Turkiye Klinikleri Journal of Forensic Medicine and Forensic Sciences

.: ORIGINAL RESEARCH
Etlik Zübeyde Hanım Sağlık Uygulama Araştırma Merkezi Acil Servisi'ne 2014-2017 Yılları Arasında Adli Makamlarca Yönlendirilen Cinsel Saldırı Vakalarının İncelenmesi
Analysis of the Sexual Assault Cases Sent by the Judicial Authorities to Emergency Services of Etlik Zübeyde Hanım Health Practices & Research Center Between 2014-2017
Sinan TETİKa, Fulya KAYIKÇIOĞLUb, Mualla KOÇERb, Özlem MORALOĞLU TEKİNb
aRuh Sağlığı ve Hastalıkları Kliniği,
bKadın Hastalıkları ve Doğum Kliniği, Etlik Zübeyde Hanım Sağlık Uygulama Araştırma Merkezi, Ankara, TÜRKİYE
Turkiye Klinikleri J Foren Sci Leg Med. 2019;16(1):37-44
doi: 10.5336/forensic.2018-62095
Article Language: TR
Full Text
ÖZET
 Amaç: Cinsel saldırı mağdurlarının sosyodemografik özellikleri, saldırı çeşidi, adli muayene bulguları ve aralarındaki ilişkinin değerlendirilmesidir. Gereç ve Yöntemler: Çalışmada, Etlik Zübeyde Hanım Sağlık Uygulama Araştırma Merkezi Acil Servisi'ne 1 Ocak 2014-30 Kasım 2017 tarihleri arasında adli makamlarca cinsel saldırı şüphesiyle gönderilen 18 yaş ve üzerindeki bireylerin geriye dönük bir şekilde incelenmesi esas alınmıştır. Hasta dosyaları ve adli raporları araştırmacılar tarafından tasarlanan bir form aracılığıyla değerlendirilmiştir. Bulgular: Çalışma kapsamında bildirilen 92 bireyden, araştırmacılar tarafından belirlenen kriterleri sağlayan 80 olgu çalışmaya dâhil edilmiştir. Bildirilen bireylerin tamamının kadın olduğu, %31,3'ünün ise bekâr olduğu saptanmıştır. Minimum yaşın 18, maksimum yaşın 68 ve ortalama yaşın 28,21±10,15 yıl olduğu belirlenmiştir. Cinsel saldırıların %56,2'sinin failin evinde veya aracında gerçekleştiği, bireylerin %32,5'inin saldırıdan 48 saat sonra bildirim yaptığı görülmüştür. Bireylerin %70'inde failin tanıdık, %10'unda failin birden fazla olduğu saptanmıştır. Mağdurların %85'i ile muayene öncesinde psikolojik ilkyardım görüşmesinin yapıldığı belirlenmiştir. Bu çalışmanın bulguları, evli mağdurların daha fazla tekrarlayan saldırıya, bekâr mağdurların ise daha yüksek düzeyde penetrasyon bulgusuna sahip olduğunu ortaya koymuştur. Yabancıya göre tanıdık saldırgan mağduru olmanın daha yüksek düzeyde tekrarlayan saldırı ile ilişkili olduğu saptanmıştır. Mağdurun yaşının cinsel saldırı çeşidi ve muayene bulgularıyla ilişkisiz olduğu belirlemiştir. Sonuç: Cinsel saldırı vakalarının gözden kaçırılması, mağdura ihtiyacı olan yardımı sunamama, şiddetin tekrar etmesine hatta dozajının artmasına neden olabilmektedir. Acil servisler cinsel şiddeti belgelendirme ve önlemede kilit role sahip kurumlardan biridir. Bulgular, cinsel saldırılarda faillerin sıklıkla mağdurların tanıdığı kişiler olduğunu, evli mağdurların bekârlara göre daha yüksek oranda tekrarlayan saldırıya maruz kaldığını ortaya koyması açısından önemlidir. Adli muayene işleminin multidisipliner yaklaşımla ele alınması, delillerin sağlıklı bir şekilde toplanmasının yanı sıra muayene sonrası mağdurun yaşamını planlamasına yardımcı olacaktır.

Anahtar Kelimeler: Adli tıp; jinekolojik muayene; psikolojik travma; cinsel saldırı
ABSTRACT
 Objective: The aim of the study was to evaluate the sociodemographic characteristics of victims of sexual assault, types of assault, findings of the forensic examination and their relationship between them. Material and Methods: The study is based on a retrospective analysis for the cases of 18 years and older sent by the judicial authorities on the suspicion of sexual assault between January,1 2014-November 30, 2017 to the Emergency Services of Etlik Zübeyde Hanım Health Practice & Research Center. The patient files and the judicial reports were evaluated through a form designed by researchers. Results: The study consist of 80 cases of 92 reported cases meeting the criteria defined by the researchers. It has been determined that all of the reported cases were female, and 31.3% of them were single. The minimum age was 18, the maximum age was 68, and the mean age was 28.21±10.15. 56.2% of the sexual assaults occurred in the home or car of the perpetrator and 32.5% of the cases were reported 48 hours after the assault. The perpetrator was acquainted in 70% of the cases, and 10% of the cases involved more than one perpetrator. 85% of the victims have had psychological first aid interview before the forensic examination. Findings of this study show that the married victims were more likely to involve multiple episodes of assaults, and the singles were more likely to have penetration findings. Sexual assault by acquaintances, compared with strangers were more likely to involve multiple episodes. Age of victims was not associated with sexual assault type and examination findings. Conclusion: Oversight of sexual assault cases, failing to provide help the victim have needed may cause to recur the violence and even might increase its dosage. The Emergency Services is one of the key institutions for documenting and preventing sexual assault. The findings are important to present the perpetrators were often acquaintance to the victims and married victims were more likely to have multiple episodes of sexual assault. A multidisciplinary approach to the forensic examination will not only help to gather evidence properly and also enable to plan the victim's life after the examination.

