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. 2024 May;138(3):997-1010.
doi: 10.1007/s00414-023-03117-8. Epub 2023 Nov 16.

The prevalence of genital injuries in post-pubertal females presenting for forensic examination after reported sexual violence: a systematic review

D Kane  1   2 , K M Kennedy  3 , M Eogan  4   5
Affiliations

The prevalence of genital injuries in post-pubertal females presenting for forensic examination after reported sexual violence: a systematic review

D Kane et al. Int J Legal Med. 2024 May.

Abstract

Background: Sexual violence is a prevalent issue in contemporary society requiring a robust forensic healthcare response. It is critically important that forensic examiners put clinical examination findings into an appropriate evidence-based context. The presence of genital injuries has been shown to increase the likelihood of successful criminal prosecution and report the crime. However, the reported rates of genital injury vary widely in published studies.

Aims and objectives: We aim to critically evaluate and synthesize existing literature on the prevalence of genital injuries in post-pubertal females, examined following sexual violence, with a view to describing the prevalence and characteristics of genital injuries as well as the range of forensic practices employed.

Methods: Three online databases (PubMed, Embase, and Scopus) were systematically searched with key terms.

Results: Of the 1224 studies screened, 141 full-text publications met the inclusion criteria. Reported injury prevalence rates varied widely. Details pertaining to forensic examinations included in each study, such as grade of the examiner, type of examination, location of examination, and time interval from assault to examination also varied widely. Injury prevalence was highest in studies where enhanced visualization techniques were utilized.

Conclusions: This systematic review demonstrates that there is no universally agreed standard for documenting genital injuries in cases of sexual violence and highlights the need for standardized approaches and guidelines for assessing, documenting, and reporting these injuries. The review provides robust evidence to support a call for establishing consistent context, terminology, classification systems, and data collection methods to improve the comparability and reliability of future research findings.

Keywords: Bodily injuries; Forensic examination; Genital injuries; Injury; Sexual assault; Sexual violence.

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References

    1. García-Moreno C, Pallitto C, Devries K, Stöckl H, Watts C, Abrahams N (2013) Global and regional estimates of violence against women: prevalence and health effects of intimate partner violence and non-partner sexual violence. World Health Organization
    1. Walker G (2015) The (in)significance of genital injury in rape and sexual assault. J Forensic Legal Med 34:173–178 - DOI
    1. Eogan M, McHugh A, Holohan M (2013) The role of the sexual assault centre. Best Pract Res Clin Obstet Gynaecol 27(1):47–58 - PubMed - DOI
    1. McGregor MJ, Du Mont J, Myhr TL (2002) Sexual assault forensic medical examination: is evidence related to successful prosecution? Ann Emerg Med 39(6):639–647 - PubMed - DOI
    1. Gray-Eurom K, Seaberg DC, Wears RL (2002) The prosecution of sexual assault cases: correlation with forensic evidence. Ann Emerg Med 39(1):39–46 - PubMed - DOI

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