):358-62.
  • Perdahli Fis, N, Arman, A, Kalaca S, Berkem M. Psychiatric evaluation of sexual abuse cases: a clinical representative sample from Turkey. Child Youth Serv Rev 2010;32(10):1285-90.
  • Dönmez YE, Soylu N, Özcan ÖÖ, Yüksel T, Demir AÇ, Bayhan PÇ, et al. Sociodemographic and Clinical Features of Sexually Abused Children and Adolescent Cases. Ann Med Research 2014;21(1):44-8.
  • Gokten ES, Duman NS. Factors influencing the development of psychiatric disorders in the victims of sexual abuse: A study on Turkish children. Children and Youth Ser Rev 2016;69:49-55.
  • Heppenstall-Heger A, McConnell G, Ticson L, Guerra L, Lister J, Zaragoza T. Healing patterns in anogenital injuries: a longitudinal study of injuries associated with sexual abuse, accidental injuries, or genital surgery in the preadolescent child. Pediatrics 2003;112(4):829-37.
  • Gallion HR, Milliam LJ, Littrell LL. Genital Findings in Cases of Child Sexual Abuse: Genital vs Vaginal Penetration. J Pediatr Adolesc Gynecol 2016;29(6):604-11.
  • Mhyre AK, Adams JA, Kaufhold M, Davis JL, Suresh P, Kuelbs CL. Anal findings in children with and witout probable anal penetration: A retrospective study of 1115 children referred for suspected sexual abuse. Child Abuse Negl 2013;37(7):465-74.
  • Chen LP, Murad MH, Paras ML, Colbenson KM, Sattler AL, Goranson EN, et al. Sexual abuse and lifetime diagnosis of psychiatric disorders: systematic review and meta-analysis. Mayo Clin Proc 2010;85(7):618-29.
  • Larsen ML, Hilden M, Lidegaard Ø. Sexual assault: a descriptive study of 2500 female victims over a 10-year period. BJOG. 2015;122(4):577-84.
  • Wong JS, Balemba S. Resisting during sexual assault: A meta-analysis of the effects on injury. Aggress Violent Behav 2016;28:1-11.
  • Ezechi OC, Musa AZ, David AN, Wapmuk AE, Gbajabiamila TA, Eugeniaidigbe I, et al. Trends and patterns of sexual assaults in Lagos south-western Nigeria. Pan Afr Med J 2016;24:261.
  • Küçüker H. Analysis of 268 child and adolescent victims of sexual assault and legal outcome. Turk J Pediatr 2008;50(4):313-6.
  • Barnes JE, Noll JG, Putham FW, Trickett PK. Sexual and physical revictimization among victims of severe childhood sexual abuse. Child Abuse Negl 2009;33(7):412-20.
  • Hornor G, Fischer BA. Child Sexual Abuse Revictimization: Child Demographics, Familial Psychosocial Factors, and Sexual Abuse Case Characterics. J Forensic Nurs 2016;12(4):151-9.
  • Magnusson M, Ernberg E, Landström S. Preschoolers’ disclosures of child sexual abuse: examining corroborated cases from Swedish courts. Child Abuse Negl 2017;70:199-209.
  • Young KL, Jones JG, Worthington T, Simpson P, Casey PH. Forensic laboratory evidence in sexually abused children and adolescents. Arch Pediatr Adolesc Med 2006;160(6):585-8.
  • Schilling S, Samuels - Kalow M, Gerber JS, Scribano PV, French B, Wood JN. Testing and Treatment After Adolescent Sexual Assault in Pediatric Emergency Departments. Pediatrics 2015;136(6):1495-503.
  • Steine IM, Winje D, Skogen JC, Krystal JH, Milde AM, Bjorvatn B, et al. Posttraumatic symptom profiles among adult survivors ofchildhood sexual abuse: A longitudinal study. Child Abuse Negl. 2017;67;280-93.

