An overview of sexual assault survivors: a 5 year retrospective study in gynaecology department of NSCB medical college, Jabalpur, Madhya Pradesh, India
Keywords:Assailants, Sexual assault, Survivors
Background: Rape and abuse of women are common occurrences, which many times go unreported due to social stigma or fear of retribution. Rape is a crime not against a single human being but against the entire humanity. For granting justice to the rape survivor, it becomes necessary that such matters are properly presented before the Courts of Law. Healthcare workers play an important role in this regard because they are the first people who examine the survivors. They document record of the history and medical condition of the survivor and do relevant sample collection. The objective of this study is to analyze demographic and event characteristics of rape survivors who presented to the gynecology department of Government NSCB MCH, Jabalpur with history of sexual assault.
Methods: Data was retrospectively collected from the medico legal records of the department of Gynecology between April 2013 to March 2018.
Results: An increase in number of cases of sexual assault reporting to the hospital every year is observed. Age wise distribution showed that 27.66% cases were in age group 6-10 years and 16-20years being the major affected group. Majority of the cases belonged to low socio-economic strata. 91.5% survivors were unmarried. 61.7% of the survivors were from rural areas. 44.7% of survivors reported within a day of the incident and most of the assailants were known to the survivors; only 36.2 % were strangers. Most of the incidences (23.4%) took place in the assailant’s house and survivors house each. In 31.9% cases there was evidence of fresh hymen tear.
Conclusions: An understanding of the demography of sexual assault survivors will help us to better train our doctors in proper attitude and handling of such cases, an area often neglected.
Sarkar SC, Lalwani S, Rautji R, Bhardwaj DN, Dogra TD. Prospective study of victims and offender of sexual offences. Malaysian J Forensic Pathol Sci. 2008;3(2):10-47.
Chattoraj N. Sex related offences and their preventive and control measures: An Indian perspective. Guest paper in resource material series 72 at 133rd international training course by UNAFEI; 2006:82-99.
Krug EG, Dahlsberg LL, Mercy J A, Zwi AB, Lozano R, eds. Chapter 6: sexual violence. In: World health report on violence and health. Geneva: world health organization; 2002: 147–181.
Beebe DK. Emergency management of the adult female rape victim. Am Fam Physician. 1991;43:2041-3.
Sweta L, Alpana S, Vaid NB, Sanjeeta B. Sexual Assault Survivors Reporting to a Tertiary Care Hospital in Delhi: A Retrospective Analysis. J Clin Diagn Res. 2014;8(9):OC09-OC12.
Namita G, Amita Suneja, NB Vaid, Upasana Pandit. Female Sexual Assault: A Study from East Delhi. Indian Int J Forensic Med Toxicol. 2008;6(4).
Tamuli RP, Paul B, Mahanta P. A statistical analysis of alleged victims of sexual assault – A retrospective study. J Punjab Acad Forensic Med Toxicol, 2013;13(1):7-13.
Arif M, Ahmed M, Hanif F. Natural sexual offences; medicolegal assessment in Punjab. Professional Med J. 2014;21(5):980-6.
Parveen M, Nadeem S, Aslam M, Sohail K. Female victims of sexual violence; reported cases of in Faisalabad city in 2008. Professional Med J. 2010;17(4):735-40.
Kumar-Pal S, Sharma A, Kumar Sehgal A, Singh-Rana A. A Study of Sexual Assaults in Northern Range of Himachal Pradesh. Int J Med Toxicol Forensic Med. 2015;5(2):64-72.
Bijoy TH, Pradipkumar KH, Lepcha OT. A study of child rape in Manipur. J Indian Acad Forensic Med. 2006;28:135-7.
Demisew A, Desta H. Sexual assault: pattern and related complications among cases managed in JIMMA University specialized hospital. Ethiop J Health Sci. 2014;24(1):3-12.
Masho SW, Odor RK, Adera T. Sexual assault in Virginia: A population-based study. Womens Health Issues. 2005;15(4):157-66.
Bandyopadhay S, Ghosh S, Adhya S, Pal K, Dalai CK. A Study on Sexual Assault Victims attending a Tertiary Care Hospital of Eastern India. IOSR J Dent Med Sci. 2013;6(6):16-9.
Samuel O, Julius W, Paul K, Robert B. Clinical presentation and management of alleged sexually assaulted females at Mulago hospital, Kampala, Uganda. Afr Health Sci. 2005;5(1):50-4.
Grossin C, Sibille I, Grandmaison GD, Banasr A, Brion F, Durigon M. Analysis of 418 Cases of Sexual Assault, Forensic Science Int. 2003;131:125-30.
Riggs N, Houry D, Long G, Markovchick V, Feldhaus KM. Analysis of 1,076 cases of sexual assault. Ann Emerg Med. 2000;35(4):358-62.
Hassan Q, Bashir MZ, Mujahid M, Munawar AZ, Aslam M, Marri MZ. Medico-legal assessment of sexual assault victims in Lahore. J Pak Med Assoc. 2007;57(11):539-42.
Sorenson SB, Siegel JM, Golding JM, Stein JA. Repeated sexual victimization. Violence Vict. 1991;6(4):299-308.
Santos JC, Neves A, Rodrigues M, Ferrão P. Victims of sexual offences: medicolegal examinations in emergency settings. J Clin Forensic Med. 2006;13(6-8):300-3.
Scherer S, Hansen SH, Lynnerup N. Sexually assaulted victims are getting younger. Dan Med J. 2014;61(2):4780.