Male Victims of Rape: An Observational Study over Four Years in Paris, France.

Sexual violence is a common and under-reported form of violence that affects all categories of individuals. We sought to provide epidemiological data on men aged 15 years and over, victims of rape or suspecting a rape, and who reported it to the police. We conducted a retrospective study at the Department of Forensic Medicine of Hôtel-Dieu, Paris, France, between 2018 and 2021. Two-hundred men were included in the study, with an average age of 28.8 years. A vulnerability was mentioned for 17.5% of them. Most of the patients reported anal penetration, committed by a single male assailant, whom they met on the day of the assault. More than 60% of the patients reported the voluntary consumption of alcohol and/or illicit substances prior to the assault. Most patients were examined shortly after the assault (median 1 day). Anal lesions were found on examination in 37.0% of patients reporting anal penetration regardless of the time frame. The presence of anal lesions was statistically higher when patients were examined within 48 h. Our results reinforce the data in the literature on the risk factors associated with sexual violence among men, notably the consumption of alcohol and illicit substances, and psychological, economic, and social vulnerability.

[Management of domestic violence in forensic emergency departments]. / Prise en charge aux urgences médico-judiciaires des violences conjugales.

In forensic emergency departments, complainants are examined by a doctor who assesses the physical and/or psychological injuries on the request of the police or courts. The nurse is involved in the admission and care of victims. She also acts as a liaison between the different parties: police services, doctors, psychologists, legal professionals, associations, etc.

[How to take care of a victim of sexual assault in the doctor's office ?] / Comment prendre en charge une victime d'agression sexuelle au cabinet médical ?

How to take care Of a victim of sexual Assault in the doctor's Office ? The care of a victim of sexual assault is a legal And medical emergency. Before 48 hours, an Initial medical certificate will describe any lesions. A prescription for antiretroviral therapy and emergency Contraception will be made before a possible Complaint is lodged and examination at the Medico-forensic unit (umj). After 48 hours, Contraception and testing for sexually transmitted Disease may still be indicated. Secondly, referral To specialized associations and psychological Support will be systematically offered. From 2018 To 2020, 1,127 sa victims were received at the Umj of the hôtel-dieu de paris: 48% were Between 18 and 25 years old, 31% between 26 And 35 years old and 21% over 35 years old. The Victims had intentionally consumed alcohol in 53% of cases and other toxicants or treatment Related.

Comment prendre En charge une victime D'agression sexuelle Au cabinet médical ? La prise en charge d'une victime d'agression Sexuelle (as) constitue une urgence judiciaire et Médicale. Avant 48 h, un certificat médical initial Décrit les éventuelles lésions. Une trithérapie Antirétrovirale et une contraception d'urgence Doivent être prescrites avant le possible dépôt de Plainte et l'examen à l'unité médico-judiciaire(umj).Après 48 h, une contraception et une Recherche d'ist peuvent rester indiquées. Dans Un second temps, une orientation vers des associations Spécialisées et une prise en charge Psychologique seront systématiquement proposées. De 2018 à 2020, 1 127 victimes d'as ont Eté reçues à l'umj de l'hôtel-dieu de paris : 48 % Avaient entre 18 et 25 ans, 31 % entre 26 et 35 ans et 21 % plus de 35 ans. Les victimes Avaient consommé volontairement de l'alcool dans 53 % des cas et d'autres toxiques ou un traitement En lien avec une pathologie psychiatrique Dans 20 % et 10 % des cas respectivement.L'étude a mis en évidence la problématique de Ces agressions dans un contexte d'alcoolisation Festive. Le rôle du médecin traitant est primordial Auprès de ces victimes et afin de les guider tout Au long de leur prise en charge.

[Identifying a child in danger during a consultation in the emergency department]. / Repérer un enfant en danger lors de la consultation aux urgences.

Child abuse is a public health issue. Many abused children present physical injuries which could be picked up in emergency departments. Caregivers must therefore be particularly vigilant from the moment the child arrives. Some reluctance to report potential abuse, notably due to denial or to being overly cautious can place the child in irreversible danger.

[Management of crime victims in a forensic unit]. / Prise en charge des victimes d'infractions pénales dans une unité médico-judiciaire.

The medico-legal process is often upsetting for victims of crime. Following a sexual assault, the medical and gynaecological examination can be a source of anxiety. The reception and management of the victims is personalised thanks to the work of the multi-disciplinary team. After the medico-legal examination, the victims are directed, depending on their needs, towards a medical, social or psychological follow-up.