[Physical examination of sexual assault victims in Belgrade area].
BACKGROUND
Sexual crimes represent various forms of contact of perpetrator's genitals, lips, tongue, and fingers with genitals, lips and/or anus of the victim, in order to achieve sexual satisfaction, without victim's consent.


OBJECTIVE
The aim of this work was to analyze the type of medical institution in which victims of sexual assaults are being examined in Belgrade area, to assess the quality of these examinations and medical records, as well as to control whether standardized protocols are followed.


METHODS
Data were obtained through analysis of 113 cases of sexual assaults prosecuted in the District Court of Belgrade.


RESULTS
All victims were females with mean age of 24.1 years. The majority of victims (85%) were examined in one medical institution, most often in the Institute of Gynecology and Obstetrics, Clinical Center of Serbia, and only by one medical doctor (81.4%). Gynecologists were most frequently included in examination, while specialists of forensic medicine were engaged in only 9 cases (7.9%). In 84% of victims, the examination was performed during the first three days after the assault, and in 52% of cases on the first day. Standard techniques of clinical and gynecological examinations were applied only, without following any protocols, so the reports were made exclusively on individual basis. In no case an informed consent by victim was obtained before examination. Anamnestic data were collected in only 15.9% of cases, and they were generally incomplete.


CONCLUSIONS
The results of investigation show that the quality of examination of sexual assault victims in Belgrade area is not adequate. Therefore, such negative practice should be changed in future through introduction of standardized protocols for examination of victims, as well as development of clinical forensic medicine.
Alempijević
Djordje
D
Savić
Slobodan
S
Kesić
Vesna
V
Baralić
Ivanka
I
Ilić
Goran
G
D000328:Adult; D005260:Female; D006801:Humans; D010808:Physical Examination / Q000592:standards*; D011787:Quality of Health Care; D011902:Rape / Q000175:diagnosis*; D015022:Yugoslavia