Akademik Veri Yönetim Sistemi
30. Ulusal Çocuk ve Ergen Ruh Sağlığı ve Hastalıkları Kongresi, İstanbul, Türkiye, 20 - 22 Mayıs 2023, ss.258
S83 - Socio-Demographic Features, Symptoms and Processess of Forensic Reporting of Sexual Abuse Cases That Have Been Reported By One Major Clinic
VEYSEL ÖZDAĞ1, ÖMER FARUK BULUT1, NUSRET SOYLU1,
1İSTANBUL ÜNİVERSİTESİ İSTANBUL TIP FAKÜLTESİ ÇOÇUK VE ERGEN RUH SAĞLIĞI HASTALIKLARI,
Objective: Even though the privacy requires of medical records, it is mandatory to report the sexual abuse cases. But, it is detected that only 15 percent of sexual abuse cases has been reported. Sexual abuse cases mostly does not come to the clinics as they are, they «hide» under another problems and symptoms. In these paper, we want to share our experience of our cases’ socio-demographic and sexual abuse-related features, mental health follow-up findings and processess of forensic reporting of sexual abuse cases that we have reported so far. Method: The study included 28 cases that started the forensic reporting process by the physician in the last 2 years, among the patients who applied to the Istanbul Medical Faculty Child and Adolescent Mental Health and Diseases clinic. Clinical file records and prepared forensic reports of these cases were reviewed retrospectively. Results: Mean age of the cases were 10,89±4,50 (min:3, max:17,5). %78,6 (n=22) of cases were girls,%21,4 (n=6) of cases were boys. More than %64,3 of the cases were sexually abused more than once. The abuser was inside family in %17,9 (n=5) of cases, abuser was a familiar in % 85,8 (n=24) of cases. In 67.9% (n = 19) of the cases, sexual abuse was shared with the interviewer at the first meeting. In %53,6 (n=15) of cases victim shared the abusement case, in %39,3 (n=11) of them one of the parents shared. In %39,3 (n=11) of cases, the case was not reported in a proper way despite it was shared with people who have the responsibility to report. %75 (n=21) of childiren were willing to report the case, in %32,2 (n=9) of cases both of the parents were willing to report, in % 46,4 (n=13) of cases only one of them were willing. In %67,9 (n=19) of cases, there were at least one mental disorder. In %39,3 (n=11) of cases PTSD has detected, ın %42,8 (n=12) of them MDD has detected. % 25’i (n=7) of cases have never came back again for polyclinic control after forensic reporting. While reporting the cases, for %17,8 (n=5) of them, protection and sheltering from government has demanded. For %25’i (n=7) of them health reassurance has demanded, for %28,6 (n=8) of them consultancy service has demanded. Conclusion; In childiren and adolescent population, sexual abuse cases can be presented with variousclinical features. Altough it is mandatory to report forensically, healthcare workers who are getting across wtih sexual abusement cases, are confused with dilemmas because of various reasons. Forensic report is so important to prevent repetitive abuses, get social and healthcare support which can be very beneficial to the patient. Therefore, academical, educational and awareness studies are required.
ANAHTAR KELİMELER: Sexual Abuse, Forensic Report, Child, Adolescent