New Perspectives on Risk Factors for Non-fatal Strangulation and Post-assault Imaging.

New Perspectives on Risk Factors for Non-fatal Strangulation and Post-assault Imaging.
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DOI:
10.1177/0886260520966673
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发表时间:
2022-05
影响因子:
2.5
通讯作者:
Gilmore AK
Gilmore AK
中科院分区:
心理学3区
文献类型:
--
作者:
McKee GB;Gill-Hopple K;Oesterle DW;Daigle LE;Gilmore AK

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在性侵犯和IPV的背景下,勒死长期以来一直与死亡有关。性侵犯期间的非致命勒死(NFS)是指不会导致死亡的勒死或窒息,是常见的,与IPV和身体伤害有关;然而,与NFS相关的其他因素尚不清楚。目前的研究探讨了人口统计学和性侵犯的特点与NFS之间的妇女谁接受了性侵犯医学法医检查(SAMFE)。本研究的第二个目的是探索与在SAMFE期间确定NFS后接受随访成像订单相关的因素。参与者(N = 882)的年龄范围为18至81岁(M = 28.85),大多数为非西班牙裔白色人(70.4%)或黑人/非裔美国人(23.4%)。共有75名妇女(8.5%)在性侵犯期间经历了NFS。其中,只有13例(17.3%)接受了相关扫描的随访成像订单。Logistic回归分析的结果表明,NFS与肛门插入,亲密伴侣犯罪,非生殖器损伤和攻击过程中使用武器的报告呈正相关。卡方分析的结果显示,在涉及经历NFS的女性的性侵犯中,与没有使用武器的攻击相比,那些涉及使用武器的攻击的人收到成像命令的可能性高出四倍。这些发现对刑事司法有影响,如果纳入危险评估,可能会减少与性侵犯和/或IPV有关的死亡人数。需要做更多的工作,以确保所有使用NFS的攻击都能触发成像转诊,而不管其他攻击特征如何。
Strangulation has long been associated with death in the context of sexual assault and IPV. Non-fatal strangulation (NFS) during sexual assault, which refers to strangulation or choking that does not result in death, is common and has been associated with IPV and with bodily injury; however, other factors associated with NFS are unknown. The current study examined demographic and sexual assault characteristics associated with NFS among women who received a sexual assault medical forensic exam (SAMFE). A second purpose of this study was to explore factors associated with receiving follow-up imaging orders after NFS was identified during a SAMFE. Participants (N = 882) ranged in age from 18 to 81 (M = 28.85), with the majority identifying as non-Hispanic White (70.4%) or Black/African American (23.4%). A total of 75 women (8.5%) experienced NFS during the sexual assault. Of these, only 13 (17.3%) received follow up imaging orders for relevant scans. Results from a logistic regression analysis demonstrated that NFS was positively associated with report of anal penetration, intimate partner perpetration, non-genital injury, and weapon use during the assault. Results from chi-square analysis showed that among sexual assaults involving women who experienced NFS, those whose assaults involved weapon use were over four times more likely to receive imaging orders compared to assaults without weapon use. These findings have implications for criminal justice, and if incorporated into danger assessments, could potentially reduce fatalities linked to sexual assault and/or IPV. Additional work is needed to ensure that all assaults with NFS trigger a referral for imaging regardless of other assault characteristics.
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