Fear of the perpetrator: a major reason why sexual assault victims delayed presenting at hospital

OBJECTIVE: To identify the reasons for presentation of sexual assault more than 72 h after the incidents at Newcastle Hospital, South Africa. METHODS: A retrospective analysis of 534 medical records of victims seen between 2005 and 2009 at the hospital's sexual assault service centre. RESULTS: Overall, 219 (41%) of the victims presented at the hospital more than 72 h after the alleged sexual assault, mainly for fear of the perpetrator (37.4%). Females constituted 87%, and rape with vaginal penetration was the most common form of sexual assault reported (74%). Tests of significance showed a positive association between fear of the perpetrator and delayed presentation at hospital. Age under 9 years and being scared of what relatives would say about alleged sexual assault were also associated with delayed presentation. CONCLUSIONS: Attention needs to be focused on educating society on the importance of reporting sexual assault incidents promptly in order for victims to benefit from appropriate medical treatment.