Medical Response to Adult Sexual Assault 2E

Medical Response to Adult Sexual Assault, Second Edition features updated research on diagnosis, examination, and treatment in cases of sexual violence. This text also offers new information on the path to physical and psychological recovery and navigating the complex processes related to victims’ traumatic experiences.

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Medical Response to Adult Sexual Assault, Second Edition
A Resource for Clinicians and Related Professionals

The second edition of Medical Response to Adult Sexual Assault offers the best in contemporary, evidence-based research on sexual violence. Readers will gain an understanding of best practices in the investigation and treatment of sexual assault from the team of expert practitioners who authored this book.

This reference features the most up-to-date recommendations on identifying injuries indicative of sexual assault, forensic examinations of both victims and suspects, and the evidence collection process. Additionally, the authors cover sexual violence in a variety of settings, including the military, elder care facilities, and human trafficking scenarios. Any professional who works with victims of sexual assault will find this text essential to their responsibilities and to the well-being of those in their care.

Features & Benefits:

  • Over 300 high-quality images
  • Comprehensive overview of sexual assault
  • Responses for a variety of populations
  • Ideal for multidisciplinary use

STM Learning’s editorial team has also developed a set of flashcards on sexual assault to accompany the text.

Product Details:

Perfect Bound 7 x 10 inches
578 pages, 330 images, 38 contributors


Forensic Nurses, Sexual Assault Nurse Examiners, Sexual Assault Forensic Examiners, Emergency Nurses, Nurse Practitioners, Nursing Students, Physicians, Emergency Physicians, Medical Students, Physician Assistants, Victim Advocates.

Publication date:

September 2019


978-1-936590-72-8 (Print)
978-1-936590-73-5 (eBook)

Table of Contents

1. Sexual Assault Nurse Examiner and Sexual Assault Response Team Overview and History
2. Basic Anogenital and Oral Anatomy
3. Body Injury and Dynamics of Sexual Assault
4. The Sexual Assault Examination Components and Documentation
5. Biological Evidence: Identification, Collection, Preservation, and Use in Courtroom Testimony
6. Postassault Prophylaxis
7. Male Sexual Assault Victims
8. Suspect Forensic Examinations
9. Victim Impact and Recovery
10. The Neurobiology of Traumatic Stress Responses After Sexual Assault
11. Education and Qualifications of the Forensic Nurse in Sexual Assault Evaluation
12. Sexual Assault Response Team Operation
13. Sexual Assault Response in the Military
14. Campus Sexual Assault
15. Drug-Facilitated Sexual Assault
16. Intimate Partner Violence and Rape
17. Human Trafficking
18. Elder Sexual Abuse
19. Sexual Homicide
20. Evaluating the Effectiveness of Sexual Assault Nurse Examiner Programs
21. Nonfatal Strangulation

Linda E. Ledray, RN, PhD, SANE-A, FAAN

Linda Ledray is the founder and director of the Minneapolis-based Sexual Assault Resource Service (SARS), one of the first SANE programs, which she developed in 1977. SARS provides competent forensic-medical services to sexual assault survivors at seven hospital sites in Hennepin County, MN. She is also an adjunct faculty member at the University of Minnesota where she has taught in the School of Nursing and the Psychology Department. She has been active in humanitarian relief missions to Honduras, Thailand, and Bosnia and she has taught nationally and internationally on the topic of victim assistance, SANE-SART program development, and program evaluation. Linda Ledray was on active duty mobilized at the 2nd General Hospital in Landstuhl, Germany. She is the section editor for the Journal of Emergency Nursing, SANE section and has published many articles and books including Recovering from Rape (1994) and the Sexual Assault Nurse Examiner Development and Operation Guide (1999).

