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Background <p>Until 2024, no canton-wide forensic service was available in the Canton of Zurich for victims of domestic or sexual violence who did not immediately wish to report to the police. To complement existing care structures, a&#xa0;24/7&#xa0;mobile forensic service (“Aufsuchender Dienst Forensic Nurses”, ADFN) was established at the Institute of Forensic Medicine, University of Zurich (IRM UZH).</p> Objectives <p>To describe the concept and structure of the ADFN and to present an 18-month descriptive interim analysis.</p> Materials and methods <p>Retrospective descriptive analysis of all ADFN contacts. Variables included type of contact, indication, age and sex, examination site, examination duration and premature termination, subsequent police reports and number of trainings.</p> Results <p>In total, 660 contacts were documented (345 forensic examinations and 312 telephone consultations). Approximately 86% of examined persons were female. Sexual offences predominantly affected adolescents and young adults, whereas domestic violence was mainly observed in adults aged 26–45&#xa0;years. Median examination time was 1:55 h; 23&#xa0;examinations were terminated prematurely. In 45&#xa0;cases (13%), a&#xa0; police report was filed&#xa0;subsequently, on average 10&#xa0;days after the examination. The ADFN team conducted 78&#xa0;trainings for healthcare institutions.</p> Conclusions <p>The findings indicate that the ADFN represents a&#xa0;relevant complementary care structure for victims who are initially unable or unwilling to report to the police, while providing specialised forensic support to healthcare institutions. Long-term implementation and further development of the model will require additional outcome analyses and systematic evaluation from both user and professional perspectives.</p>

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Verbesserter Zugang zur forensischen Versorgung bei Gewaltbetroffenen durch einen aufsuchenden Dienst

  • 期刊论文

  • 出版模式：

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  • 发表日期：

    2026年7月20日

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  • Eva Meixner,
  • Nadja Weir,
  • Dominice Häni,
  • Constantin Lux,
  • Mattias Kettner,
  • Michael Thali,
  • Julian Mausbach,
  • Malaika Vetter

摘要

Background

Until 2024, no canton-wide forensic service was available in the Canton of Zurich for victims of domestic or sexual violence who did not immediately wish to report to the police. To complement existing care structures, a 24/7 mobile forensic service (“Aufsuchender Dienst Forensic Nurses”, ADFN) was established at the Institute of Forensic Medicine, University of Zurich (IRM UZH).

Objectives

To describe the concept and structure of the ADFN and to present an 18-month descriptive interim analysis.

Materials and methods

Retrospective descriptive analysis of all ADFN contacts. Variables included type of contact, indication, age and sex, examination site, examination duration and premature termination, subsequent police reports and number of trainings.

Results

In total, 660 contacts were documented (345 forensic examinations and 312 telephone consultations). Approximately 86% of examined persons were female. Sexual offences predominantly affected adolescents and young adults, whereas domestic violence was mainly observed in adults aged 26–45 years. Median examination time was 1:55 h; 23 examinations were terminated prematurely. In 45 cases (13%), a  police report was filed subsequently, on average 10 days after the examination. The ADFN team conducted 78 trainings for healthcare institutions.

Conclusions

The findings indicate that the ADFN represents a relevant complementary care structure for victims who are initially unable or unwilling to report to the police, while providing specialised forensic support to healthcare institutions. Long-term implementation and further development of the model will require additional outcome analyses and systematic evaluation from both user and professional perspectives.