A national hospital/community model protocol was developed for the forensic and medical examination of victims of sexual assault. This review is designed to assist states in the development of sexual assault protocols. Controversial issues were addressed, including the collection of hair evidence, the importance of semen, mandatory reporting, pregnancy testing and prophylaxis, and sexually transmitted diseases including human immunodeficiency virus. The current role of DNA profiling is reviewed. These issues at the interface of medicine, forensic science, victim advocacy, and the law are analyzed. Representatives of the medical, legal, law enforcement, victim advocacy, and forensic science communities contributed to the development of the protocols at the national and state levels. The importance of a collaborative effort is emphasized. The broad protocol goals are to minimize the physical and psychological trauma to the victim while maximizing the probability of collecting and preserving physical evidence for potential use in the legal system.

Clinical Protocols Counseling DNA/ANALYSIS Female Forensic Medicine/*METHODS Hair/CHEMISTRY Human Male Plasma Pregnancy Rape/*DIAGNOSIS Semen Sexually Transmitted Diseases/DIAGNOSIS Spermatozoa Support, U.S. Gov't, Non-P.H.S. Time Factors United States GUIDELINE JOURNAL ARTICLE PRACTICE GUIDELINE

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