Özet:

Purpose: In our study, the importance of the different structural characteristics of the body in determining whether there is sexual intercourse or vaginal sexual assault/extrusion and the importance of the other examination findings of the genital area, general body examination and mental examination findings in determining whether the incident occurs or not. Method: Between 01.01.2016 and 31.12.2018 the SPSS version 22.0 program was used for the retrospective study of 121 incidents of sexual abuse and sexual assault in the genital examination of the Faculty of Medicine of the University of Süleyman Demirel. Results: In the first examinations of the cases we received, the percentage of physical detection in the genital area was 8.3%, the percentage of physical detection in the non-genital areas was 28.9%, and in the first examinations of the cases 47.1 the percentage of physical detection was a mental detection. In the Regression Analysis, the risk of developing mental findings was 3.8 times higher in the group claimed by the group not claimed to have vaginal penetration, and 8.2 times higher in the group found by the genital examination (p<0.05). According to the degree of victim-file proximity, when a group reference that the victim does not recognize the facts was taken, the risk of psychological discovery was 2 times higher in the incidents of ensest and 2.5 times higher in the incidents where the attack occurred against the spouse. Alcohol has been observed to increase the development of mental findings 1.7 times more than it has been observed. A statistically meaningful relationship has been established between physical violence/threatening/exposure to the development of spiritual discovery (p<0,05). There was a meaningful relationship between the presumption of penetration and the development of spiritual discovery (p<0,05). In the genital examination, the findings of acute penetration were identified and a statistically meaningful relationship between the discovery of medical evidence of penetration and the development of mental findings was identified (p<0,05). The result: in the majority of victims of sexual crimes there is no manifest physical traumatic change. Therefore, in each case, detailed psychiatric assessments should also be carried out to investigate the spiritual evidence of sexual assault/exploitation and the result of the report should also be included in these evidence.

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