Adolescent rape: Characteristics and short-term impact

  • Titis Prawitasari
  • Hartono Gunardi
  • Bambang Madiyono
  • Rosdiana S Tarigan
Keywords: rape, adolescent rape, sexual assault, child behaviour checklist

Abstract

Background Data in Indonesia show that adolescents still have
the highest rate for rape and other sexual assaults among age
group. There are gender differences in adolescent rape and sexual
assault, with female victims exceeding males with a ratio of 3:1.
Sexual assault and rape can affect numerous children and often
lead to short-term and long-term consequences.
Objectives To determine the characteristics and short-term im-
pacts of adolescent rape.
Methods A cross-sectional study was conducted on 31 adoles-
cents who had been raped 1-9 months previously. Subjects and
parents were assessed using Child Behavior Checklist, Draw a
Person, House Tree Person, and Raven’s Progressive Matrices to
determine psychological problems. History and physical examina-
tion findings at the time of rape were reviewed.
Results Thirty out of 31 female adolescents were 13-18 years old.
Almost half of them came from low income families and large fam-
ilies, two-thirds of all subjects were living with their parents. Nine-
teen of 31 perpetrators were friends or acquaintances, only 4 were
relatives. Tears of hymen were found in 21 subjects and only 8 of
them had non-genital injuries. Nine of 31 subjects had a high aver-
age range in non-verbal processing. Most subjects had a great
tendency to feel insecure, anxiety, depression, and had interper-
sonal relationship problems. Regression and aggressiveness were
found in almost half of the subjects. All subjects felt that their
mothers were protective and half of them had dominant fathers.
Conclusion Almost half of the adolescent victims come from low-
economic status and large families, most of the assailants were
friends or acquaintances. Adolescent rape victims have ongoing
behaviour problems. The most common problems are anxiety,
depression, and relationship problems

Author Biographies

Titis Prawitasari
Department of Child Health, Medical School, University of
Indonesia, Jakarta, Indonesia
Hartono Gunardi
Department of Child Health, Medical School, University of
Indonesia, Jakarta, Indonesia
Bambang Madiyono
Department of Child Health, Medical School, University of
Indonesia, Jakarta, Indonesia
Rosdiana S Tarigan
Faculty of Psychology, University of Indonesia, Jakarta, Indonesia

References

1. Snyder HN. Sexual assault of young children as reported
to law enforcement: victims, incident and offender char-
acteristics. Washington DC: US Department of Justice,
Office of Justice Programs; 2000. p. 1-14.
2. American Academy of Pediatrics, Committee on Ado-
lescence. Care of the adolescent sexual assault victim.
Pediatrics 2001;107:1477-9.
3. Finkel MA, De Jong AR. Medical findings in child
sexual abuse. In: Reece RM, editor. Child abuse: Medi-
cal diagnosis and management. Baltimore: William &
Wilkins; 1996. p. 185-247.
4. Mullen PE, Martin JL, Anderson JC, Romans SE,
Herbison GP. The effect of child sexual abuse on so-
cial, interpersonal and sexual function in adult life. Br
J Psychiatry 1994;165:35-47.
5. Jones JS, Rossman L, Wynn B, Dunnuck C, Schwartz
N. Comparative analysis of adult versus adolescent
sexual assault: Epidemiology and pattern of anogenital
injury. Acad Emerg Med 2003;10:872-7.
6. Swanston HY, Tebbutt JS, O’Toole BI, Oates RK. Sexu-
ally abused children 5 years after presentation: A case-
control study. Pediatrics 1997;100:600-8.
7. American Academy of Pediatrics, Committee on Child
Abuse and Neglect. Guidelines for the evaluation of
sexual abuse of children: Subject review. Pediatrics
1999;103:186-91.
8. Oates KR, O’toole B, Lynch DL, Stern A, Cooney G.
Stability and change in outcome for sexually abused
children. J Am Acad Child Adolesc Psychiatry
1994;33:945-53.
9. Putnam FW. Ten-year research updates review: Child
sexual abuse. J Am Acad Child Adolesc Psychiatry
2003;42:269-78.
Published
2016-10-13
How to Cite
1.
Prawitasari T, Gunardi H, Madiyono B, Tarigan R. Adolescent rape: Characteristics and short-term impact. PI [Internet]. 13Oct.2016 [cited 22Nov.2024];45(6):246-0. Available from: https://paediatricaindonesiana.org/index.php/paediatrica-indonesiana/article/view/881
Received 2016-10-12
Accepted 2016-10-12
Published 2016-10-13