Advertisement

The Need to Focus on Pain Management Among Sexual Assault Survivors

  • Nancy Lutwak
    Correspondence
    Address reprint requests to Dr. Nancy Lutwak, MD, VA New York Harbor Healthcare System, Department of Emergency Medicine, NYU School of Medicine, 423 East 23rd St, New York, NY 10010.
    Affiliations
    VA New York Harbor Healthcare System, Department of Emergency Medicine, New York, New York
    Search for articles by this author
      The recently published paper by McLean et al is important. It highlights that pain is common in sexual assault (SA) survivors but rarely treated. The authors state that treatment of pain is necessary, not only to decrease suffering but also to reduce negative psychological outcomes. The article substantiates that 64% of SA survivors at the time of Sexual Assault Nurse Examiner (SANE) evaluation are in severe pain, while only 13% receive pain medication. Furthermore, 1 week later, 52% of the victims remain in severe pain. The authors conclude that providers who give care to SA survivors must adequately evaluate and treat the patient’s pain.
      • McLean S.A.
      • Soward A.C.
      • Ballina L.E.
      • Rossi C.
      • Rotolo S.
      • Wheeler R.
      • Foley K.A.
      • Batts J.
      • Casto T.
      • Collette R.
      • Holbrook D.
      • Goodman E.
      • Rauch S.A.
      • Liberzon I.
      Acute severe pain is a common consequence of sexual assault.
      To read this article in full you will need to make a payment

      Purchase one-time access:

      Academic & Personal: 24 hour online accessCorporate R&D Professionals: 24 hour online access
      One-time access price info
      • For academic or personal research use, select 'Academic and Personal'
      • For corporate R&D use, select 'Corporate R&D Professionals'

      Subscribe:

      Subscribe to The Journal of Pain
      Already a print subscriber? Claim online access
      Already an online subscriber? Sign in
      Institutional Access: Sign in to ScienceDirect

      References

        • Chacko L.
        • Ford N.
        • Sbaiti M.
        • Siddiqui R.
        Adherence to HIV post-exposure prophylaxis in victims of sexual assault: A systematic review and meta-analysis.
        Sex Transm Infect. 2012; 88: 335-341
        • Kelly U.A.
        • Skelton K.
        • Patel M.
        • Bradley B.
        More than military sexual trauma: Interpersonal violence, PTSD, and mental health in women veterans.
        Res Nurs Health. 2011; 34: 457-467
        • Lutwak N.
        Medical care for sexual assault victims.
        Sex Transm Infect. 2012; 88: 283
        • McLean S.A.
        • Soward A.C.
        • Ballina L.E.
        • Rossi C.
        • Rotolo S.
        • Wheeler R.
        • Foley K.A.
        • Batts J.
        • Casto T.
        • Collette R.
        • Holbrook D.
        • Goodman E.
        • Rauch S.A.
        • Liberzon I.
        Acute severe pain is a common consequence of sexual assault.
        J Pain. 2012; 13: 736-741
      1. National Protocol - Sexual Assault Forensic Examiner, available at www.safeta.org/displaycommon.cfm6 Accessed September, 2012

        • Sadler A.G.
        • Mengeling M.A.
        • Syrop C.H.
        • Torner J.C.
        • Booth B.M.
        Lifetime sexual assault and cervical cytologic abnormalities among military women.
        J Womens Health (Larchmt). 2011; 20: 1693-1701

      Linked Article

      • Acute Severe Pain Is a Common Consequence of Sexual Assault
        The Journal of PainVol. 13Issue 8
        • Preview
          Sexual assault (SA) is common, but the epidemiology of acute pain after SA has not previously been reported. We evaluated the severity and distribution of pain symptoms in the early aftermath of SA among women receiving Sexual Assault Nurse Examiner (SANE) care, and the treatment of pain by SANE nurses. Severe pain (≥7 on a 0–10 numeric rating scale) was reported by 53/83 women sexual assault survivors (64% [95% CI, 53–74%]) at the time of SANE evaluation and 43/83 women (52% [95% CI, 41–63%]) 1 week later.
        • Full-Text
        • PDF