Sexual Violence Flashcards

1
Q

What are the 4 non-consensual offences in the Sexual Offences Act 2004?

A
  • Rape (penetration of penis into mouth, vagina or anus - including following transgender surgery)
  • Assault by penetration (intentional penetration of another’s body part with part of body or anything else)
  • Sexual assault (touching)
  • Causing a person to engage in sexual activity without consent
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2
Q

Violence, or threat of violence, is NOT necessary to be found guilty of a non-consensual sexual offence. What other ways can a person be found guilty?

A
  • Psychological coercion
  • Use of alcohol/ drugs
  • Grooming a vulnerable / immature person
  • Deception
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3
Q

How does England and Wales, and Scotland, legally define consenting to sex?

A
  • England and Wales: agreement by choice with freedom and capacity to make that choice
  • Scotland: free agreement, emphasising the absence of coercion and control
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4
Q

Describe the Modern Slavery Act 2015

A
  • Single offence of human trafficking covering both sexual and non-sexual exploitation
  • Criminal offence to arrange or facilitate the travel of another person with a view to their being exploited
  • Slavery, servitude, forced labour, organ harvesting
  • This can all happen WITHIN a country, not just international human trafficking
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5
Q

Name some vulnerable groups who may be at a higher risk of sexual assault

A
  • Young
  • Transgender
  • Social housing
  • Poor health
  • Single / separated / divorced
  • Migrants / trafficked people
  • Those involved in the sex industry
  • Substance use / misuse
  • Women are more likely to experience sexual violence than men
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6
Q

What questions can you ask as a risk assessment about someone’s mood following a sexual assault?

A
  • Ask about current mood
  • Any thoughts of self-harm / suicidal ideation
  • Positive coping strategies
  • Negative coping strategies
  • Any support from family / friends and other professionals
  • Mental health history
  • History of domestic violence
  • History of alcohol and drug use
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7
Q

What are the two purposes of a forensic medical examination (FME)?

A
  • Therapeutic: medical and other care (initiating, arranging follow-up) - including psychological
  • Forensic: to collect evidence, record injuries (or absence of), assist the police / criminal justice system in the investigation of a crime, allow the complainant time to decide what to do after securing some evidence
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8
Q

What is Locard’s Principle?

A

“Every contact leave a trace”

“Wherever he steps, whatever he touches, whatever he leaves, even unconsciously, will serve as silent witness against him”

“Not only his fingerprints or his footprints, but his hair, the fibres from his clothes, the glass he breaks, the tool mark he leaves, the paint he scratches, the blood or semen he deposits or collects”

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9
Q

How long can DNA or semen/spermatozoa be found for after an oral rape?

A

48 hours

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10
Q

How long can DNA or semen/spermatozoa be found on the skin after kissing / biting / licking?

A

48 hours

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11
Q

How long can DNA or semen/spermatozoa be found for after a vaginal rape?

A

7 days
(3 days in pre/peripubertal female)

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12
Q

How long can DNA or semen/spermatozoa be found after an anal rape?

A

72 hours

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13
Q

How long can DNA or semen/spermatozoa be found after digital penetration of vagina/anus?

A

48 hours

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14
Q

How long after a sexual assault can toxicology samples produce a report?

A

Urine: up to 5 days (occasionally up to 14 days)
Blood: up to 3 days
Hair: may be taken AFTER 4-6 weeks

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15
Q

What is contained within an early evidence kit?

A
  • Sterile toilet paper
  • Two urine sample kits
  • Mouth swab kit
  • Mouth rinse kit
  • Instructions and consent form

Some contain an additional peri-oral swab to recover semen if there has been oral penetration

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16
Q

What are some support groups / online resources that you can suggest to a person following sexual assault?

A
  • rapecrisis.org.uk
  • thesurvivorstrust.org
  • malesurvivor.co.uk
17
Q

You’re asked to provide a statement as a professional witness due to being the person person a sexual assault was disclosed to, and the police wish for access to the medical notes - what factors do you have to consider?

A
  • Check local governance requirements for disclosure of notes
  • Ensure Caldicott principles are followed / consult Caldicott guardian
  • Redact any third-party names in the notes
  • Redact any unnecessary information
  • Consult legal department in the trust
  • Consult medical defence organisation
  • Consult GMC?
18
Q

What are some immediate medical needs following sexual violence / within 7 days?

A
  • Immediate safety
  • Treatment of any injuries
  • Baseline STI screening?
  • HIV PEP within 72 hours
  • Hep B vaccination within 7 days or HBIG if very high risk (ideally within 48 hours but no later than 7 days)
  • Emergency contraception
  • FME [within 7 days]
  • Child / vulnerable adult safeguarding issues
  • Self-harm risk assessment