Akademik Veri Yönetim Sistemi
33rd European Congress of Psychiatry, Madrid, İspanya, 5 - 08 Nisan 2025, cilt.68, ss.538, (Tam Metin Bildiri)
Objectives: This study aimed to evaluate risk factors and medicolegal assessment results in children who were sexually
abused.
Methods: The records of children who were victims of sexual abuse retrospectively reviewed at Dokuz Eylül University
Faculty of Medicine, Department of Child and Adolescent Psychiatry, between January 2010 and December
2023.Sociodemographic, clinical, psychometric, and medicolegal evaluation data were analyzed.
Results: Of the 537 cases that underwent medicolegal evaluation, 80.3% were male and 19.7% were female.The mean
age at the time of sexual abuse incident was significantly higher in females(12.5±3.4) than in males(9.8±3.4).Before the
incident, 63.0% of cases had at least one psychiatric diagnosis(most commonly Mental Retardation or Developmental
Delay(57.5%), MDD(5%), and Conduct Disorder(4.7%)).The period after the incident, 77.1% had at least one psychiatric
diagnosis(most commonly PTSD(57.9%) and MDD(49.7%)), most of which occurred after the incident.22.7% of the cases
were victims of incest, 77.3% were victims of extra-familial abuse.The most common abuser was the father in
incest(7.1%) and a familiar person(neighbor, etc.) in extra-familial abuse(22.4%).51.4% of cases experienced simple
sexual abuse, while 48.6% faced sexual penetration.In 42.7% of the cases, sexual abuse was first disclosed to family
members. In incest victims, compared to cases of extra-familial sexual abuse; the rates of being female(86.9%-78.3%),
having successful-average academic success(55.2%-43.3%), having normal-borderline intelligence(77.7%-67.7%),
having an unemployed father(25.5%-16.2%), being subjected to simple sexual abuse(63.1%-48.0%), being subjected to
sexual abuse by a single perpetrator(90.2%-81.2%), being subjected to repeated sexual abuse(69.7%-45.8%), living in a
broken family(66.7%-38.9%), not having a psychiatric diagnosis before the incident(50.8%-34.2%), and withdrawing the
abuse allegation/complaint(18.9%-6%) were statistically significantly higher.The age at the date of the incident was
significantly younger(median:11-13), and the time taken to apply to judicial authorities (months) was significantly
longer(median:18.5-12).Predictive variables of incest have also been evaluated using logistic regression analysis.
Conclusions: In this study, the findings found in cases that underwent medicolegal evaluation support the literature
findings regarding risk factors for sexual abuse and the negative effects of sexual abuse on children and adolescents.