Primary care provider interventions for the delayed disclosure of adolescent sexual assault.
Acute sexual assault is a serious and underreported crime with the potential for causing grave physical and emotional harm to its victim. As a result of developmental and psychological factors, the adolescent victim may delay the disclosure of such an assault and therefore experience detrimental, acute, and long-term effects. By understanding the reasons for delayed disclosure and integrating this with currently established guidelines for acutely assaulted patients, primary care providers can better tailor the care they provide when faced with the delayed disclosure of adolescent sexual assault. Furthermore, based on this review, it becomes clear that standardized protocols are necessary to more efficiently care for these patients. Recommendations are provided to allow tailoring of primary care provider's interventions based on established protocols and new understandings when caring for adolescents who delay the disclosure of their sexual assault.
Lessing
Jessica E
JE
Children's Hospital of New York, Columbia University, New York, NY 10032, USA. Jel135@columbia.edu
D000293:Adolescent; D002985:Clinical Protocols; D006801:Humans; D007407:Interviews as Topic / Q000379:methods; D008487:Medical History Taking / Q000379:methods; D009722:Nurse Practitioners / Q000458:organization & administration; D009730:Nursing Assessment / Q000379:methods; D010353:Patient Education as Topic; D010371:Pediatric Nursing / Q000458:organization & administration; D010808:Physical Examination / Q000379:methods / Q000451:nursing; D017410:Practice Guidelines as Topic; D011320:Primary Health Care / Q000458:organization & administration*; D000297:Psychology, Adolescent; D011902:Rape / Q000175:diagnosis* / Q000523:psychology*; D012650:Self Disclosure; D013313:Stress Disorders, Post-Traumatic / Q000209:etiology; D013997:Time Factors