doiSerbia

Physical examination of sexual assault victims in Belgrade area

Alempijević Đorđe (Institut za sudsku medicinu, Medicinski fakultet, Beograd)
Savić Slobodan (Institut za sudsku medicinu, Medicinski fakultet, Beograd)
Kesić Vesna (Institut za ginekologiju i akušerstvo, Klinički centar Srbije, Beograd)
Baralić Ivanka (Institut za sudsku medicinu, Medicinski fakultet, Beograd)
Ilić Goran (Zavod za sudsku medicinu, Medicinski fakultet, Niš)

Introduction: Sexual crimes represent various forms of contact of perpetrator’s genitals, lips, tongue, and fingers with genitals, lips and/or anus of the victim, in order to achieve sexual satisfaction, without victim’s consent. Objective: The aim of this work was to analyze the type of medical institution in which victims of sexual assaults are being examined in Belgrade area, to assess the quality of these examinations and medical records, as well as to control whether standardized protocols are followed. Method: Data were obtained through analysis of 113 cases of sexual assaults prosecuted in the District Court of Belgrade. Results: All victims were females with mean age of 24.1 years. The majority of victims (85%) were examined in one medical institution, most often in the Institute of Gynecology and Obstetrics, Clinical Center of Serbia, and only by one medical doctor (81.4%). Gynecologists were most frequently included in examination, while specialists of forensic medicine were engaged in only 9 cases (7.9%). In 84% of victims, the examination was performed during the first three days after the assault, and in 52% of cases on the first day. Standard techniques of clinical and gynecological examinations were applied only, without following any protocols, so the reports were made exclusively on individual basis. In no case an informed consent by victim was obtained before examination. Anamnestic data were collected in only 15.9% of cases, and they were generally incomplete. Conclusion: The results of investigation show that the quality of examination of sexual assault victims in Belgrade area is not adequate. Therefore, such negative practice should be changed in future through introduction of standardized protocols for examination of victims, as well as development of clinical forensic medicine.

Keywords: sexual offense, rape, forensic medicine