Forensic Examination

A forensic exam is the collection of DNA evidence that could later be used for reporting if a person chooses to report. The forensic exam consists of evidence collection and medical care. An advocate from the YWCA SART team is available to accompany individuals having a forensic exam. Individuals can decide if they would like a support person in the room with them. In addition, Kim Webb is available to accompany students (see Campus Resources ).

Preparing for a forensic exam:

If possible, do not wash in any manner (i.e. do not wash hands or shower)
Do not use the restroom (if necessary, go in a cup)
Do not eat, drink, or brush your teeth
If any of the above has already been done, it doesn’t necessarily prevent the collection of evidence, and you can still seek medical care
Bring clothes, sheets, and other items that may be used for evidence (in a paper bag if possible, avoid plastic bags)
Bring a change of clothes for leaving the hospital afterward, items that increase feelings of safety, and a phone charger

Intake/process of forensic exam:

You can opt-in or out of all pieces of the forensic exam – it’s up to your comfort level
If you want a forensic exam, you should prepare to be able to name your experience to the triage nurse (state they were sexually assaulted)
You can ask for a SART (sexual assault response team) volunteer to be called
- St. Mary’s, Barnes-Jewish, and SLU all have access to SART advocates and have SANE nurses on staff/on call
If you choose to go through the whole process, it can take a long time (multiple hours)
Police officers may come, but it is not necessary to speak to them
The process is free, but follow-up medical care may not be

People undergoing an examination get to choose what types of care and evidence collection they receive. They are allowed to stop, pause, and skip any parts of the examination.

A breakdown of the Evidence Collection:

Pelvic exam
Sperm analysis
Swabs from oral, rectal & vaginal tracts and anywhere else where semen/saliva may be present
Thorough body examination for bruises, injuries, etc.
Combing for the assailant’s hair
Fingernail scrapings from under nail beds are collected
The patient’s pubic & head hair is plucked for comparison of loose hairs (may be uncomfortable or painful)
Photographs of injuries
Blood test, if the patient indicates that they might have been drugged
Emergency contraception may be administered
STI prophylaxis may be administered
A written report should be available to the patient
Follow-up appointment set up to test for STIs, infections, or pregnancy

It is up to the person undergoing the examination to decide what types of care and evidence collection they would like to receive. While we listed different items that the exam offers, the survivor can choose to stop the process at any point or choose which parts to participate in.

Billing:

RSVP center can help will billing advocacy so that EDs do not bill parents
- Habif is an alternative option for medical attention post-assault, as they do not bill anyone or any insurance but they cannot complete forensic exams
Missouri covers forensic exams

Click here for detailed information on hospitals in the St. Louis area