A Retrospective Study on Sexual Assault - Abuse Cases

Year 2022, Volume: 14 Issue: 3, 445 - 453, 20.10.2022
https://doi.org/10.18521/ktd.1136521

Abstract

Objective: In this study; it is aimed to analyze the sexual attack-abuse cases that occurred in Bolu province and were judged by the High Criminal Court.
Methods: A total of 148 cases of sexual assault - abuse decided by the Bolu High Criminal Court between 2007 and 2016 were analyzed retrospectively.
Results: This study included 148 cases: 131 (88.5%) cases were female and 17 (11.5%) were male. The mean age was 18.6 ± 11.6 (min:4, max:83). The highest number of cases was in the 13-15 age group (n=52, 35.2%). Sexual abuse most frequently occurred through vaginal penetration (n=72: 48.6%). The most common psychiatric diagnosis was acute stress disorder (n:12, 10.8%) and post-traumatic stress disorder (n:12, 10.8%). Physical violence was found to be statistically effective (p = 0.008) in the occurrence of mental disorders after the event. The victim recognized 81.8% of the attacker.
Conclusion: We think that more effective sexual attack-abuse prevention strategies can be developed at the national level by determining the risk factors of sexual assault-abuse in our country through wider research to be conducted across the country.

Project Number

Yok

References

  • Eckert OL, Sugar N, Fine D. Factors impacting injury documentation after sexual assault: Role of examiner experience and gender. Am J Obstet Gynecol. 2004;190(6):1739-43.
  • Glover K, Olfson M, Gameroff MJ, Neria Y. Assault and mental disorders: a cross-sectional study of urban adult primary care patients. Psychiatr Serv. 2010;61(10):1018-23.
  • World Health Organization. Guidelines for medico-legal care for victims of sexual violence, Geneva [Internet]. WHO Ofset Publication; 2003. [cited 2021 Nov 15] Available from URL: https://apps.who.int/iris/handle/10665/42788.
  • Karayianni E, Fanti KA, Diakidoy IA, Hadjicharalombous MZ, Katsimicha E. Prevalence, contexts, and correlates of child sexual abuse in Cyprus. Child Abuse Negl. 2017;66:41-52.
  • Pereda N, Guilera G, Forns M, Gomez-Benito J. The prevalence of child sexual abuse in community and student samples: A meta- analysis. Clin Psychol Rev. 2009;29(4):328-38.
  • Alexander RA. Medical advances in child sexual abuse. J Child Sex Abuse. 2011;20(5):481-5.
  • Mathews B, Bromfield L, Walsh K, Cheng Q, Norman RE. Reports of child sexual abuse of boys and girls: Longitudinal trends over a 20-year period in Victoria, Australia. Child Abuse Negl. 2017;66:9-22.
  • Krishnakumar P, Satheesan K, Geeta MG, Sureshkumar K. Prevalence and spectrum of sexual abuse among adolescents in Kerala, South India. Indian J Pediatr. 2014;81(8):770-4.
  • Cekin N, Hilal A, Bilgin N, Alper B, Gulmen KM, Savran B. The Review of Sexual Assault Cases Those Reflected to Adana Penalty Courts. Bull Leg Med. 1998;3:81-5.
  • Balcı Y, Erbas M, Isık S, Karbeyaz K. Evaluation of the Sexual Assault Crimes in Muğla Forensic Medicine Department. Bull Leg Med. 2014;19(2):87-95.
  • Karanfil R, Keten A, Zeren C, Arslan MM, Eren A. Evaluation of sexual assaults in Turkey. J Fornesic Leg Med. 2013;20(5):404-7.
  • Finkelhor D, Moore D, Hamby SL, Straus MA. Sexually abused children in a national survey of parents: methodological issues. Child Abuse Negl. 1997;21(1):1-9.
  • Karanfil R, Zeren C. The Analyss of cases under suspicion of anal sexual assault in Kahramanmaraş between 2005 and 2007. Bull Leg Med. 2012;26:1-7.
  • Davies EA. Jones AC. Risk factors in child sexual abuse. J For Leg Med. 2013; 20(3):146-50.
  • Demirci S, Dogan KH, Erkol Z, Deniz İ. Evaluation of Child Cases Examined for Sexual Abuse in Konya. Turkiye Klin J Forensic Med. 2008;5(2):43-9.
  • Yıldırım MH, Guvenc R. Assessment of the assault characteristics and psychiatric symptoms of sexual assault victims who reported to criminal justice system. Anatol J Psychiatry. 2017;18(4):330-7.
  • Korkmaz M, Uysal C, Sivri S, Bozkurt İ, Bulut K, Şimşek Ş, et al. Evaluation of physical and mental health of sexual assault cases applied to forensic medicine department. Dicle Med J. 2014;41(4):656-61.
