Exploring The Experiences Of Sexual Abuse Victims In The Forensic Examination Process At The Rejang Lebong Regional Public Health Facility
DOI:
https://doi.org/10.38035/jlph.v6i4.3240Keywords:
Child Sexual Abuse, Forensic Examination, Psychological Trauma, Trauma-Informed Care, Victim ExperienceAbstract
This study examines the experiences of child and adolescent sexual abuse victims during the forensic examination process at health facilities in Rejang Lebong. Sexual violence against children is a serious and complex problem that requires a multidisciplinary approach to its handling. Based on in-depth interviews and prior literature, it was found that the forensic examination process frequently causes deep psychological trauma to victims, particularly when procedures are conducted invasively and without adequate empathy. Many victims reported feeling afraid, anxious, and disrespected, especially when officers failed to apply a trauma-informed approach or to maintain their privacy. Their experiences highlight the critical need for humane services characterized by empathetic communication and comfortable, safe facilities. The findings indicate that conducting examinations in a sensitive, transparent manner that respects human rights is essential for reducing ongoing trauma and strengthening victims' trust in the legal system and healthcare services. Trauma-informed care approaches, continuous training for personnel, and improvements to facilities and awareness of victims' rights are proposed as principal strategies to ensure that the forensic process is conducted humanely and effectively. Overall, this study underscores the importance of a trauma-informed approach within the healthcare system and law enforcement to protect the human rights of victims and minimize the long-term effects of trauma
References
Augusteijn, F., Bosma, A., Pemberton, A., & Bijleveld, C. (2025). Realizing Crime Victims’ Participatory Rights on the Frontstage. Recht Der Werkelijkheid, 46(3), 52–71. https://doi.org/10.5553/rdw/138064242025046003004
Berger, L., Tuschy, B., Stefanovic, S., Yen, K., Weiss, C., Sütterlin, M., Saskia Spaich, & Berlit, S. (2023). Forensic Medical Examination After Sexual Violence: Implications Based on Victims’ Perceptions. IN VIVO, 37(2), 848–857. https://doi.org/10.21873/invivo.13152
Blunden, H., Giuntoli, G., Newton, B. J., & Katz, I. (2020). Victims/Survivors’ Perceptions of Helpful Institutional Responses to Incidents of Institutional Child Sexual Abuse. Journal of Child Sexual Abuse, 1–24. https://doi.org/10.1080/10538712.2020.1801932
Briere, J., Runtz, M., & Rodd, K. (2024). Child and Adolescent Exposure to Sexual Harassment: Relationship to Gender, Contact Sexual Abuse, and Adult Psychological Symptoms. Journal of Interpersonal Violence, 39(13-14). https://doi.org/10.1177/08862605231225524
Budiarti, A. I., Arianto, G. N., & Maharani, M. (2022). Data dan fakta kekerasan seksual di Indonesia 2021. Indonesia Judicial Research Society (IJRS). http://ijrs.or.id/wp-content/uploads/2022/04/Data-dan-Fakta-Kekerasan-Seksual-di-Indonesia-2021-8-Apr-2022.pdf
Campbell, K., Orr, E., Durepos, P., Nguyen, L., Li, L., Whitmore, C., Gehrke, P., Graham, L., & Jack, S. (2021). Reflexive Thematic Analysis for Applied Qualitative Health Research. The Qualitative Report, 26(6), 2011–2028. https://nsuworks.nova.edu/cgi/viewcontent.cgi?article=5010&context=tqr
Fernandes, D., Gomes, J. P., Albuquerque, P. B., & Matos, M. (2024). Forensic interview techniques in child sexual abuse cases: A scoping review. Trauma, Violence & Abuse, 25(2), 1382-1396. https://doi.org/10.1177/15248380231177317
