Forensic Evaluation of Child Sexual Abuse Cases Applying to the Child Advocacy Center in Aydın Province Between 2018-2022: A Retrospective Descriptive Study
DOI:
https://doi.org/10.17986/blm.1707Keywords:
Child abuse, Child abuse-sexual, Sexual abuseAbstract
Objective: In this study, it is aimed to evaluate the children who have been victims of sexual abuse and have applied to Child Advocacy Center.
Methods: This study, designed as a retrospective and descriptive study, included cases referred with allegations of sexual abuse.
Results: It was determined that most of the victims came from nuclear families (51%) and that the most common location of the incident was district centers (51.8%). Almost all of the alleged perpetrators were male (98.4%) and acted alone (89.9%), with an average age of 27.1 years. It was observed that girls were most frequently abused by boyfriends (13%), while boys were most commonly abused by peers and friends (35.2%). The incidents of abuse were most commonly shared with parents (43.6%), and it was found that intrafamilial abuse (50.7%) tended to recur more often than extrafamilial abuse (34.1%), with number of reported cases increasing over years. It was noted that 43.2% of the victims described interfemoral contact or rubbing, 37% of the cases were examined, and in 4.2%, no examination was necessary due to pregnancy. Vaginal examination revealed that the most common finding was a tear older than 10 days (60%), while anal examination showed no findings in the majority of cases (75.2%).
Conclusion: It was observed that the majority of the suspects were familiar individuals. It was particularly noted that intrafamilial abuse incidents tended to recur multiple times and that the time between the incident and the report was longer compared to cases involving other suspects.
Downloads
References
Lifetime prevalence of child sexual abuse (%) [Internet]. [a.yer 04 Eylül 2024]. Erişim adresi: https://www.who.int/data/gho/data/indicators/indicator-details/GHO/lifetime-prevalence-of-child-sexual-abuse-(-)
World Health Organization. Preventing child maltreatment : a guide to taking action and generating evidence [Internet]. World Health Organization; 2006 [a.yer 10 Aralık 2022]. Erişim adresi: https://apps.who.int/iris/handle/10665/43499
Global status report on violence against children 2020 [Internet]. [a.yer 10 Aralık 2022]. Erişim adresi: https://www.who.int/teams/social-determinants-of-health/violence-prevention/global-status-report-on-violence-against-children-2020
Koç M, Koçtürk N, Zencir T. Prevalence of The Child Sexual Abuse in Turkey: A Scoping Review. Toplum Ve Sos Hizmet. 31 Ocak 2023;34(1):209-26.
Bağ Ö, Alşen S. The new model in evaluating Child Sexual Abuse: Child Advocacy Centers. J Dr Behcet Uz Child Hosp [İnternet]. 2016 [a.yer 11 Aralık 2022]; Erişim adresi: http://www.behcetuzdergisi.com/jvi.asp?pdir=behcetuz&plng=eng&un=BUCHD-23600&look4=
SAĞLIK HİZMETLERİ DAİRE BAŞKANLIĞI [İnternet]. [a.yer 04 Eylül 2024]. Erişim adresi: https://khgmsaglikhizmetleridb.saglik.gov.tr/TR,43119/cocuk-izlem-merkezi-cim-listesi.html
Aksüt Y. Çocuk cinsel istismarının sosyolojik analizi (Malatya çocuk izlem merkezi uygulaması) [Internet] [masterThesis]. İnönü Üniversitesi Sosyal Bilimleri Enstitüsü; 2020 [a.yer 27 Aralık 2022]. Erişim adresi: http://abakus.inonu.edu.tr/xmlui/handle/11616/18648
Bağ Ö, Alşen S. Çocuk izlem merkezinde cinsel istismarın değerlendirilmesi: Bir merkezin bir yıllık deneyimi. Anadolu Psikiyatri Derg. 2017;18(1):62-8.
Eryilmaz A, Yilmaz R. Bülent Ecevit Üniversitesi Hastanesinde Değerlendirilen Ensest Olgularının Sosyodemografik Özellikleri. Adli Tıp Bül. 2016;21(3):167-71.
Loinaz Calvo I, Bigas Formatjé N, Sousa AM de. Comparing intra and extra-familial child sexual abuse in a forensic context. Psicothema. 2019;
Oral R, Can D, Kaplan S, Polat S, Ates N, Cetin G, vd. Child abuse in Turkey: an experience in overcoming denial and a description of 50 cases. Child Abuse Negl. Şubat 2001;25(2):279-90.
Pereda N, Guilera G, Forns M, Gómez-Benito J. The prevalence of child sexual abuse in community and student samples: A meta-analysis. Clin Psychol Rev. 01 Haziran 2009;29(4):328-38.
Aydin B, Akbas S, Turla A, Dundar C, Yuce M, Karabekiroglu K. Child Sexual Abuse in Turkey: An Analysis of 1002 Cases. J Forensic Sci. 2015;60(1):61-5.
Altun H, Şahin N. Demographic characteristics and psychiatric disorders of sexually abuse children: An analysis of 343 cases. J Exp Clin Med. 2017;34(4):251-6.
