Defining patterns of genital injury from sexual assault: a review.

The forensic examination following rape has two primary purposes: to provide health care and to collect evidence. Physical injuries need treatment so that they heal without adverse consequences. The pattern of injuries also has a forensic significance in that injuries are linked to the outcome of legal proceedings. This literature review investigates the variables related to genital injury prevalence and location that are reported in a series of retrospective reviews of medical records. The author builds the case that the prevalence and location of genital injury provide only a partial description of the nature of genital trauma associated with sexual assault and suggests a multidimensional definition of genital injury pattern. Several of the cited studies indicate that new avenues of investigation, such as refined measurement strategies for injury severity and skin color, may lead to advancements in health care, forensic, and criminal justice science.

[1]  P. A. Crane.  Predictors of Injury Associated with Rape , 2006, Journal of forensic nursing.

[2]  Sarah L. Anderson,et al.  Genital Findings of Women After Consensual and Nonconsensual Intercourse , 2006, Journal of forensic nursing.

[3]  J. Fargo,et al.  The effects of age and ethnicity on physical injury from rape. , 2006, Journal of obstetric, gynecologic, and neonatal nursing : JOGNN.

[4]  B. Fisher,et al.  Using Colposcopy in the Rape Exam: Health Care, Forensic, and Criminal Justice Issues , 2005, Journal of forensic nursing.

[5]  R. Schafermeyer,et al.  Political issues in emergency medicine: The United States. , 2004, Emergency medicine Australasia : EMA.

[6]  Jeffrey Jones,et al.  Significance of toluidine blue positive findings after speculum examination for sexual assault. , 2004, The American journal of emergency medicine.

[7]  D. Fine,et al.  Physical injury after sexual assault: findings of a large case series. , 2004, American journal of obstetrics and gynecology.

[8]  Jeffrey Jones,et al.  Comparative analysis of adult versus adolescent sexual assault: epidemiology and patterns of anogenital injury. , 2003, Academic emergency medicine : official journal of the Society for Academic Emergency Medicine.

[9]  A. Banasr,et al.  Analysis of 418 cases of sexual assault. , 2003, Forensic science international.

[10]  G. Arendts,et al.  Intracerebral haemorrhage presenting as olfactory hallucinations. , 2002, Emergency medicine.

[11]  J. Du Mont,et al.  Sexual assault forensic medical examination: is evidence related to successful prosecution? , 2002, Annals of emergency medicine.

[12]  C. Sachs,et al.  Predictors of genitorectal injury in female victims of suspected sexual assault. , 2002, Academic emergency medicine : official journal of the Society for Academic Emergency Medicine.

[13]  R. Wears,et al.  The prosecution of sexual assault cases: correlation with forensic evidence. , 2002, Annals of emergency medicine.

[14]  M. Sommers,et al.  Injury Patterns in Women Resulting from Sexual Assault , 2001 .

[15]  F. Rivara,et al.  Use of the terms race and ethnicity. , 2001, Archives of Pediatrics & Adolescent Medicine.

[16]  P. Tjaden,et al.  Full Report of the Prevalence, Incidence, and Consequences of Violence Against Women , 2000 .

[17]  P. Davies,et al.  Differences in Perineal Lacerations in Black and White Primiparas , 2000, Obstetrics and gynecology.

[18]  M. Shriver,et al.  Comparison of narrow-band reflectance spectroscopy and tristimulus colorimetry for measurements of skin and hair color in persons of different biological ancestry. , 2000, American journal of physical anthropology.

[19]  V. Markovchick,et al.  Analysis of 1,076 cases of sexual assault. , 2000, Annals of emergency medicine.

[20]  Jan M. Chaiken,et al.  The Sexual Victimization of College Women , 2000 .

[21]  E. Lieberman,et al.  Epidural analgesia and third- or fourth-degree lacerations in nulliparas. , 1999, Obstetrics and gynecology.

[22]  I. Fraser,et al.  Variations in vaginal epithelial surface appearance determined by colposcopic inspection in healthy, sexually active women. , 1999, Human reproduction.

[23]  S. Marion,et al.  Examination for sexual assault: is the documentation of physical injury associated with the laying of charges? A retrospective cohort study. , 1999, CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne.

[24]  S. Crowley.  Sexual Assault: The Medical Legal Examination , 1999 .

[25]  A. Coker,et al.  Risk Factors for Traumatic Physical Injury During Sexual Assaults for Male and Female Victims , 1998 .

[26]  M. Divinsky,et al.  Genital injuries following sexual assault of women with and without prior sexual intercourse experience. , 1998, CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne.

