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Rape and Sexual Assault: Forensic medical examination

 
Medical Encyclopedia: Rape and Sexual Assault: Forensic medical examination

The forensic medical examination is an invaluable tool for collecting evidence against a perpetrator. Since the great majority of victims know their assailant, the purpose of the medical examination is often not to establish identity but to establish nonconsensual sexual contact. The Sexual Assault Nurse Examiner program is an effective model that is used in many United States hospitals and clinics to collect and document evidence, evaluate and treat for STDs and pregnancy, and refer victims to follow-up medical care and counseling. The "Sexual Assault Nurse Examiner Development and Operation Guide," prepared by the Sexual Assault Resource Service, describes the ideal protocol for collecting evidence from a sexual assault victim. This includes:

  • performing the medical examination within 72 hours of the assault
  • taking a history of the assault
  • documenting the general health of the victim, including menstrual cycle, potential allergies, and pregnancy status
  • assessment for trauma and taking photographic evidence of injuries
  • taking fingernail clippings or scrapings
  • taking samples for sperm or seminal fluid
  • combing head/pubic hair for foreign hairs, fibers, and other substances
  • collection of bloody, torn, or stained clothing
  • taking samples for blood typing and DNA screening

— Stéphanie Islane Dionne



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