A nine-year retrospective study of children and adolescents reported at the One Stop Crisis Center of Nakornping hospital for possible sexual abuse
Keywords:
children, adolescent, sexual abuse, One Stop Crisis Center, OSCC, retrospective studyAbstract
Objective: To study and compare the characteristics of children and adolescents reported at the One Stop Crisis Center of Nakornping hospital suspected of child sexual abuse cases.
Method: Retrospective study was conducted by reviewing of medical records, forensic medical record form and One Stop Crisis Center record form of 303 children and adolescents suspected of being sexually abused who were treated at Nakornping hospital between January 1, 2012 and December 31, 2020. Data were analyzed by using descriptive statistics and the Fisher’s exact test.
Results: Total -303 children and adolescents were reported at the One Stop Crisis Center of Nakornping hospital for possible sexual abuse. Most of the cases were females (88.8%) and adolescents (67.7%). The study had found statistically significant difference between children and adolescents (p-value<0.05) in reason for OSCC visit that children came with physical or mental disorders (54.1%) while adolescents came with being in a dangerous situation (41.5%). Adolescent had more concern in the issue of duration since the incident to OSCC visit which was later than 72 hours, perpetrators were known one, most identify number of offeners was one, repeated incidents, abuse incident which had occurred outside home, abuse which was rape with threats or body harm and had reported to prosecutions than in children. On physical examination, 79.6% of children had no genital and anal lesions, while 55.1% of adolescents had old wounds. Adolescent had more proportion to positive test to detect sperm and acid phosphatase than children (13.7% vs. 2.0%) and (23.4% vs. 1.0%) while sexually transmitted diseases were vice versa (3.4% vs. 8.1%), which can be concluded that the victims were sexually abused (36.1% vs. 7.1%), and may be separated from their families to emergency home (37.6% vs. 22.5%).
Conclusion: Demographic characteristics between children and adolescents suspected of child sexual abuse who attended the One Stop Crisis Center of Nakornping hospital had a significant difference in many aspects to concern. Competent OSCC could help these powerless victims to define their threats and harm.
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