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  • 2017-08-02 (xsd:date)
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  • Does a Meme Accurately Advise Sexual Assault Victims? (en)
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  • On 2 August 2017, a Reddit user shared a photograph of an information flyer regarding rape and sexual assault to the subreddit r/interestingasfuck: The poster did not provide a source or context for the image, and appeared to interact on Reddit primarily in the form of submissions. The flyer read: Although the document appears to be a handout from a rape crisis or advocacy center of some description it also looks as if identifying information (indicating jurisdiction, among other things) had been cropped out, priming the image to be shared by a larger audience. Nothing claimed in the flyer was particularly bad or harmful advice, but it also targeted assault victims and made promises that might not always be true, such as that a hospital escort would be available. Further, statements about preventive care following an assault are worthy of double-checking, because of the decreased efficacy of such treatments over the course of hours following an assault. The meme's first claim is that it is possible to seek medical treatment without reporting the rape or assault to the police, a statement that is gray at best. Confidentiality standards maintained by the Rape, Abuse & Incest National Network (RAINN) require sexual assault hotlines to adhere to privacy policies, but we found no sweeping guarantee in the United States that any third party was prohibited from reporting a suspected rape or assault to local authorities. According to the National Network to End Domestic Violence, Inc., in some situations mandated reporters are bound to report suspected assault or rape regardless of the victim's wishes: A 2013 question-and-answer piece published by Cleveland's Plain Dealer clarifies: In 2014, Canadian broadcast outlet CBC reported that a hospital visit does not automatically trigger police involvement in Canada, again stipulating that minors do not have the option of refusing police involvement. The meme also said that evidence can be collected for up to five days and would be held for six months in the event the victim opted to involve police at a later date. This is potentially misleading. According to the National Center for Victims of Crime [PDF], the length of time kits are held by law enforcement fluctuates: The same organization noted that advances in DNA testing enabled evidence collection in some cases for up to 96 hours (four days) after an assault. But 12 to 24 hours [PDF] is optimal for investigative purposes, and evidence can deteriorate at the upper end of that window: In other words, four days is stretching the bounds of forensics, and not all jurisdictions hold samples for up to six months. In addition, advocacy groups routinely advise victims to avoid the following before collecting evidence: The meme went on to claim that testing for incapacitating drugs could occur between 24 and 72 hours after an assault, which is complicated by the breadth of substances that fall into that particular category. Although rohypnol (roofies) and gamma-hydroxybutyrate (GHB) are commonly recognized as agents used to incapacitate victims, alcohol and benzodiazepines also are classed as drugs associated with date rape. GHB has a short half-life, but rohypnol can appear in tests for approximately 28 days. The range of drugs used to facilitate non-consensual sexual encounters is broad enough that a specific window of 24 to 72 hours does not fit that wide spectrum. Next, the flyer says that medications to prevent sexually transmitted disease and pregnancy must be started within 72 hours. The World Health Organization's guidance on post-assault care recommends something different: When agencies and organizations do recommend prophylactic antibiotics, we found no time limit included. With respect to emergency contraceptives, intra-uterine devices (IUDs) were considered effective for five days after a rape or unprotected sexual encounter. Oral emergency contraceptives (the morning after pill) are not typically recommended after 72 hours, and work best when used as soon as possible after exposure to pregnancy risk. The final bullet point appears specific to whatever entity originally published the list. The claim that victims can obtain an escort without a number to call or other resource provided is open-ended, and clearly not applicable in all situations. According to RAINN, there is a possibility (but no guarantee) victims can connect with the support described on the sheet: The rape and sexual assault flyer posted to Reddit offers a mixture of true, false, and likely region-specific information, running the risk of confusing rape and assault victims in the critical hours after an attack. Reference to the upper end of forensic and prophylactic services could lull individuals into a false sense of security, as does the lack of stipulation that minors or other at-risk individuals are often unable to seek medical care without police involvement. (en)
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