Evaluation of critical aspects in clinical and forensic management of sexual violence: A multicentre Ge.F.I. project

Gino, Sarah; Bo, Marco; Ricciardelli, Rossana; Alù, Milena; Boschi, Ilaria; Carnevali, E.; Fabbri, M.; Fattorini, Paolo; Piccinini, A.; Previderé, Carlo; Verzeletti, Andrea; Tozzo, Pamela; Caenazzo, Luciana

doi:10.1016/j.forsciint.2020.110387

Cited by 8 publications

(7 citation statements)

References 14 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…On the contrary, we found no significant correlation between having consumed drugs and having obtained a positive result in toxicological analysis, a result that may have been influenced by the higher time elapsed between the intake and medical examination in these survivors. In this scenario, it is fundamental not to forget the forensic role of the health personnel in taking not only the toxicological samples but also in sampling biological material for forensic genetics analysis [ 40 , 41 , 42 ] and in documenting all body injuries [ 4 , 22 ]. Healthcare personnel must therefore be aware of the time windows [ 7 , 21 , 38 , 43 , 44 , 45 ] within which the tests can guarantee a correct degree of reliability: the blood matrix can be evaluated within 48 h of the presumed event, while the urine can guarantee reliable results up to 5 days later.…”

Section: Discussionmentioning

confidence: 99%

“…Healthcare personnel must therefore be aware of the time windows [ 7 , 21 , 38 , 43 , 44 , 45 ] within which the tests can guarantee a correct degree of reliability: the blood matrix can be evaluated within 48 h of the presumed event, while the urine can guarantee reliable results up to 5 days later. The choice of the keratin matrix is to be evaluated for cases in which the elapsed time is greater than the times indicated above or if it is necessary to investigate a longer period [ 38 , 39 , 40 , 41 , 42 ], due to the growth time of the hair bulb.…”

Section: Discussionmentioning

confidence: 99%

“…Some previous studies have stressed the importance of the efforts concerning not only prevention [ 27 ], but also metabolization of such new drugs and their effects on behaviour and willingness [ 50 ], remembering that also therapeutic drugs and medications can interact and play a significant role [ 51 ]. For these reasons, from a medico-legal point of view, it is often difficult to demonstrate a relationship between a woman’s testimony, clinical aspects, and laboratory results, thus limiting the probative value in the forensic context [ 40 , 52 , 53 ].…”

Section: Discussionmentioning

confidence: 99%

See 2 more Smart Citations

Sexual Harassments Related to Alcohol and Drugs Intake: The Experience of the Rape Centre of Turin

Mognetti

Bo²,

Berta

et al. 2022

IJERPH

Self Cite

View full text Add to dashboard Cite

A cross-sectional study was conducted that describes the characteristics of sexual violence episodes related to the intake of alcohol and drugs observed among women that turned to the “Centro Soccorso Violenza Sessuale” (SVS) of the Sant’Anna Hospital in Turin between 1 January 2008, and 31 December 2017. Two hundred twenty-two patients were enrolled, 25 of which were minors, 141 were Italians, and most of them knew their aggressor and were raped in a private home. One hundred and fifty-five of them declared to the healthcare personnel to have taken alcoholic substances and/or drugs in conjunction with the event (86 reported having drunk alcohol, 36 having taken drugs and 33 disclosed both alcohol and drug abuse). If the woman knew her abuser, alcohol consumption was described as voluntary in more than 80% of cases, while in relation to drugs the consumption was equally voluntary or fraudulent. About 73% of women who reported having drunk alcohol just had amnesia or amnesia related to other symptoms, while amnesia was present in about 63% of women who reported only drug use. Physicians observed physical injuries on 156 women. Patients who reported to have assumed alcohol presented a significantly higher risk to suffer any physical injury and have a significantly increased risk to suffer injuries to their head and/or neck. The results obtained underline how even in Northern Italy alcohol intake represents the most widespread psychoactive substance in case of drug-facilitated sexual assault. There is therefore a need to promote education and prevention campaigns among citizens, especially among the youngest.

show abstract

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Sexual Harassments Related to Alcohol and Drugs Intake: The Experience of the Rape Centre of Turin

