성폭행 피해 환자 사례에 대한 분석
ANALYSIS OF SEXUAL ASSAULT VICTIMS
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초록
목적성폭행으로 피해자의 병원방문 시간, 사건 발생 추정 시간, 장소, 피해자와의 관계, 정자 검출여부, 진료 후 추적관찰 여부를 알아보고자하였다. 연구방법2008년 1월 1일부터 2008년 12월 31일까지 광주 원스톱 지원센터를 방문하여 산부인과 진료 시행한 여자환자 204명을 대상으로 후향적으로 조사하였다. 결과성폭행 피해자는 4, 6월에 가장 많았고 92.2%가 형사사건화 되었다. 가장 높은 발생 추정시간 및 원스톱 센터 방문시간은 각각 24시부터3시, 24시부터 9시였다. 피해 장소는 피해자의 집이 65건(31.9%), 숙박업소가 53건(26.0%)였다. 가해자가 비 면식범인 경우가 113명(55.4%), 면식범인 경우가 91명(44.6%)였다. 성폭행 발생 후 병원 방문까지 소요시간은 13세 이하가 172시간, 14세부터 16세가 96시간,17세부터 19세가 39시간, 20세 이상이 24시간으로 연령이 낮은 경우에 병원까지의 소요시간이 높았다. 정자채취를 시행한 154명 중27명(17.5%)에서 정자가 검출되었고 이는 모두 72시간 이전에 검사를 시행한 경우이다. 피해자의 피해여부를 살펴보면 생식기 외상을입은 피해자가 18명(8.9%), 추후 정신과 진료를 받은 피해자가 8명(3.9%), 갈비뼈 골절 및 항문외상, 아래턱 골절을 입은 피해자가 1명(0.5%) 있었다. 또한 성폭행으로 임신한 피해자가 2명(1%) 있었다. 진료 후 추적 관찰률은 11.3%였으며 추적관찰을 한 집단과 하지 않은집단 사이에 나이와 이전 성경험 여부에 따라 비교하였으나 유의한 차이를 보이지 않았다.
Abstract
Objective The purpose of this study was to evaluate the time when victims arrived at the hospital, the time of the attack, location, social relationship with assailants, detection of sperm, and whether a follow-up on sexual assault victims was possible. Methods Two hundred four sexual assault victims who visited the Gwangju One-stop Center and received gynecologic treatment from January 1st,2008 to December 31st, 2008 were analyzed retrospectively. Results Most victims were raped in April and June. Most attacks happened between midnight and 3 AM. Victims visited the hospital between midnight and 9 AM. The most frequent locations of assault were the victim's house (65 cases, 31.9%). 55.4% of assailants were strangers to the victims. The mean interval time from rape to visit to the hospital by age was 172 hours (for victims≤13 years old) and 24 hours (≥20years old). The detection rate of sperm in the vagina was 17.5% (154 victims) and the follow up rate was 11.3%. The injuries of the victims were as follows; 18 (8.9%) patients had genital injuries, 8 (3.9%) patients underwent psychological treatment, 1 (0.5%) patient had rib and mandible fracture with anal injury, and 2 (1%) patients became pregnant after the rape. Conclusion The doctors who treat sexual assault victims must consider the situation of the victims and the conditions for increasing the probability of sperm detection. We should also educate the patients so that they come back for follow-up checks for preventing physical and psychological complications.
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