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Background: We implemented a unique sexual assault examiner (SAE) program utilizing Emergency Department (ED)-based mid-level providers. Sexual assault forensic evidence collection processes and training are not uniform in all EDs, with varying models in place.
Methods: Our study evaluated the quality of SAE evidentiary collection in standardized evidence kits (Kits), compared to Kits from other EDs without the SAE program. We prospectively studied Kits from November 2004-October 2005. All Kits were evaluated for quantity (numbers of slides, envelopes, swabs), and quality (compliance with forensic standards) of evidence.
Results: Although SAE Kits had similar total numbers of pieces of evidence, they had higher quality as measured by a greater number of compliant envelopes (5.44 vs. 1.44, p < 0.001) and a greater number of compliant slides (6.4 vs. 4.5, p < 0.001). SAE Kits had two measures with higher quality forensic evidence than non-SAE Kits.
Conclusion: An integrated program of SAE-trained mid-level providers collect sexual assault Kits with a higher quality of forensic evidence than non-SAE providers.
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http://dx.doi.org/10.1016/j.jemermed.2007.11.109 | DOI Listing |
Behav Res Ther
August 2025
Stanford University, School of Medicine, Department of Psychiatry, USA.
Sexual assault is a pervasive problem, particularly for US college women. Although many recover naturally, a significant minority develop posttraumatic stress disorder (PTSD) or alcohol misuse. Intervening acutely can prevent chronic psychopathology from developing.
View Article and Find Full Text PDFJ Interpers Violence
September 2025
Case Western Reserve University, Cleveland, OH, USA.
Given concerns about possible "retraumatization" among individuals who participate in research examining the impact of sexual assault (SA), this study explored college student perceptions of participation in a longitudinal SA-focused study. Participants ( = 124) were college women who had (21%) or had not (79%) experienced SA in the past 12 months. At each of five timepoints (baseline through 12-month follow-up), they reported sexual trauma history and trauma-related psychopathology, completed a written narrative of their SA (if endorsed), and answered three questions about distress and cost-benefit of their participation.
View Article and Find Full Text PDFJ Interpers Violence
September 2025
Penn State Altoona, PA, USA.
Rape myths, or false beliefs about rape and sexual assault, held by professionals in the American Criminal Justice System have contributed to reduced rates of sexual offense case reporting, biased investigative procedures, and the nonprosecution of offenders. Thus, Rape Myth Acceptance (RMA) has been considered by scholars to be a direct contributor to the under-sentencing or non-sentencing of perpetrators of sexual assault and rape. Prior research on RMA in the American Criminal Justice System has disproportionately focused on criminal justice students and law enforcement professionals.
View Article and Find Full Text PDFJ Interpers Violence
September 2025
Goldsmiths, University of London, London, United Kingdom.
Advances in digital technologies provide new opportunities for harm, including sexualized deepfake abuse-the non-consensual creation, distribution, or threat to create/distribute an image or video of another person that had been altered in a nude or sexual way. Since 2017, there has been a proliferation of shared open-source technologies to facilitate deepfake creation and dissemination, and a corresponding increase in cases of sexualized deepfake abuse. There is a substantive risk that the increased accessibility of easy-to-use tools, the normalization of non-consensually sexualizing others, and the minimization of harms experienced by those who have their images created and/or shared may impact prevention and response efforts.
View Article and Find Full Text PDFJAMA Pediatr
September 2025
Department of Pediatrics and Emergency Medicine, Children's National Hospital, George Washington University, Washington, DC.
Importance: Adolescents account for almost half of the 2.5 million diagnosed sexually transmitted infections in the US annually, and the emergency department functions as the primary source of health care for many adolescents. No recommendations exist for emergency department gonorrhea and chlamydia screening.
View Article and Find Full Text PDF