Mognetti

Bo²,

Berta

et al. 2022

IJERPH

Self Cite

View full text Add to dashboard Cite

show abstract

“…14 Training and standardization allow for more survivor-centered care by reducing the number of times a survivor must repeat the story of their assault. 15 The benefits of protocols not only contribute to better patient care, but may also increase the possibility of matching a victim's genetic material to a perpetrator, 16 and thus, to achieving justice for the survivor.…”

Section: Broadening the Scope Of Who Should Be Trainedmentioning

confidence: 99%

To confront sexual violence, we must train non-forensic experts to perform medico-legal evaluations

et al. 2021

View full text Add to dashboard Cite

Sexual violence is a global crisis. Forensic evaluations are critical for obtaining evidence and increasing the likelihood of accessing justice, as many cases fail due to lack of evidence or poor evidence. In some countries, only board-certified forensic specialists are authorized to conduct forensic evaluations. However, the high number of sexual violence cases coupled with the shortage of forensic physicians make that restriction a fundamental impediment to a rights-based response to sexual violence crimes. Governments and regulatory bodies should expand the pool of those capable of conducting forensic sexual violence evaluations by partnering with clinicians of different specialties and facilitating their training.

show abstract

“…1,6 Strategies that improve front-line healthcare personnel awareness and competence are of fundamental importance in USB incident management and prevention. 7 Training of staff in healthcare settings improves their awareness, confidence, and skills to respond to sexual assault survivors. [8][9][10] There is a paucity of training for aged care staff addressing USB and limited empirical research describing the effectiveness of the available training.…”

Section: Introductionmentioning

confidence: 99%

Using the Theoretical Framework of Acceptability to understand the acceptability of e-training for nurse led prevention of unwanted sexual behaviour in Australia’s residential aged care services

Wright¹,

Smith²,

Baird³

et al. 2022

AJAN

View full text Add to dashboard Cite

Objective:The aim of this study was to evaluate the acceptability of one specific e-training (intervention) for prevention of unwanted sexual behaviour in Australia's residential aged care services using the Theoretical Framework of Acceptability.Background: Aged care staff are of fundamental importance in unwanted sexual behaviour incident management and prevention. The research team developed and implemented an evidence-informed intervention designed to increase awareness, promote collaborative practice, and improve prevention and management of such incidents in aged care. Current acceptability of training on this topic is yet to be studied despite it being recognised as a key factor for successful implementation and translation into practice. study design and methods: This is a qualitative, cross-sectional study employing semi-structured telephone interviews with actively working enrolled and registered aged care nurses who had completed the intervention. Acceptability of the intervention was measured with the Theoretical Framework of Acceptability. Of the 36 participants that signed the consent form, 18 completed interviews. One participant was excluded from analysis as they did not complete all modules of the intervention. results: Analysis revealed favourable evaluation in all seven domains of the Theoretical Framework of Acceptability, finding high acceptability of the intervention amongst all participants. The intervention aligned with participant's values and the content was perceived to fill a knowledge gap. This is showcased in participants unanimous belief that it would be helpful for all front-line aged care staff to receive the intervention frequently. Although participants showcased high acceptability of the intervention, participants recommended that sexuality content be included before detailing unwanted sexual behaviour, and that this content inclusion may increase awareness and understanding of unwanted sexual behaviour. aUthOrs MeGhaN t WriGht BScAdvGlblChal(Hons) 1 DaisY e sMith BA AppSc (Psych) 1 chelsea s BairD BMed(Sci), MBBS(Hons), FRACP 1

show abstract

Evaluation of critical aspects in clinical and forensic management of sexual violence: A multicentre Ge.F.I. project

Cited by 8 publications

References 14 publications

Sexual Harassments Related to Alcohol and Drugs Intake: The Experience of the Rape Centre of Turin

Sexual Harassments Related to Alcohol and Drugs Intake: The Experience of the Rape Centre of Turin

To confront sexual violence, we must train non-forensic experts to perform medico-legal evaluations

Using the Theoretical Framework of Acceptability to understand the acceptability of e-training for nurse led prevention of unwanted sexual behaviour in Australia’s residential aged care services

Contact Info

Product

Resources

About