SEXUAL ASSAULTS AND MEDICAL APPROACH
Sexual abuse can be accompanied with physical force, threatening, horrifying, drugging and / or misuse of the consents such as the unable ones to give consent because of their underage and / or mental disease. It is a major problem in all over the world as well as our country. Most of the sexual assault victims are actually also child abuse cases. This study aims to contribute to the solution of these abuses and assaults as well as to increase the awareness of the clinical examiners. We designed this study to present the data and increase the benefit for to prevent these abuses. 154 cases had been evaluated at our department in between the dates of October 2012 and January 2014. The ages varied as in groups such as 0-12, 12-15, 15-18 and over the age of 18. The majority of the cases (46.7%) were in the 12 – 15 age group. 25.9% were aged as 15 – 18 and 15.6% were over the age of 18. Only 11.8% were under 12 years of age. The youngest victim was seven years old while the oldest one was 27 years old. 135 cases (87.7%) were female and only 19 of the cases (12.3%) were male. 66 cases (42.8%) had been examined for second time while 88 cases (57.2%) had come to our unit for the first time. 60 cases (39%) have been abused repetitively. 94 cases (61%) defined that they have been abused for the first time. Way of the abuse is evaluated via history taken from victim and demand letter sent to us by facilities. It is claimed that 94 cases (61%) had been abused vaginally while 40 cases (26%) had been abused anally, and 20 cases (13%) had been abused both vaginally and anally. When we analyze the abusers’ profiles in majority of the cases (87%), the victim knows the perpetrator long before the event happens. Violent findings accompanied with sexual abuse in 14 cases (9.1%). The sexual assault victims should not be traumatized repeatedly by clinicians as well as the official authorities. The major point should be the victim’s higher benefit and it should always be protected. Key words: Sexual Abuse, Examination, Clinical Legal Medicine