  • Karbeyaz K, Gunduz T, Balcı Y, Akkaya H. Forensic Psychiatric Reports for Victims of Sexual Assault and Consensus Problems among Expertise Institutes. Turkish J Psychiatry. 2012;23(4):255-63.
  • Gencoglan S, Hekimoglu Y, Mutluer T, Özdemir PG, Gümüş O, Durmaz O, et al. Sociodemographic and Clincal Characteristics of Sexual Abused Children and Adolescents Cases Living in Turkey’s Eastern Anatolia Region. Van Tıp Derg. 2016;23(4):318-23.
  • Bhaskaran S, Seshadri SP, Srinath S, Girimaji S, Sagar JV. Clinical characteristics of children presenting with history of sexual abuse to a tertiary care centre in India. Asian J Psychiatr. 2016;19:44-9.
  • Riggs N, Houry D, Long G, Markovchick V, Feldhaus KM. Analysis of 1076 cases of sexual assault. Ann Emerg Med 2000;35(4):358-62.
  • Perdahli Fis, N, Arman, A, Kalaca S, Berkem M. Psychiatric evaluation of sexual abuse cases: a clinical representative sample from Turkey. Child Youth Serv Rev 2010;32(10):1285-90.
  • Dönmez YE, Soylu N, Özcan ÖÖ, Yüksel T, Demir AÇ, Bayhan PÇ, et al. Sociodemographic and Clinical Features of Sexually Abused Children and Adolescent Cases. Ann Med Research 2014;21(1):44-8.
  • Gokten ES, Duman NS. Factors influencing the development of psychiatric disorders in the victims of sexual abuse: A study on Turkish children. Children and Youth Ser Rev 2016;69:49-55.
  • Heppenstall-Heger A, McConnell G, Ticson L, Guerra L, Lister J, Zaragoza T. Healing patterns in anogenital injuries: a longitudinal study of injuries associated with sexual abuse, accidental injuries, or genital surgery in the preadolescent child. Pediatrics 2003;112(4):829-37.
  • Gallion HR, Milliam LJ, Littrell LL. Genital Findings in Cases of Child Sexual Abuse: Genital vs Vaginal Penetration. J Pediatr Adolesc Gynecol 2016;29(6):604-11.
  • Mhyre AK, Adams JA, Kaufhold M, Davis JL, Suresh P, Kuelbs CL. Anal findings in children with and witout probable anal penetration: A retrospective study of 1115 children referred for suspected sexual abuse. Child Abuse Negl 2013;37(7):465-74.
  • Chen LP, Murad MH, Paras ML, Colbenson KM, Sattler AL, Goranson EN, et al. Sexual abuse and lifetime diagnosis of psychiatric disorders: systematic review and meta-analysis. Mayo Clin Proc 2010;85(7):618-29.
  • Larsen ML, Hilden M, Lidegaard Ø. Sexual assault: a descriptive study of 2500 female victims over a 10-year period. BJOG. 2015;122(4):577-84.
  • Wong JS, Balemba S. Resisting during sexual assault: A meta-analysis of the effects on injury. Aggress Violent Behav 2016;28:1-11.
  • Ezechi OC, Musa AZ, David AN, Wapmuk AE, Gbajabiamila TA, Eugeniaidigbe I, et al. Trends and patterns of sexual assaults in Lagos south-western Nigeria. Pan Afr Med J 2016;24:261.
  • Küçüker H. Analysis of 268 child and adolescent victims of sexual assault and legal outcome. Turk J Pediatr 2008;50(4):313-6.
  • Barnes JE, Noll JG, Putham FW, Trickett PK. Sexual and physical revictimization among victims of severe childhood sexual abuse. Child Abuse Negl 2009;33(7):412-20.
  • Hornor G, Fischer BA. Child Sexual Abuse Revictimization: Child Demographics, Familial Psychosocial Factors, and Sexual Abuse Case Characterics. J Forensic Nurs 2016;12(4):151-9.
  • Magnusson M, Ernberg E, Landström S. Preschoolers’ disclosures of child sexual abuse: examining corroborated cases from Swedish courts. Child Abuse Negl 2017;70:199-209.
  • Young KL, Jones JG, Worthington T, Simpson P, Casey PH. Forensic laboratory evidence in sexually abused children and adolescents. Arch Pediatr Adolesc Med 2006;160(6):585-8.
  • Schilling S, Samuels - Kalow M, Gerber JS, Scribano PV, French B, Wood JN. Testing and Treatment After Adolescent Sexual Assault in Pediatric Emergency Departments. Pediatrics 2015;136(6):1495-503.
  • Steine IM, Winje D, Skogen JC, Krystal JH, Milde AM, Bjorvatn B, et al. Posttraumatic symptom profiles among adult survivors ofchildhood sexual abuse: A longitudinal study. Child Abuse Negl. 2017;67;280-93.
There are 38 citations in total.