George, A.-J., & Lowik, V. (2025). Rethinking cross-examination: Reducing retraumatisation for victims and survivors of sexual assault. Alternative Law Journal. https://doi.org/10.1177/1037969x251359080
Hasmawati, H. (2025). Health Promotion Strategies in Preventing and Handling Sexual Violence against Children : a Literature Review. Proceeding of International Seminar and Workshop on Public Health Action, 1(1), 99–104. https://doi.org/10.60074/iswopha.v1i1.14055
Hong, M., Kim, H.-S., Kim, K.-H., Koh, J. E., Han, C., Lee, S., Ryu, J. S., Lee, A. R., & Lee, S. M. (2025). Psychological Impact and Differences in Child and Adolescent Victims of Sexual Violence in South Korea: Using Data From a Sunflower Center in South Korea From 2015 to 2022. Psychiatry Investigation, 22(6), 660–667. https://doi.org/10.30773/pi.2024.0381
Jeglic, E. L., Winters, G. M., Johnson, B. N., & Fisher, E. (2025). The Psychological Impact of Experiencing Sexual Abuse Revictimization by a Different Perpetrator in Childhood. Children, 12(8), 1070. https://doi.org/10.3390/children12081070
Kaur, S., Kaur, S., & Rawat, B. (2021). Medico-legal evidence collection in child sexual assault cases: A forensic significance. Egyptian Journal of Forensic Sciences, 11(1), 41. https://doi.org/10.1186/s41935-021-00258-y
Keerthana T, L., Sireesha S, & Aparna M. (2026). Profiles of Sexual Assault, Psychiatric Morbidity, and Global Functioning in Survivors of Child Sexual Abuse: A Cross-sectional Study. Indian Journal of Psychological Medicine. https://doi.org/10.1177/02537176251414272
Manning, S., & Rattray-Te Mana, H. (2022). Health and justice: Experiences of the forensic medical examination after sexual assault. Forensic Science International: Reports, 6, 100297. https://doi.org/10.1016/j.fsir.2022.100297
Munir, A., & Siregar, R. A. (2025). Viktimisasi Sekunder Di Luar Sistem Peradilan Pidana: Bentuk Dan Penyebab Pada Korban Yang Tidak Melaporkan. JURNAL KAJIAN PEMERINTAH Journal of Government Social and Politics, 10(2), 147–157. https://doi.org/10.25299/jkp.2024.vol10(2).22352
Pacheco, C., & Fossa, P. (2025). Unprejudice as an Approach to Subjective Reality. The Hermeneutic Phenomenological Methodology. Phenomenological-Hermeneutical Approach to Borderline Personality Disorder, 37–56. https://doi.org/10.1108/978-1-80592-281-020251005
Seitanidou, D., Melegkovits, E. A., Kenneally, L., Elliott, S., & Alves-Costa, F. (2024). Trauma-informed care practices in a forensic setting: Exploring health care professionals' perceptions and experiences. International Journal of Forensic Mental Health, 23(4), 349-361. https://doi.org/10.1080/14999013.2024.2347238
SPHPN. (2024). Kondisi perempuan Indonesia. Survei Pengalaman Hidup Perempuan Nasional.
Substance Abuse and Mental Health Services Administration (SAMHSA). (2014). SAMHSA's concept of trauma and guidance for a trauma-informed approach. HHS Publication No. (SMA) 14-4884. SAMHSA.
Undang-Undang Republik Indonesia. (1981). Undang-Undang Nomor 8 Tahun 1981 Tentang Hukum Acara Pidana (KUHAP).
Undang-Undang Republik Indonesia. (2014). Undang-Undang Nomor 35 Tahun 2014 Tentang Perubahan Atas Undang-Undang Nomor 23 Tahun 2002 Tentang Perlindungan Anak.
World Health Organization. (2020). Responding to children and adolescents who have been sexually abused: WHO clinical guidelines. World Health Organization.
Yesodharan, R., Shehata, S. A., Jose, T. T., Hagras, A. M., & Nayak, V. (2022). Medico-legal history taking from the victims of sexual assaults: the role of nurse examiners. Egyptian Journal of Forensic Sciences, 12(1). https://doi.org/10.1186/s41935-022-00284-4
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