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Inicio Medicina Clínica (English Edition) A prospective study of drug-facilitated sexual assault in Barcelona
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Vol. 144. Issue 9.
Pages 403-409 (May 2015)
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Vol. 144. Issue 9.
Pages 403-409 (May 2015)
Clinical report
A prospective study of drug-facilitated sexual assault in Barcelona
Estudio prospectivo de la sumisión química con finalidad sexual en Barcelona
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Alexandre Xifró-Collsamataa,b,
Corresponding author
alexandre.xifro@xij.gencat.cat

Corresponding author.
, Amadeo Pujol-Robinata,c, Eneko Barbería-Marcalaind,e, Amparo Arroyo-Fernándeza, Antonia Bertomeu-Ruiza, Francisco Montero-Núñeza, Jordi Medallo-Muñiza,b
a Institut de Medicina Legal de Catalunya, Barcelona, Spain
b Universitat de Barcelona, Barcelona, Spain
c Universitat Internacional de Catalunya, Sant Cugat del Vallès, Barcelona, Spain
d Institut de Medicina Legal de Catalunya, Tarragona, Spain
e Universitat Rovira i Virgili, Reus, Tarragona, Spain
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Statistics
Tables (5)
Table 1. Victim characteristics, alleged events and medical-forensic assessment.
Table 2. Reasons to suspect drug-facilitated sexual assault (n=35).
Table 3. Reasons to suspect sexual crime in cases where there is suspicion of chemical submission, but the victim does not recall the sexual assault at all (n=23).
Table 4. Combinations of psychoactive substances other than ethanol detected in blood and/or urine in analysed cases of suspected drug-facilitated sexual assault (n=33).
Table 5. Number of different positives for psychoactive substances other than ethanol in the 20 cases with suspicion of chemical submission and at least one substance detected in blood and/or urine.
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Abstract
Background and objective

To determine the frequency and characteristics of suspected drug-facilitated sexual assault (DFSA) among the victims of sexual assault in Barcelona.

Material and methods

Prospective study of every adult consulting an emergency service because of alleged sexual assault and receiving forensic assessment in the city of Barcelona in 2011.

Results

A total of 35 of 114 cases (30.7%) met suspected DFSA criteria. Compared with the other victims, suspected DFSA cases were more likely to experience amnesia, to have been assaulted by night, after a social situation and by a recently acquainted man, to have used alcohol before the assault and to be foreigners. In this group ethanol was detected in blood or urine in 48.4% of analysed cases; their mean back calculated blood alcohol concentration was 2.29g/L (SD 0.685). Also, at least one central nervous system drug other than ethanol was detected in 60.6%, mainly stimulant drugs of abuse.

Conclusions

Suspected DFSA is frequent among victims of alleged sexual assault in Barcelona nowadays. The depressor substance most commonly encountered is alcohol, which contributes to victims’ vulnerability.

Keywords:
Sexual assault
Drug-facilitated sexual assault
Epidemiology
Forensic medicine
Forensic toxicology
Alcohol
Drugs of abuse
Resumen
Fundamento y objetivo

Determinar la frecuencia y las características de la sospecha de sumisión química (SSQ) entre las víctimas de agresión sexual en Barcelona.

Material y métodos

Estudio prospectivo de personas adultas atendidas en un servicio de urgencias por posible agresión sexual y con valoración médico-forense en la ciudad de Barcelona durante 2011.

Resultados

Se incluyeron 114 casos, de los cuales 35 (30,7%) cumplieron los criterios de SSQ. Este grupo se diferenció del resto en mayor frecuencia de: amnesia, hechos nocturnos y posteriores a actividad social y a consumo de alcohol, agresor recién conocido y origen extranjero. En este grupo se detectó etanol en sangre u orina en el 48,4% de los casos analizados; la etanolemia media estimada en el momento de los hechos fue de 2,29g/L (DE 0,685). Asimismo, se detectaron otras sustancias psicoactivas en el 60,6%, mayoritariamente drogas de abuso estimulantes.

Conclusiones

La SSQ es frecuente entre las personas atendidas por agresión sexual en Barcelona. La principal sustancia depresora identificada en estos casos es el etanol, que contribuye a la vulnerabilidad de las víctimas.

Palabras clave:
Agresión sexual
Sumisión química
Epidemiología
Medicina forense
Toxicología forense
Etanol
Drogas de abuso

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