Details

Primary Language English
Subjects Health Care Administration
Journal Section Articles
Authors

Veyis Gündoğdu 0000-0003-4337-1883

Zerrin Erkol 0000-0003-0281-9389

Erdem Hösükler 0000-0002-7736-748X

Hakan Samurcu 0000-0001-6049-2463

Bora Büken 0000-0003-2768-5946

Project Number Yok
Publication Date October 20, 2022
Acceptance Date September 9, 2022
Published in Issue Year 2022 Volume: 14 Issue: 3

Cite

APA Gündoğdu, V., Erkol, Z., Hösükler, E., Samurcu, H., et al. (2022). A Retrospective Study on Sexual Assault - Abuse Cases. Konuralp Medical Journal, 14(3), 445-453. https://doi.org/10.18521/ktd.1136521
AMA Gündoğdu V, Erkol Z, Hösükler E, Samurcu H, Büken B. A Retrospective Study on Sexual Assault - Abuse Cases. Konuralp Medical Journal. October 2022;14(3):445-453. doi:10.18521/ktd.1136521
Chicago Gündoğdu, Veyis, Zerrin Erkol, Erdem Hösükler, Hakan Samurcu, and Bora Büken. “A Retrospective Study on Sexual Assault - Abuse Cases”. Konuralp Medical Journal 14, no. 3 (October 2022): 445-53. https://doi.org/10.18521/ktd.1136521.
EndNote Gündoğdu V, Erkol Z, Hösükler E, Samurcu H, Büken B (October 1, 2022) A Retrospective Study on Sexual Assault - Abuse Cases. Konuralp Medical Journal 14 3 445–453.
IEEE V. Gündoğdu, Z. Erkol, E. Hösükler, H. Samurcu, and B. Büken, “A Retrospective Study on Sexual Assault - Abuse Cases”, Konuralp Medical Journal, vol. 14, no. 3, pp. 445–453, 2022, doi: 10.18521/ktd.1136521.
ISNAD Gündoğdu, Veyis et al. “A Retrospective Study on Sexual Assault - Abuse Cases”. Konuralp Medical Journal 14/3 (October 2022), 445-453. https://doi.org/10.18521/ktd.1136521.
JAMA Gündoğdu V, Erkol Z, Hösükler E, Samurcu H, Büken B. A Retrospective Study on Sexual Assault - Abuse Cases. Konuralp Medical Journal. 2022;14:445–453.
MLA Gündoğdu, Veyis et al. “A Retrospective Study on Sexual Assault - Abuse Cases”. Konuralp Medical Journal, vol. 14, no. 3, 2022, pp. 445-53, doi:10.18521/ktd.1136521.
Vancouver Gündoğdu V, Erkol Z, Hösükler E, Samurcu H, Büken B. A Retrospective Study on Sexual Assault - Abuse Cases. Konuralp Medical Journal. 2022;14(3):445-53.