This page deals with sexual assault as a medical emergency and gives information on how victims, first-aiders and medical personnel can respond.
See rape for definition, consequences, sociological context, and other available resources.
Note: Wipipedia does not provide medical advice. If you have a medical problem, you should seek expert help.
Sexual assault is a violent crime consisting of unwilling sexual contact with another person. Often the act is accomplished by force sufficient to cause physical injury. At other times, even though no lasting physical injury is sustained, the psychological damage done by this intimate violation may be substantial. Such damage calls for tact and sensitivity from persons who would help the victim. In Western countries, forcible rape is considered a medical emergency and survivors are encouraged to call for help to report this criminal act and medical emergency.
The etiologies and proximate causes of sexual assault are beyond the scope of this article. Many argue that there are risk factors for sexual assault; that is, certain risky behaviours by the victim exist that may increase the chance of sexual assault. Others dispute this, and argue that victim behaviour is not a contributing or causal factor.
Within the context of a BDSM lifestyle there is an increased risk of any sexual encounter resulting in a sexual assault. To reduce this risk clear communication is essential between participants in a scene. Tops increase the risk of assault charges being made against them by playing with people that they do not know, or who are emotionally unstable, or under the influence of drugs (or alcohol). Inexperience can also increase the risk of a scene going wrong as can an inability to separate sexual fantasy from reality.
Call for help or assist the victim in self-transport to the nearest hospital emergency room. Due to the sensitive nature of this criminal offense, first-aiders should be scrupulous about respecting the victim's wishes and providing what emotional support is appropriate to their role. (For example, a friend is in a better person to provide comfort than a security guard.)
Field Care (for Emergency medical technician, EMTs)
Follow local protocols. Provide supportive care for other injuries as appropriate. Fully document any care given and additional information for use by later investigators.
Psychological first aid in the immediate aftermath of the assault is important to successful emotional recovery from a sexual assault. Sensitivity and tact is required. Physical injuries such as gynecologic hemorrhage may have resulted.
Preventative treatment against sexually transmitted diseases may be required.
Voluntary administration of emergency contraception may be considered in societies where such administration is both socially acceptable and legal. Most Western societies fall into this classification, while most African and South American societies, and many Asian societies, do not. Health care providers in societies where emergency contraception is available should be aware that failing to inform patients of the availability may leave them open to allegations of malpractice.
All hospital emergency rooms should have complete procedures in place for assisting victims of sexual assault. Collection of evidence such as DNA samples which can help in criminal prosecution of the assailant should follow rigorous chain of custody procedures.
Victims should be referred to additional resources and made aware of their rights under policy and law.