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Evaluation of the psychiatric examination findings of victims decided to have sexual abuse occurred as a result of trial

Ferhan Kandemir, Bora Buken, Zerrin Erkol, Erhan Buken.




Abstract

In the study; it is aimed to examine the personal, environmental, and incident factors that may affect the mental health of the victims of sexual abuse and to discuss the data in the light of the literature. Total 449 (8.7%) cases that were sent with a history of sexual abuse in 5157 cases, which were reported between 2005 and 2012 in the Department of Forensic Medicine, Faculty of Medicine, Düzce University, were examined. Among these cases, 68 (15.1%) cases, which were judged to have committed sexual abuse, were included in the study. Of the cases, 44 (64.7%) were female and 24 (35.3%) were male. In their second mental examination, which was made six months after the date of the incident; there were no psychiatric pictures in 43 (63.2%) cases, Post Traumatic Stress Disorder (PTSD) in 14 (20.6%) cases, depression in three (4.4%) cases, PTSD in three (4.4%) cases, and depression, anxiety disorder in one (1.5%) case, depression, and anxiety disorder in one (1.5%) case. Three (4.4%) cases were referred to another center without a diagnosis. The risk of being affected of mental health in the late period was found increased by 11.32 times in the cases which have psychiatric findings during the first examination, by 12.52 times if the action took place in the form of anal penetration, by 6.9 times if deprived of liberty and by 15.88 times if the attacker was a foreigner. Long-term follow-up of victims of sexual abuse by the psychiatry clinic is important in terms of continuing their normal social life as healthy individuals.

Key words: Sexual abuse, early psychiatric effects of sexual abuse, late psychiatric effects of sexual abuse, Turkish penal code






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