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Curated

Alaska Sexual Assault Nurse Examiner (SANE) Data, 1996-2006 (ICPSR 28367)

Released/updated on: 2012-10-05

Geographic coverage: Fairbanks, Kotzebue, United States, Kodiak, Alaska, Anchorage, Homer, Soldotna, Bethel, Nome

Time period: 1996-01-01--2006-01-01

This project examined the characteristics of sexual assault victimizations in Alaska, as observed and recorded by sexual assault nurse examiners in Anchorage, Kodiak, Bethel, Soldotna, Nome, Fairbanks, Homer, and Kotzebue. The sample utilized for this study included all sexual assault nurse examinations conducted in Anchorage from 1996 to 2004, in Bethel and Fairbanks in 2005 and 2006, and in Homer, Kodiak, Kotzebue, Nome, and Soldotna in 2005. A total of 1,699 examinations were collected. More specifically, the information contains demographic characteristics of patients, pre-assault patient characteristics, assault characteristics, post assault characteristics, exam characteristics and findings, and suspect characteristics. Demographic characteristics of patients include gender, race / ethnicity, and age, whether the patient was disabled, and whether the patient reported being homeless. Pre-assault characteristics included whether the patient reported engaging in consensual sexual activity within three days prior to the assault and information on the location of the initial contact with the suspect. Assault characteristics included information on the location of the assault, methods employed by the suspect, the patients' condition at the time of the assault, the patients' use of drugs and alcohol, and a detailed description of the assault itself. This detailed description included the patient's position during the assault, whether condoms and lubricants had been used, whether ejaculation had occurred, and an inventory of 17 different sexual acts. Post-assault characteristics included information on post-assault actions taken by the patient, whether the patient engaged in consensual sexual activity between the time of the assault to the examination, and the time elapsed from the assault to the examination. Exam characteristics and findings included information on whether the exam was completed, the type of exam that was conducted, the patients' behavioral and emotional state during the exam, whether the patient required emergency medical care, whether the presence of sperm was documented, whether patients tested positive for sexually transmitted infections or other genital infections, whether the patient was pregnant, and whether injuries were documented. Injury characteristics included descriptions of both non-genital and genital injury. A total of 108 indicators of non-genital injury were captured. These included nine possible injuries (i.e., bruising, redness, abrasions, lacerations, swelling, fractures, bite marks, pain, and other) to 12 possible sites (i.e., head/face, mouth, neck, shoulders, arms, hands, chest, abdomen, back, buttocks/hips, legs, and feet). A total of 60 indicators of genital injury were also captured. These included four possible injuries (i.e., bruising, abrasions, lacerations, and tenderness) to 15 possible sites (i.e., mons pubis, labia majora, labia minora, labia majora / minora junction, clitoral hood, clitoris, periurethra, hymen, fossa navicularis, posterior fourchette, perineum, vaginal walls, cervix, anus, and rectum). Suspect characteristics included the number of suspects, whether the identity of the suspect was known, demographic characteristics (gender, race/ethnicity, and age), whether the suspect had used alcohol or drugs, and the relationship between the patient and the suspect. In addition to providing detailed information from sexual assault nurse examinations, the data also include three indicators of legal resolutions - whether cases were referred for prosecution, whether cases were accepted for prosecution, and whether cases resulted in a conviction. Data on legal resolutions are only available for 1,229 cases examined from 1999 to 2005.

Curated

Bruising as a Forensic Marker of Physical Elder Abuse in Orange County, California, 2006-2008 (ICPSR 28144)

Released/updated on: 2012-12-21

Geographic coverage: United States, California

Time period: 2006-07-01--2008-05-01

The purpose of the study was to describe bruising as a marker of physical elder abuse. Consenting older adults were examined to document location and size of bruises and assess whether they were inflicted during physical abuse. An expert panel confirmed physical abuse. A research nurse conducted study assessments on 67 adults aged 65 and older reported to Adult Protective Services for suspected physical elder abuse in Orange County, California between July 2006 and May 2008. The study contains a total of 142 variables including age, sex, ethnicity, functional status, medical conditions, cognitive status, history of falls, bruise size, bruise location and color, recall of cause, and responses to the Revised Conflicts Tactics Scales (CTS2) and to the Elder Abuse Inventory (EAI).

Curated

Restricted

Forensic Markers of Physical Elder Abuse, Los Angeles, California, 2014-2017 (ICPSR 37050)

Released/updated on: 2018-08-07

Geographic coverage: United States, Los Angeles, California

Time period: 2014-09-01--2017-02-01

These data are part of NACJD's Fast Track Release and are distributed as they were received from the data depositor. The files have been zipped by NACJD for release, but not checked or processed except for the removal of direct identifiers. Users should refer to the accompanying readme file for a brief description of the files available with this collection and consult the investigator(s) if further information is needed.

