Emily L Tilstra-Ferrell, Selime R Salim, Joyce P Yang, Anna Foster, Karen Hughes, Aurelia Sands-Belle, Katie Mai, Christine Hahn
{"title":"Sexual Assault Forensic Exams (SAFEs) Pre- and Post-COVID-19: A Retrospective Analysis of SAFE Rates and Sex Differences.","authors":"Emily L Tilstra-Ferrell, Selime R Salim, Joyce P Yang, Anna Foster, Karen Hughes, Aurelia Sands-Belle, Katie Mai, Christine Hahn","doi":"10.1097/JFN.0000000000000625","DOIUrl":"https://doi.org/10.1097/JFN.0000000000000625","url":null,"abstract":"<p><strong>Background: </strong>Sexual assault forensic exams (SAFEs) provide comprehensive physical and mental health care services after sexual assault (SA). During the COVID-19 pandemic, rates of SAFEs were lower in many hospitals and rebounded in the months following the initial shutdown. However, no examinations of changes in SAFEs five years postpandemic in the United States (U.S.) have been published to our knowledge.</p><p><strong>Aim: </strong>To evaluate SAFE rates in a Southeastern hospital in a state that enacted limitations for a brief period during the COVID-19 pandemic.</p><p><strong>Methods: </strong>SAFE rates were descriptively examined for the four years before and following COVID restrictions.</p><p><strong>Results: </strong>One hundred eight more SAFEs were performed in the four years pre-COVID restrictions (Total SAFEs March 2016-February 2020 = 851; mean annual SAFEs = 212.75) compared with the four years post-COVID-19 restrictions (total SAFEs March 2021 to February 2025 = 743; mean annual SAFEs = 185.75). Results from analyses stratified by sex assigned at birth indicated that annual SAFEs among survivors assigned female sex at birth were lower during the four years post-COVID-19 (mean annual SAFEs March 2021 to February 2025=176.5) compared with the four years pre-COVID-19 (mean annual SAFEs March 2016 to February 2020=199.5). Annual SAFEs among survivors assigned male sex at birth were also lower during the four years post-COVID-19. However, there was a small sample of male survivors with high annual variability across all time periods, limiting the interpretation of these results.</p><p><strong>Discussion: </strong>Observing fewer SAFEs indicates potential changes in help-seeking following SA in our community. Multisite research studies are needed to better understand trends in SAFE utilization in the U.S.</p>","PeriodicalId":94079,"journal":{"name":"Journal of forensic nursing","volume":" ","pages":""},"PeriodicalIF":0.9,"publicationDate":"2026-09-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148922101","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"The Effect of Forum Theater on Nursing Students' Attitudes Toward Forensic Psychiatric Patients.","authors":"Hümeyra Hançer Tok, Çiçek Ediz, Lütfiye Nur Uzun","doi":"10.1097/JFN.0000000000000624","DOIUrl":"https://doi.org/10.1097/JFN.0000000000000624","url":null,"abstract":"<p><strong>Aim: </strong>To evaluate the impact of forum theater on nursing students' attitudes towards forensic psychiatric patients.</p><p><strong>Methods: </strong>Using a quasi-experimental, single-group, pretest/posttest design, twenty-five nursing students enrolled during the 2025-2026 academic year participated. Data were collected using a personal information form and an attitude scale for health care professionals towards forensic psychiatric patients. As part of the intervention, a three-hour forum theater-based educational programme was implemented. Pretest and posttest scores were analysed using the Wilcoxon signed-rank test.</p><p><strong>Results: </strong>After the forum theater intervention, a statistically significant increase was observed in participants' total attitude scores (p < 0.001). While significant increases were found in the Social Distance and Dangerousness subscale scores (p < 0.05), no significant changes were observed in the Willingness to Provide Care and Trust subscales (p > 0.05).</p><p><strong>Discussion: </strong>Forum theater is an effective educational method for reducing stigmatising attitudes towards forensic psychiatric patients among nursing students, and for promoting more accepting attitudes. From a public health nursing perspective, such experiential and participatory educational approaches are considered to be a significant means of combatting stigma within community-based mental health services.</p>","PeriodicalId":94079,"journal":{"name":"Journal of forensic nursing","volume":" ","pages":""},"PeriodicalIF":0.9,"publicationDate":"2026-09-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148883028","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Factors Associated With Requests for Mental Health Services Among Sexual Violence Survivors in South Korea: A Retrospective Cohort Study.","authors":"Bokyung Choi, Myung Kyung Lee","doi":"10.1097/JFN.0000000000000626","DOIUrl":"https://doi.org/10.1097/JFN.0000000000000626","url":null,"abstract":"<p><strong>Background: </strong>Although Sunflower Centers in South Korea facilitates access to care through an integrated support model, the specific survivor and incident characteristics associated with requests for mental health services remain poorly understood.