The timing of medical examination following an allegation of sexual abuse: Is this an emergency?

Archives of Disease in Childhood

Volumn 93, Issue 10, 2008, Pages 851-856

  Watkeys, J M ^a   Price, L D ^a   Upton, P M ^b   Maddocks, A ^c  

^a ABERTAWE BRO MORGANNWG UNIVERSITY HEALTH BOARD   (United Kingdom)

^b UNIVERSITY OF WORCESTER   (United Kingdom)

^c PUBLIC HEALTH WALES   (United Kingdom)

Author keywords

[No Author keywords available]

Indexed keywords

ANUS INTERCOURSE; ARTICLE; CHILD; CHILD CARE; CHILD SEXUAL ABUSE; EMERGENCY CARE; FEMALE; HUMAN; MAJOR CLINICAL STUDY; MALE; MEDICAL EXAMINATION; POLICE; PRIORITY JOURNAL; PUBERTY; SEXUAL INTERCOURSE; SOCIAL WORK;

ADOLESCENT; ANAL CANAL; CHILD; CHILD ABUSE, SEXUAL; CHILD, PRESCHOOL; CONTUSIONS; EMERGENCIES; FEMALE; HUMANS; MALE; MEDICAL AUDIT; PHYSICAL EXAMINATION; PUBERTY; REFERRAL AND CONSULTATION; TIME FACTORS; VAGINA;

EID: 53549119689     PISSN: 00039888     EISSN: 14682044     Source Type: Journal    
DOI: 10.1136/adc.2007.123604     Document Type: Article

References (21)

1. Heger A, Ticson L, Velasquez 0, et al. Children referred for possible abuse: medical findings in 2384 children. Child Abuse Negl 2002:26:645-59.
2. Palusci VJ, Cox ECI, Shatz EM, et al. Urgent medical assessment after child sexual abuse. Child Abuse Negl 2006;30(4):367-80.
3. Adams JA. Medical evaluation of suspected child sexual abuse J Pediatr Adolesc Gynecol 2004;17(3):191-7.
4. Hobbs CJ, Wynne JM. Sexual abuse of English boys and girls: the importance of the anal examination. Child Abuse Negl 1989:13(21: 195-210.
5. Muram D. Child sexual abuse: relationship between sexual acts and genital findings. Child Abuse Negl 1989;13(2):211-16.
6. Finkel MA. Anogenital trauma in sexually abused children. Pediatrics 1989;84(2):317-22.
7. Berenson AB, Chacko MR, Wiemann CM, et al. A case-control study of anatomic changes resulting from sexual abuse. Am J Obstet Gynecol 2000:182)(4):820-31.
8. Heppenstall-Heger A, McConnell G, Ticson L, et al. Healing patterns in anogenital injuries: a longitudinal study of injuries associated with sexual abuse, accidental injuries, or genital surgery in the preadolescent child. Pediatrics 2003:112(4):829-37.
9. McCann J, Voris J, Simom M. Genital injuries resulting from sexual abuse: a longitudinal study. Pediatrics 1992;89(2):307-17.
10. McCann J, Miyamoto S, Boyle C, et al. Healing of hymenal injuries in prepubertal and adolescent girls: a descriptive study. Pediatrics 2007;119:e1094-106.
11. Price L, Maddocks A, Ahuja A, et al. Families of children who experienced sexual abuse: fears, needs and failures of services. Submitted for publication and available from the authors.
12. Adams JA, Knudson S. Genital findings in adolescent girls referred for suspected sexual abuse. Arch Pediatr Adolesc Med 1996:150(8):850-7.
13. The Royal College of Paediatrics and Child Health in collaboration with the Royal College of Physicians Faculty of Genitourinary Medicine and Faculty of Forensic and Legal Medicine. Clinical handbook for physical signs of child sexual abuse. 2008.
14. Bowyer L, Dalton ME. Female victims of rape and their genital injuries. Brit J Obstet Gynaecol 1997;104:617-20.
15. Biggs M, Stermac LE, Divinsky M. Genital injuries following sexual assault of women with and without prior sexual intercourse experience. Can Med Assoc J 1998;15a(1):33-7.
16. Jones JS, Rossman L, Hartman M, et al. Anogenital injuries in adolescents after consensual sexual intercourse. Acad Emerg Med 2003:10(12):1378-83
17. Kellogg ND, Menard SW, Santos A. Genital anatomy in pregnant adolescents: "normal" does not mean "nothing happened." Pediatrics 2004;113:67-9.
18. Adams JA, Girardin B, Faugno 0. Signs of genital trauma in adolescent rape in victims examined acutely. J Pediatr Adolesc Gynecol 2000;13(2):88.
19. Lauritsen AK, Meldgaard K, Charles AV. Medical examination of sexually abused children: medico-legal value. J Forensic Sci 2000;45(1):115-17.
20. National Centra for Policing Excellence for the Association of Chief Police Officers. Guidance on Investigating Child Abuse and Safeguarding Children. Centrex, 2005.
21. The Royal College of Paediatrics and Child Health and The Association of Forensic Physicians. Guidance on Paediatric Forensic Examinations in Relation to Possible Child Sexual Abuse, 2004.