Keywords: Forensic medicine; gynecological examination; psychological trauma; sexual assault
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"Turkiye Klinikleri" in its sole discretion may change the hereby "Terms of Use" anytime announcing within the "SITE". The changed terms of the hereby "Terms of Use" will become valid when they are announced. Hereby "Terms of Use" cannot be changed by unilateral declarations of users.

7. FORCE MAJEURE

"Turkiye Klinikleri" is not responsible for executing late or never of this hereby "Terms of Use", privacy policy and "USER Contract" in any situation legally taken into account as force majeure. Being late or failure of performance or non-defaulting of this and similar cases like this will not be the case from the viewpoint of "Turkiye Klinikleri", and "Turkiye Klinikleri" will not have any damage liability for these situations. "Force majeure" term will be regarded as outside of the concerned party's reasonable control and any situation that "Turkiye Klinikleri" cannot prevent even though it shows due diligence. Also, force majeure situations include but not limited to natural disasters, rebellion, war, strike, communication problems, infrastructure and internet failure, power cut and bad weather conditions.

8. LAW AND AUTHORISATION TO FOLLOW

Turkish Law will be applied in practicing, interpreting the hereby "Terms of Use" and managing the emerging legal relationships within this "Terms of Use" in case of finding element of foreignness, except for the rules of Turkish conflict of laws. Ankara Courts and Enforcement Offices are entitled in any controversy happened or may happen due to hereby contract.

9. CLOSING AND AGREEMENT

Hereby "Terms of Use" come into force when announced in the "SITE" by "Turkiye Klinikleri". The users are regarded to agree to hereby contract terms by using the "SITE". "Turkiye Klinikleri" may change the contract terms and the changes will be come into force by specifying the version number and the date of change on time it is published in the "SITE".

 

30.03.2014

Privacy Policy

We recommend you to read the terms of use below before you visit our website. In case you agree these terms, following our rules will be to your favor. Please read our Terms of Use thoroughly.

www.turkiyeklinikleri.com website belongs to Ortadoğu Advertisement Presentation Publishing Tourism Education Architecture Industry and Trade Inc. and is designed in order to inform physicians in the field of health

www.turkiyeklinikleri.com cannot reach to user’s identity, address, service providers or other information. The users may send this information to the website through forms if they would like to. However, www.turkiyeklinikleri.com may collect your hardware and software information. The information consists of your IP address, browser type, operating system, domain name, access time, and related websites. www.turkiyeklinikleri.com cannot sell the provided user information (your name, e-mail address, home and work address, phone number) to the third parties, publish it publicly, or keep it in the website. Gathered information has a directing feature to be a source for the website’s visitor profile, reporting and promotion of the services.

www.turkiyeklinikleri.com uses the taken information:

-To enhance, improve and maintain the quality of the website

-To generate visitor’s profile and statistical data

-To determine the tendency of the visitors on using our website

-To send print publications/correspondences

-To send press releases or notifications through e-mail

-To generate a list for an event or competition

By using www.turkiyeklinikleri.com you are considered to agree that;

-Ortadoğu Advertisement Presentation Publishing Tourism Education Architecture Industry and Trade Inc. cannot be hold responsible for any user’s illegal and immoral behavior,

-Terms of use may change from time to time,

-It is not responsible for other websites’ contents it cannot control or the harms they may cause although it uses the connection they provided.

Ortadoğu Advertisement Presentation Publishing Tourism Education Architecture Industry and Trade Inc. may block the website to users in the following events:

-Information with wrong, incomplete, deceiving or immoral expressions is recorded to the website,

-Proclamation, advertisement, announcement, libelous expressions are used against natural person or legal identity,

-During various attacks to the website,

-Disruption of the website because of a virus.

Written, visual and audible materials of the website, including the code and the software are under protection by legal legislation.

Without the written consent of Ortadoğu Advertisement Presentation Publishing Tourism Education Architecture Industry and Trade Inc. the information on the website cannot be downloaded, changed, reproduced, copied, republished, posted or distributed.

All rights of the software and the design of the website belong to Ortadoğu Advertisement Presentation Publishing Tourism Education Architecture Industry and Trade Inc.

Ortadoğu Advertisement Presentation Publishing Tourism Education Architecture Industry and Trade Inc. will be pleased to hear your comments about our terms of use. Please share the subjects you think may enrich our website or if there is any problem regarding our website.

info@turkiyeklinikleri.com