Management of Rape Victims
Management of Rape Victims
Management of Rape Victims
Victims
Brought to you by
Rape
Date Rape
40%
of college women
report forced sexual
contact, attempted rape, or
completed rape
independent of school
demographics
Brought to you by
Date Rape
25% of college males admit to
using sexually coercive behaviors
2/3 of college males report
engaging in unwanted sexual
intercourse
reasons: peer pressure, desire
to be liked
Brought to you by
Spousal Rape
Military
Homeless
and runaways
Brought to you by
college athletes
Fraternity
Men
members
with restraining
orders
Brought to you by
Rape
5% chance of pregnancy
25% chance of acquiring STD
GC = 6 - 12%
Chlamydia = 4 - 17%
Syphilis = 0.5 - 3%
1 -2/1,000 odds of acquiring HIV
varies
Brought to you by
Rape
Underreported
Less than 1% of rapists convicted
Average prison time for those
convicted:
rape = 1 year
armed robbery = 3 - 5 years
murder = 8 years
Chemical Castration Laws
Brought to you by
Medical
medical history
evaluate and treat physical injuries
cultures
treat pre-existing infections
NEJM 1995; 332:234-7
Brought to you by
Medical
offer post-exposure HIV prophylaxis
offer post-coital contraception (vs. in
utero paternity testing f/b selective
abortion)
arrange medical followup
provide counseling
NEJM 1995; 332:234-7
Brought to you by
Physical Examination of
Sexual Assault Victims
Collection of clothing
External evaluation
abrasions, lacerations,
ecchymoses, bite marks
Oral cavity
secretions, injuries, cultures
NEJM 1995; 332:234-7
Brought to you by
Physical Examination of
Sexual Assault Victims
Genitalia
hair combing, hair sampling,
vaginal secretions, injuries,
cultures
Rectum
injuries, cultures
NEJM 1995; 332:234-7
Brought to you by
HIV Post-Exposure
Prophylaxis for Adult
Victims of
Sexual
Assault
Brought to you by
Availability poor
up to 70 - 80% of women and 80% of
children turned away on any given night
Woefully underfunded
Average length of stay = 14 days; most
allow 30 day max stay
Over 50% of all homeless women and
children are fleeing domestic violence
Brought to you by
Brought to you by
Contact
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