[27]  A. Ernst,et al.  Colposcopy in evaluation of the adult sexual assault victim. , 1998, The American journal of emergency medicine.

[28]  P. Tjaden,et al.  Prevalence, Incidence, and Consequences of Violence Against Women: Findings From the National Violence Against Women Survey , 1998 .

[29]  L. Bowyer,et al.  Female victims of rape and their genital injuries , 1997, British journal of obstetrics and gynaecology.

[30]  R. Peck,et al.  Patterns of genital injury in female sexual assault victims. , 1997, American journal of obstetrics and gynecology.

[31]  J. Wynne,et al.  Use of the colposcope in examination for sexual abuse. , 1996, Archives of disease in childhood.

[32]  C. Adkinson,et al.  Female sexual assault: medical and legal implications. , 1992, Annals of emergency medicine.

[33]  L. Slaughter,et al.  Colposcopy to establish physical findings in rape victims. , 1992, American journal of obstetrics and gynecology.

[34]  A. Penttilä,et al.  Medicolegal findings among rape victims. , 1990, Medicine and law.

[35]  D. Muram.  Child sexual abuse--genital tract findings in prepubertal girls. I. The unaided medical examination. , 1989, American journal of obstetrics and gynecology.

[36]  D. Muram,et al.  Child sexual abuse--genital tract findings in prepubertal girls. II. Comparison of colposcopic and unaided examinations. , 1989, American journal of obstetrics and gynecology.

[37]  F. Goodyear-Smith.  Medical evaluation of sexual assault findings in the Auckland region. , 1989, The New Zealand medical journal.

[38]  Geist Rf.  Sexually related trauma. , 1988, Emergency medicine clinics of North America.

[39]  R. Geist.  Sexually related trauma. , 1988, Emergency medicine clinics of North America.

[40]  P. Cartwright.  Factors that correlate with injury sustained by survivors of sexual assault , 1987, Obstetrics and gynecology.

[41]  G. Guzinski,et al.  Toluidine blue in the corroboration of rape in the adult victim. , 1987, The American journal of emergency medicine.

[42]  J. Unuigbe,et al.  The pattern of rape in Benin City, Nigeria. , 1986, Tropical and geographical medicine.

[43]  P. Cartwright.  Reported sexual assault in Nashville-Davidson County, Tennessee, 1980 to 1982. , 1986, American journal of obstetrics and gynecology.

[44]  V. Ray,et al.  Sexually related trauma: a review. , 1986, Annals of emergency medicine.

[45]  B. A. Woodling,et al.  The use of the colposcope in the diagnosis of sexual abuse in the pediatric age group. , 1986, Child abuse & neglect.

[46]  J. Tintinalli,et al.  Clinical findings and legal resolution in sexual assault. , 1985, Annals of emergency medicine.

[47]  Thompson Rj,et al.  Investigation of microtrauma after sexual intercourse. , 1984 .

[48]  G. Benrubi,et al.  Investigation of microtrauma after sexual intercourse. , 1984, The Journal of reproductive medicine.

[49]  Lauber Aa,et al.  Use of toluidine blue for documentation of traumatic intercourse. , 1982 .

[50]  A. Lauber,et al.  Use of toluidine blue for documentation of traumatic intercourse. , 1982, Obstetrics and gynecology.

[51]  Teixeira Wr.  Hymenal colposcopic examination in sexual offenses. , 1981 .

[52]  Wilmes Roberto,et al.  Hymenal colposcopic examination in sexual offenses* , 1981, The American journal of forensic medicine and pathology.

[53]  M. Soules,et al.  The spectrum of alleged rape. , 1978, The Journal of reproductive medicine.

[54]  Everett Rb,et al.  The rape victim: a review of 117 consecutive cases. , 1977 .

[55]  G. Jimerson,et al.  The Rape Victim: A Review of 117 Consecutive Cases , 1977, Obstetrics and gynecology.

[56]  C. Hayman,et al.  Rape in the District of Columbia. , 1972, American journal of obstetrics and gynecology.

[57]  D. Swartz,et al.  Coital Injuries of the Vagina , 1972, Obstetrics and gynecology.

[58]  J. B. Massey,et al.  Management of Sexually Assaulted Females , 1971, Obstetrics and gynecology.

[59]  R. Richart.  A clinical staining test for the in vivo delineation of dysplasia and carcinoma in situ. , 1963, American Journal of Obstetrics and Gynecology.

[60]  E. Pons,et al.  Acute phosphorus poisoning in man: A study of 56 cases. , 1950, Medicine.