Turkiye Klinikleri Journal of Forensic Medicine and Forensic Sciences

.: ORIGINAL RESEARCH
Çocuğun Cinsel İstismarını Kolaylaştırıcı Maddelerin Kullanımının Değerlendirilmesi: Retrospektif Özgün Araştırma
Evaluation of the Use of Substances Facilitating Child Sexual Abuse: Retrospective Original Research
Aziz Can ERDADAa , Hülya KARADENİZb
aKaradeniz Teknik Üniversitesi Adli Bilimler Enstitüsü, Fen Bilimleri AD, Trabzon, Türkiye
bKaradeniz Teknik Üniversitesi Adli Bilimler Enstitüsü, Tıp Bilimleri AD, Trabzon, Türkiye
Turkiye Klinikleri J Foren Sci Leg Med. 2025;22(1):11-20
doi: 10.5336/forensic.2024-104478
Article Language: TR
Full Text
ÖZET
 Amaç: Cinsel istismar, diğer istismar türlerine göre açığa çıkması güç olan ve saptanması konusunda zorluklar çekilen bir istismar türüdür. İstismarcı herhangi bir fiziksel güç uygulamadan da alkol, uyutucu/uyuşturucu madde veya ilaç kullanarak cinsel saldırı girişiminde bulunabilir. Bu çalışmada, çocuğun cinsel istismarında kullanılan maddeler, mağdurdan alınan biyolojik örnekler ve yapılan analiz sonuçlarının değerlendirilmesi amaçlanmıştır. Gereç ve Yöntemler: Karadeniz Teknik Üniversitesi Tıp Fakültesinde hizmet veren Çocuk Koruma ve İzlem Merkezine 01 Ocak 2015-31 Aralık 2023 tarihleri arasında cinsel istismar nedeniyle başvuran olgular retrospektif olarak incelendi. Olgulara ve istismarcıya ait sosyodemografik bilgiler, istismar olayı ile ilgili veriler ve istismar olayında kullanılan kolaylaştırıcı maddeler değerlendirildi. Bulgular: Cinsel istismar mağduru 2.063 olgudan maddeyle kolaylaştırılmış cinsel istismar mağduru 52 (%2,5) olgu tespit edildi. Olguların yaş ortalaması 15,6±1,7'ydi. Olguların 49'u (%94,2) kız, 3'ü (%5,8) erkektir. Olguların 4'ünün (%7,7) 9-12, 13'ünün (%25) 13-15, 35'inin (%67,3) 16-18 yaş grubunda olduğu, %86,5'inin lise öğrencisi olduğu tespit edildi. İstismarcıların tamamının erkek, en küçük istismarcının 17, en büyük istismarcının 60 yaşında ve çoğunluğunun mağdurla arkadaş/sevgili olduğu tespit edildi. Olguların %67,3'ünün 1-4 ay içinde Çocuk Koruma ve İzlem Merkezine başvurdukları, istismarda kullanılan maddelerin alkol, uyutucu/uyuşturucu madde, ilaç ve uçucu solvent olduğu tespit edildi. Sonuç: Madde ile kolaylaştırılmış cinsel istismar mağdurlarından alınacak kan ve idrar örneklerinde, özellikle ilk 72 saat alkol, uyutucu/uyuşturucu madde ve ilaçların tespiti açısından oldukça önemlidir. Mağdurdan alınacak biyolojik örneklerin doğru seçimi, toplanması, korunması ve toksikoloji laboratuvarına uygun şekilde nakledilmesi gerekmektedir. Yapılacak her hata, analiz sonuçlarını ve adli kararı etkileyebilmektedir.

Anahtar Kelimeler: Cinsel istismar; kolaylaştırıcı madde; toksikoloji; uyutucu/uyuşturucu madde; ilaçlar
ABSTRACT
 Objective: Sexual abuse is a type of abuse that is difficult to reveal and difficult to detect compared to other types of abuse. The abuser may also attempt sexual assault by using alcohol, narcotic substance or drugs without using any physical force. In this study, it was aimed to evaluate the substances used in child sexual abuse, biological samples taken from the victim and the results of the analysis. Material and Methods: Cases who applied to the Child Protection and Monitoring Center of Karadeniz Technical University Faculty of Medicine between 01 January 2015 and 31 December 2023 due to sexual abuse were retrospectively analyzed. Sociodemographic information about the cases and the abuser, data on the abuse incident and the facilitating agents used in the abuse incident were evaluated. Results: Of the 2,063 cases of sexual abuse victims, 52 (2.5%) were victims of substance-facilitated sexual abuse. The mean age of the cases was 15.6±1.7 years. Of the cases, 49 (94.2%) were girls and 3 (5.8%) were boys. It was determined that 4 (7.7%) of the cases were in the 9-12 age group, 13 (25%) were in the 13-15 age group, 35 (67.3%) were in the 16-18 age group, and 86.5% were high school students. It was determined that all of the abusers were men, the youngest abuser was 17 years old, the oldest abuser was 60 years old, and the majority were friends/lovers. It was determined that 67.3% of the cases applied to Child Protection and Monitoring Center within 1-4 months, and the substances used in the abuse were alcohol, narcotic drugs, drugs and volatile solvents. Conclusion: Blood and urine samples taken from victims of substance-facilitated sexual abuse, especially the first 72 hours, are very important in terms of detecting alcohol, narcotic substances and drugs. Biological samples to be taken from the victim must be correctly selected, collected, preserved and properly transported to the toxicology laboratory. Every mistake to be made can affect the results of the analysis and the judicial decision.

Keywords: Sexual abuse; facilitating substance; toxicology; narcotic substances; drugs
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-To send print publications/correspondences

-To send press releases or notifications through e-mail

-To generate a list for an event or competition

By using www.turkiyeklinikleri.com you are considered to agree that;

-Ortadoğu Advertisement Presentation Publishing Tourism Education Architecture Industry and Trade Inc. cannot be hold responsible for any user’s illegal and immoral behavior,

-Terms of use may change from time to time,

-It is not responsible for other websites’ contents it cannot control or the harms they may cause although it uses the connection they provided.

Ortadoğu Advertisement Presentation Publishing Tourism Education Architecture Industry and Trade Inc. may block the website to users in the following events:

-Information with wrong, incomplete, deceiving or immoral expressions is recorded to the website,

-Proclamation, advertisement, announcement, libelous expressions are used against natural person or legal identity,

-During various attacks to the website,

-Disruption of the website because of a virus.

Written, visual and audible materials of the website, including the code and the software are under protection by legal legislation.

Without the written consent of Ortadoğu Advertisement Presentation Publishing Tourism Education Architecture Industry and Trade Inc. the information on the website cannot be downloaded, changed, reproduced, copied, republished, posted or distributed.

All rights of the software and the design of the website belong to Ortadoğu Advertisement Presentation Publishing Tourism Education Architecture Industry and Trade Inc.

Ortadoğu Advertisement Presentation Publishing Tourism Education Architecture Industry and Trade Inc. will be pleased to hear your comments about our terms of use. Please share the subjects you think may enrich our website or if there is any problem regarding our website.

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