</p><p><strong>Aim: </strong>To identify factors associated with requests for mental health services among sexual violence survivors at a SunFlower Center in South Korea.</p><p><strong>Methods: </strong>Retrospective cohort study of 269 cases from the Sunflower Center between July 2020 and December 2022.</p><p><strong>Results: </strong>Overall, 41.3% of survivors requested mental health services. Among minor survivors, intact memory of the incident was associated with a higher likelihood of requesting mental health services [odds ratio (OR): 6.44, 95% CI: 1.05-39.54]. Among adult survivors, assault by a socially acquainted person (OR: 4.13, 95% CI: 1.17-14.55) or a chat partner (OR: 4.10, 95% CI: 1.13-14.93) was associated with a higher likelihood of requesting therapy. Conversely, genital penetration was associated with a lower likelihood of requesting psychotherapy (OR: 0.33, 95% CI: .14-.79).</p><p><strong>Conclusion: </strong>These findings highlight the importance of age-sensitive, trauma-informed care. Forensic nurses play a key role in coordinating mental health referrals based on survivor and assault characteristics.</p>","PeriodicalId":94079,"journal":{"name":"Journal of forensic nursing","volume":" ","pages":""},"PeriodicalIF":0.9,"publicationDate":"2026-09-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148876898","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
H Michelle Greene, Becca Fredin, Katlyn Nofziger, Michelle Hasenkamp, Kaylee Manville, Kristin G Crichton
{"title":"Protocol Development and Implementation for Pediatric Acute Abusive Strangulation at a Tertiary Care Children's Hospital.","authors":"H Michelle Greene, Becca Fredin, Katlyn Nofziger, Michelle Hasenkamp, Kaylee Manville, Kristin G Crichton","doi":"10.1097/JFN.0000000000000627","DOIUrl":"https://doi.org/10.1097/JFN.0000000000000627","url":null,"abstract":"<p><strong>Background: </strong>Strangulation by assault is high-risk and survivors have specific medical and forensic needs. There is no standardized protocol for the evaluation of pediatric victims of acute, abusive, nonfatal strangulation.</p><p><strong>Aim: </strong>To develop a pathway and supporting documentation templates, forensic interview questions, and a pediatric-specific kit for children with assault by strangulation.</p><p><strong>Methods: </strong>A multidisciplinary team at a large pediatric hospital created a protocol for forensic interviews and evidence collection in the emergency department for patients below 18 years old disclosing assault by strangulation within 24 hr by a dating partner or caregiver in the home.</p><p><strong>Results: </strong>The team was implemented on October 31, 2024, and finalized evidence-collection materials in August 2025. From October 31, 2024 to June 23, 2026, 66 patients with strangulation were assessed.</p><p><strong>Conclusion: </strong>We implemented an emergency department pathway for acute pediatric, nonfatal strangulation by assault, providing valuable insight for institutions caring for these vulnerable patients.</p>","PeriodicalId":94079,"journal":{"name":"Journal of forensic nursing","volume":" ","pages":""},"PeriodicalIF":0.9,"publicationDate":"2026-09-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148876927","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Sexual Violence Against Adult Women Immediately Before, During, and After Natural Disasters: A Scoping Review.","authors":"Serena Robbins, Sarah E Patel","doi":"10.1097/JFN.0000000000000617","DOIUrl":"https://doi.org/10.1097/JFN.0000000000000617","url":null,"abstract":"<p><strong>Background: </strong>Natural disasters are increasing in severity and frequency, whereas women's increased risk for sexual violence (SV) during disasters is largely ignored by disaster management.</p><p><strong>Aims: </strong>To assess what is known in the literature about SV towards adult women immediately before, during, and after natural disasters to inform forensic nursing practice.</p><p><strong>Methods: </strong>Following the Joanna Briggs Institute (JBI) framework, primary literature was searched in CINAHL, PubMed, and PsycINFO. Twenty-two sources met inclusion criteria.</p><p><strong>Results: </strong>Few theoretically based high-level studies, and multiple terms to describe similar phenomena limiting comparison between studies. Despite searching in CINAHL, no authors were nurses, and no sources came from nursing journals.</p><p><strong>Discussion: </strong>Quality research addressing sexual violence against women during disasters is needed. Forensic nurses are well poised to bring awareness and collaborate with emergency management agencies to lead regulation and policy change, advancing gender-sensitive disaster management.</p>","PeriodicalId":94079,"journal":{"name":"Journal of forensic nursing","volume":" ","pages":""},"PeriodicalIF":0.9,"publicationDate":"2026-07-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148439469","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Sheree V Cornstubble, Deborah St Germain, Paul Thomas Clements