This study sought to: (1) document the spectrum of injuries and injury characteristics observed among physically-abused older adults reported to Adult Protective Services (APS) and compare those findings to injuries found among non-abused older adults, (2) identify observable injury characteristics and abuse circumstances that healthcare providers, law enforcement and prosecutors consider to be key forensic markers of physical abuse, (3) document information and evidence integral for achieving successful criminal prosecution, and (4) describe approaches that community-based frontline workers can employ to better document evidence of physical abuse.

The data included in this collection were collected under a National Institute of Justice-funded project that sought to document the spectrum and characteristics of injuries observed among physically abused, community-dwelling APS clients.

The collection includes two SAS datasets: injury.sas7bdat (with 47 variables and 403 cases) and subjectleveldata.sas7bdat (with 122 variables and 165 cases); and three SAS System Program Files: analysis-code-v1.sas, cleaned-injury-datasets-v1.sas, and formats.sas. Demographic variables in the collection are in the subjectleveldata.sas7bdat dataset, and include age, year of birth, gender, race, language, and level of education.

Curated

Systems Change Analysis of Sexual Assault Nurse Examiner (SANE) Programs in One Midwestern County of the United States, 1994-2007 (ICPSR 25881)

Released/updated on: 2011-07-06

Geographic coverage: United States

Time period: 1994-01-01--2005-12-01, 1999-09-01--2005-12-01, 2007-04-01--2007-05-01, 1994-01-01--2005-12-01, 1999-09-01--2007-05-01, 2008-07-01--2008-08-01

The purpose of this study was to determine whether adult sexual assault cases in a Midwestern community were more likely to be investigated and prosecuted after the implementation of a Sexual Assault Nurse Examiner (SANE) program, and to identify the 'critical ingredients' that contributed to that increase.

Part 1 (Study 1: Case Records Quantitative Data) used a quasi-experimental, nonequivalent comparison group cohort design to compare criminal justice systems outcomes for adult sexual assault cases treated in county hospitals five years prior to the implementation of the Sexual Assault Nurse Examiner (SANE) program (January 1994 to August 1999) (the comparison group, n=156) to cases treated in the focal SANE program during its first seven years of operation (September 1999 to December 2005) (the intervention group, n=137). Variables include focus on case outcome, law enforcement agency that handled the case, DNA findings, and county-level factors, including prosecutor elections and the emergence of the focal SANE program.

Part 2 (Study 2: Case Characteristics Quantitative Data) used the adult sexual assault cases from the Study 1 intervention group (post-SANE) (n=137) to examine whether victim characteristics, assault characteristics, and the presence and type of medical forensic evidence predicted case progression outcomes.

Part 3 (Study 3: Police and Prosecutors Interview Qualitative Data) used in-depth interviews in April and May of 2007 with law enforcement supervisors (n=9) and prosecutors (n=6) in the focal county responsible for the prosecution of adult sexual assault crimes to explore if and how the SANEs affect the way in which police and prosecutors approach such cases. The interviews focused on four main topics: (1) whether they perceived a change in investigations and prosecution of adult sexual assault cases in post-SANE, (2) their assessment of the quality and utility of the forensic evidence provided by SANEs, (3) their perceptions regarding whether inter-agency training has improved the quality of police investigations and reports post-SANE, and (4) their perceptions regarding if and how the SANE program increased communication and collaboration among legal and medical personnel, and if such changes have influenced law enforcement investigational practices or prosecutor charging decisions.

Part 4 (Study 4: Police Reports Quantitative Data) examined police reports written before and after the implementation of the SANE program to determine whether there had been substantive changes in ways sexual assaults cases were investigated since the emergence of the SANE program. Variables include whether the police had referred the case to the prosecutor, indicators of SANE involvement, and indicators of law enforcement effort.

Part 5 (Study 5: Survivor Interview Qualitative Data) focused on understanding how victims characterized the care they received at the focal SANE program as well as their expriences with the criminal justices system. Using prospective sampling and community-based retrospective purposive sampling, twenty adult sexual assault vicitims were identified and interviewed between January 2006 and May 2007. Interviews covered four topics: (1) the rape itself and initial disclosures, (2) victims' experiences with SANE program staff including nurses and victim support advocates, (3) the specific role forensic evidence played in victims' decisions to participate in prosecution, and (4) victims' experiences with law enforcement, prosecutors, and judicial proceedings, and if/how the forensic nurses and advocates influenced those interactions.

Part 6 (Study 6: Forensic Nurse Interview Qualitative Data) examined forensic nurses' perspectives on how the SANE program could affect survivor participation with prosecution indirectly and how the interactions between SANEs and law enforcement could be contributing to increased investigational effort. Between July and August of 2008, six Sexual Assault Nurse Examiners (SANEs) were interviewed. The interviews explored three topics: (1) the nurses' philosophy on victim reporting and participating in prosecution, (2) their perceptions regarding how patient care may or may not affect victim participation in the criminal justice system, and (3) their perception of how the SANE programs influence the work of law enforcement investigational practices.The interviews explored three topics: (1) the nurses' philosophy on victim reporting and participating in prosecution, (2) their perceptions regarding how patient care may or may not affect victim participation in the criminal justice system, and (3) their perception of how the SANE programs influence the work of law enforcement investigational practices.