Easton SD. Disclosure of Child Sexual Abuse Among Adult Male Survivors. Clin Soc Work J. 01 Aralık 2013;41(4):344-55.
Demi̇rci̇ Ş, Doğan KH, Erkol Z, Deni̇z İ. Konya’da Cinsel İstismar Yönünden Muayenesi Yapılan Çocuk Olguların Değerlendirilmesi. Turk Klin J Forensic Med Forensic Sci. 2008;5(2):43-9.
Işik Ü, Aktepe E, Şi̇mşek F, Akyildiz A, Yildiz A. Isparta İlinde Bir Üniversite Hastanesinde Değerlendirilen Cinsel İstismar Mağdurlarının Sosyodemografik, Klinik ve Ailevi Özellikleri: 2014 – 2018 Verileri. Süleyman Demirel Üniversitesi Sağlık Bilim Derg. 21 Mart 2019;10(1):53-7.
İmamoğlu M, Özer E, Aydoğdu Hİ, Kirci GS, Bi̇ri̇nci̇oğlu İ, Askay M. Evaluation of Child Sexual Abuse Cases. Adli Tıp Bül. 2021;26(2):78-84.
Frawley P, Wilson NJ. Young People with Intellectual Disability Talking About Sexuality Education and Information. Sex Disabil. 01 Aralık 2016;34(4):469-84.
Hösükler E, Yılmaz A, Erkol ZZ. Evaluation of Juvenile and Adolescent Sexual Abuse Victims: A Retrospective Study. Turk Arch Pediatr. 01 Ocak 2022;57(1):68-74.
Finkelhor D. The international epidemiology of child sexual abuse. Child Abuse Negl. 01 Mayıs 1994;18(5):409-17.
Hetherton J, Beardsall L. Decisions and attitudes concerning child sexual abuse: does the gender of the perpetrator make a difference to child protection professionals? Child Abuse Negl. Aralık 1998;22(12):1265-83.
Topal Y, Balci Y, Erbaş M. Muğla’da 18 yaş ve altı cinsel istismar olgularının retrospektif değerlendirilmesi. Ortadoğu Tıp Derg. 01 Haziran 2018;10(2):135-41.
Aslan F, Timur S, Pakiş I. COVİD-19 Pandemisinden Etkilenen Çocuk İstismar Olgularının Değerlendirmesi. Adli Tıp Bül [Internet]. 01 Mayıs 2020 [a.yer 28 Aralık 2022];25(Sp). Erişim adresi: https://www.adlitipbulteni.com/atb/article/view/1407
Hershkowitz I, Lanes O, Lamb ME. Exploring the disclosure of child sexual abuse with alleged victims and their parents. Child Abuse Negl. 01 Şubat 2007;31(2):111-23.
Aksel Ş, Irmak TY. Çocuk Cinsel İstismarı Konusunda Öğretmenlerin Bilgi ve Deneyimleri. Ege Eğitim Derg. 31 Aralık 2015;16(2):373-91.
Urazel B, Fidan ST, Gündüz T, Şenlikli M, Özçivit Asfuroğlu B. Çocuk ve Ergen Cinsel İstismarlarının Değerlendirilmesi Assessment of Sexual Abused Child Anadolescent. Osman J Med. 20 Temmuz 2017;39(2):18-25.
Myhre AK, Adams JA, Kaufhold M, Davis JL, Suresh P, Kuelbs CL. Anal findings in children with and without probable anal penetration: A retrospective study of 1115 children referred for suspected sexual abuse. Child Abuse Negl. 01 Temmuz 2013;37(7):465-74.
Ozbaran B, Erermis S, Bukusoglu N, Bildik T, Tamar M, Ercan ES, vd. Social and emotional outcomes of child sexual abuse: a clinical sample in Turkey. J Interpers Violence. Eylül 2009;24(9):1478-93.
Hailes HP, Yu R, Danese A, Fazel S. Long-term outcomes of childhood sexual abuse: an umbrella review. Lancet Psychiatry. 01 Ekim 2019;6(10):830-9.
Caro P, Turner W, Caldwell DM, Macdonald G. Comparative effectiveness of psychological interventions for treating the psychological consequences of sexual abuse in children and adolescents: a network meta-analysis. Cochrane Database Syst Rev. 05 Haziran 2023;6(6):CD013361.
Ferragut M, Ortiz-Tallo M, Blanca MJ. Spanish Women’s Experiences of Child Sexual Abuse. Psicothema. Mayıs 2021;33(2):236-43.
Downloads
Published
Issue
Section
License
Copyright (c) 2025 The Bulletin of Legal Medicine

This work is licensed under a Creative Commons Attribution 4.0 International License.
The Journal and content of this website is licensed under the terms of the Creative Commons Attribution (CC BY) License. The Creative Commons Attribution License (CC BY) allows users to copy, distribute and transmit an article, adapt the article and make commercial use of the article. The CC BY license permits commercial and non-commercial re-use of an open access article, as long as the author is properly attributed.