{"title":"Beneath the Surface: A Closer Look at Petechiae in Pediatric Submersion Injuries.","authors":"Sheree V Cornstubble, Deborah St Germain, Paul Thomas Clements","doi":"10.1097/JFN.0000000000000618","DOIUrl":"https://doi.org/10.1097/JFN.0000000000000618","url":null,"abstract":"<p><p>Pediatric fatalities present multifaceted clinical and forensic complexities requiring both clinical acumen and trauma-informed vigilance. This case study examines a school-aged child who arrived at a Level I trauma center following a reported accidental drowning. Despite prompt resuscitative efforts, the child was pronounced deceased. While no external trauma was noted, scattered nonblanching petechiae on the face, eyelids, and conjunctiva raised concerns. Toxicology results were negative, and no forensic nursing consultation was initiated. The child's death was classified as accidental without autopsy findings to substantiate or challenge that conclusion. Forensic pathology literature identifies isolated conjunctival petechiae as a potential indicator of asphyxial death, including strangulation, suggesting a missed opportunity for forensic assessment. This case highlights the essential role of forensic nurses in identifying subtle signs of violence. Furthermore, it emphasizes the importance of interdisciplinary forensic awareness and early forensic consultation in pediatric deaths to ensure comprehensive evaluation and safeguard medicolegal integrity.</p>","PeriodicalId":94079,"journal":{"name":"Journal of forensic nursing","volume":" ","pages":""},"PeriodicalIF":0.9,"publicationDate":"2026-07-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148364579","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"AI at a Turning Point: Could It Become a Driving Force in the Prevention and Treatment of Pedophilia?","authors":"Julien Martinez","doi":"10.1097/JFN.0000000000000588","DOIUrl":"10.1097/JFN.0000000000000588","url":null,"abstract":"","PeriodicalId":94079,"journal":{"name":"Journal of forensic nursing","volume":" ","pages":"E171-E173"},"PeriodicalIF":0.9,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146095398","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Male Sexual Assault Survivorship Within Shifting Cultural Climates Around Masculinity and the Important Role of Forensic Nursing.","authors":"Nathan Grumdahl","doi":"10.1097/JFN.0000000000000620","DOIUrl":"10.1097/JFN.0000000000000620","url":null,"abstract":"","PeriodicalId":94079,"journal":{"name":"Journal of forensic nursing","volume":" ","pages":"E208-E210"},"PeriodicalIF":0.9,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148311033","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Traumas, Telomeres, and Transformations: It's Time for Forensic Nurses to Advance Truths.","authors":"Carolyn M Porta","doi":"10.1097/JFN.0000000000000609","DOIUrl":"10.1097/JFN.0000000000000609","url":null,"abstract":"","PeriodicalId":94079,"journal":{"name":"Journal of forensic nursing","volume":" ","pages":"E169-E170"},"PeriodicalIF":0.9,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147876808","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Jamie Lewis Saye, Katherine Barnett, Sarah Pederson, Melissa C Osborne
{"title":"From Kit to CODIS: Comparing DNA Profile Yields From Blind Swabs and Speculum-Assisted Collection in Medical Forensic Examinations.","authors":"Jamie Lewis Saye, Katherine Barnett, Sarah Pederson, Melissa C Osborne","doi":"10.1097/JFN.0000000000000604","DOIUrl":"10.1097/JFN.0000000000000604","url":null,"abstract":"<p><strong>Background: </strong>Vaginal and cervical evidence collection is central to sexual assault medical forensic examinations (SAMFEs), yet comparative DNA outcomes for speculum-assisted versus blind swab techniques remain limited.</p><p><strong>Aim: </strong>To compare blind swab and speculum-assisted vaginal/cervical collection methods with respect to male DNA outcomes to support patient-centered decision-making.</p><p><strong>Methods: </strong>Secondly, de-identified forensic medical and law enforcement data were analyzed. Outcomes included Y-screen positivity, Y-STR profile generation, and CODIS eligibility.</p><p><strong>Results: </strong>Among 117 analyzable cases, no statistically significant differences were observed between collection methods for any DNA outcome (all P >0.05).</p><p><strong>Conclusions: </strong>Blind swab collection produced DNA outcomes comparable to speculum-assisted methods in this pilot study. Findings should not be interpreted as equivalent but suggest blind swabbing may be a reasonable option for some patients.</p>","PeriodicalId":94079,"journal":{"name":"Journal of forensic nursing","volume":" ","pages":"E174-E176"},"PeriodicalIF":0.9,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147517586","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}