Child abuse & neglect · 2025
Analysis of case files of children reporting non-fatal strangulation as part of a sexual assault.
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White Cath, Martin Glen P, Majeed-Ariss Rabiya
Аннотация
BACKGROUND: There is increasing awareness of non-fatal strangulation (NFS) in interpersonal violence in adults but less in the literature regarding children and young people (CYP).
OBJECTIVE: The aims of this study are: (1) identify NFS prevalence amongst CYP undergoing an acute forensic medical examination (FME) reporting rape or sexual assault; (2) explore the characteristics of CYP reporting NFS against those who did not, including suspect and assault characteristics; (3) explore the prevalence of the symptoms and signs associated with NFS and (4) make comparison with the findings of adults.
METHODS: Data from case files of CYP undergoing an acute (FME) during the seven-year period 2017-2023, following an allegation or suspicion of rape or sexual assault, were analysed. Cases with a history of NFS as part of the acute assault were compared to a control group.
RESULTS: 1802 CYP attended for an acute FME in the 7- year- study period. NFS prevalence was 5.05 % with an upward trend. NFS CYP tended to be older White girls with higher rates of mental health problems than controls. 83.52 % reported at least one symptom or sign at the time of NFS, with 31 % having an objective injury at FME. 16.5 % said the alleged perpetrator had also strangled them previously. All alleged perpetrators were male with over a third being a CYP.
CONCLUSIONS: The prevalence of NFS in CYP doubled during the study period, was found mainly in the older girls, many with preexisting mental health problems. More research is required to explore this phenomenon.
OBJECTIVE: The aims of this study are: (1) identify NFS prevalence amongst CYP undergoing an acute forensic medical examination (FME) reporting rape or sexual assault; (2) explore the characteristics of CYP reporting NFS against those who did not, including suspect and assault characteristics; (3) explore the prevalence of the symptoms and signs associated with NFS and (4) make comparison with the findings of adults.
METHODS: Data from case files of CYP undergoing an acute (FME) during the seven-year period 2017-2023, following an allegation or suspicion of rape or sexual assault, were analysed. Cases with a history of NFS as part of the acute assault were compared to a control group.
RESULTS: 1802 CYP attended for an acute FME in the 7- year- study period. NFS prevalence was 5.05 % with an upward trend. NFS CYP tended to be older White girls with higher rates of mental health problems than controls. 83.52 % reported at least one symptom or sign at the time of NFS, with 31 % having an objective injury at FME. 16.5 % said the alleged perpetrator had also strangled them previously. All alleged perpetrators were male with over a third being a CYP.
CONCLUSIONS: The prevalence of NFS in CYP doubled during the study period, was found mainly in the older girls, many with preexisting mental health problems. More research is required to explore this phenomenon.