Legal outcomes of sexual assault.
OBJECTIVE
The study was undertaken to better describe the assault characteristics and examination findings in sexual assault victims who pursue legal action.


METHODS
A case-control study of consecutive women older than 15 years who came to an urban hospital after sexual assault over a 32-month period was conducted. All the women underwent a standardized history and physical examination by a resident in obstetrics and gynecology. Cases were those in which charges were filed against an assailant by the prosecutors' office. The controls were the women assaulted immediately preceding and after each case.


RESULTS
Of the 888 women undergoing evaluation in the emergency department, 132 (15%) had charges filed by the prosecutor. Characteristics positively associated with a legal outcome included being examined within 24 hours after assault, partner/spouse as an assailant, oral assault, and anogenital trauma (P <.05,.01,.05,.05, respectively). Amnesia at the time of assault and/or friend/acquaintance as assailant were negatively associated with a legal outcome (P <.01,.05, respectively).


CONCLUSIONS
Although only 15% of sexual assault cases were resolved with a legal outcome, the data support the importance of a physical examination within 24 hours of the assault. Anogenital trauma is associated with, but not a prerequisite for, a successful legal outcome.
Wiley
Jennifer
J
Department of Obstetrics and Gynecology, University of Washington, Seattle, USA.
Sugar
Naomi
N
Fine
David
D
Eckert
Linda O
LO
D000293:Adolescent; D000328:Adult; D017677:Age Distribution; D002140:California / Q000453:epidemiology; D016022:Case-Control Studies; D019548:Crime Victims / Q000706:statistics & numerical data*; D004636:Emergency Service, Hospital / Q000706:statistics & numerical data; D004638:Emergency Treatment / Q000706:statistics & numerical data*; D005260:Female; D006786:Hospitals, Urban; D006801:Humans; D033222:Judicial Role; D008499:Medical Records; D008875:Middle Aged; D010808:Physical Examination; D012189:Retrospective Studies; D012742:Sex Offenses / Q000331:legislation & jurisprudence* / Q000706:statistics & numerical data; D014947:Wounds and Injuries / Q000473:pathology / Q000628:therapy*