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.
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References
- Adherence to HIV post-exposure prophylaxis in victims of sexual assault: A systematic review and meta-analysis.Sex Transm Infect. 2012; 88: 335-341
- More than military sexual trauma: Interpersonal violence, PTSD, and mental health in women veterans.Res Nurs Health. 2011; 34: 457-467
- Medical care for sexual assault victims.Sex Transm Infect. 2012; 88: 283
- Acute severe pain is a common consequence of sexual assault.J Pain. 2012; 13: 736-741
National Protocol - Sexual Assault Forensic Examiner, available at www.safeta.org/displaycommon.cfm6 Accessed September, 2012
- Lifetime sexual assault and cervical cytologic abnormalities among military women.J Womens Health (Larchmt). 2011; 20: 1693-1701
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- Acute Severe Pain Is a Common Consequence of Sexual AssaultThe Journal of PainVol. 13Issue 8
- PreviewSexual 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.
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