View author publications

Ann Wolbert Burgess, DNSc, APRN, FAAN

Ann Burgess is an internationally recognized pioneer in the assessment and treatment of victims of trauma and abuse. She has received several honors for her work including the Sigma Theta Tau International Audrey Hepburn Award, the American Nurses’ Association Hildegard Peplau Award, and the Sigma Theta Tau International Episteme Laureate Award. Her research with victims began when she co-founded one of the first hospital-based crisis counseling programs at Boston City Hospital with Boston College sociologist, Lynda Lytle Holmstrom. Since then, she has worked with the FBI Academy special agents to study serial offenders and the links between child abuse, juvenile delinquency, and subsequent perpetration. Dr. Burgess has also studied young abuse victims and the impact of trauma on their physical and psychological development, their families, and communities. Her recent research includes studies in elder abuse in nursing homes, cyberstalking, and Internet sex crimes. She is currently a professor at the Boston College William F. Connell School of Nursing and teaches courses in victimology, forensic science, forensic mental health, case studies in forensics, and forensic science labs.

View author publications

Medical Response to Adult Sexual Assault, 2nd Edition is a “must have” reference book for all healthcare professionals that provide care for and have contact with sexual assault patients in all arenas of healthcare. The text provides a roadmap from the collaborative nature of sexual assault care through victim recovery. This roadmap includes laying a foundation for the care of the sexual assault patient based on the most current science and research. With the inclusion of chapters outlining the care of specific patient populations with unique healthcare, safety, and forensic needs, readers will find the most current approaches to medical forensic care. This text will be one of the most frequently used in any practitioner’s reference library.

Forensic Nursing Director
International Association of Forensic Nurses
Elkridge, Maryland

This well-developed, comprehensive text will be a valuable resource for forensic nurse educators and their students. In addition, it will serve as an excellent reference tool for both novice and experienced sexual assault examiners. The format and content are well suited for use in a basic SANE/SAFE course, or as part of a larger and more diverse advanced forensic nursing education curriculum. Each chapter is written and arranged in a manner to provide the reader with a clear and complete understanding of the subject matter. Topics ranging from the history and development of SANE practice, through a detailed step-by-step explanation of clinical evaluation process (complete with detailed photographs), to recognizing and meeting the needs of a wide range of unique victim populations are all thoroughly covered. Nurses and non-nursing professionals working in the field of sexual assault response will also greatly benefit from the content provided on related topics including SART development, human trafficking, and nonfatal strangulation.

There have been many advances in the science and practice of forensic nursing over the past 3 decades and this work reflects the latest information available to instructors, students, and actively practicing forensic examiners alike. I highly recommend this book to any healthcare professional providing services for victims of sexual violence.

Eileen M. Allen, MSN, RN, FN-CSA, SANE-A, SANE-P
Monmouth County Forensic Nurse Examiner Program Coordinator
Faculty Member – Forensic Nursing Program
Monmouth University
West Long Branch, New Jersey

This authoritative text is an invaluable resource to all healthcare professionals (eg, physicians, advance practice providers, forensic nurses) who provide care to adults when there is a concern for sexual as well as physical assault. The authors, Linda Ledray and Ann Wolbert Burgess, provide a comprehensive review of the history of forensic nurse examiners as well as the approach to the medical history, physical and anogenital examination, documentation, and healthcare needs. The chapter by Diane Faugno and Stacy Mitchell will aid the team in expanding service provision beyond the acute sexual assault examination to assist our agency partners with medical evaluations, evidence collection, and documentation of injury in suspects. This text is essential for both the education of the novice examiner as well as for the experienced examiner who needs to maintain competency and currency in the field.

Nancy S. Harper, MD, FAAP
Professor of Pediatrics
University of Minnesota
University of Minnesota Masonic Children’s Hospital
Minneapolis, Minnesota

This is a very well written book that will serve as an excellent resource for students and clinicians. The authors ground their statements in carefully selected findings from a range of peer-reviewed research that includes a nice balance of both seminal and novel work. For example, in discussing victim impact, the authors describe findings from Burgess and Holmstrom’s pivotal 1974 study, which led to the development of the diagnosis of rape trauma syndrome. The chapter on the neurobiology of the trauma-stress response is especially well done and is a tremendous contribution to students and providers for a number of reasons, not the least of which is the fact that when clinicians are facile with these concepts they are in a better position to help their patients understand and normalize their complicated responses to trauma, many of which are quite puzzling to victims.

Carol Anne Marchetti, PhD, RN, PMHNP-BC
Clinical Associate Professor
Psychiatric-Mental Health NP Graduate Program Director
Boston College William F. Connell School of Nursing
Chestnut Hill, Massachusetts

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