Child Sexual Abuse and Its Long Term Effects
QUESTIONNAIRE ON CHILD SEXUAL ABUSE
Completing the article: Prevalence of child sexual abuse among adolescents in Geneva: results of a cross sectional survey (1996). Halpérin D.S., Bouvier P., Jaffe P. D., Mounoud R-L., Pawlak C.H., Laederach J.,
Rey Wicky H. British Medical Journal; 312: 1326-1329
Q1:
How old are you ?
years and
months
Q2:
Are you a girl or a boy ?
girl
boy
Q3:
Who do you live with ?
(several answers are possible)
father mother stepfather stepmother other :
(specify..............................................)
Q 4:
Here are some general statements on child sexual abuse.
Do you rather agree or rather disagree with these statements ?
Agree
a.
Some children are sexually abused by older children
b.
Most people who sexually abuse children do not belong to the child's family
c.
Most of the time children are sexually abused when they are alone, at night, and outside their home
d.
Only girls are victims of sexual abuse
e.
Sexually abused boys are usually not homosexual
f.
Children from reputable families are not victims of sexual abuse
g.
Children who report being victims of sexual abuse are not necessarily placed in foster care following these revelations
h.
Few children are victims of sexual abuse
i.
Only young children are victims of sexual abuse
j.
Boys are not sexually abused
k.
A majority of sexual abuse perpetrators are retarded or mentally ill
l.
Even if one lets a year go by before talking about a sexual abuse situation, it is still possible to do something about it
m.
In sexual abuse cases, the child him/herself is never responsible
© Daniel S. Halpérin et al., Geneva, 1996
Disagree
I don't know Page 1
© Daniel S. Halpérin et al., Geneva, 1996
Q5:
Have your parents ever talked with you about child sexual abuse ? no yes
If they have, please answ er questions
5b to 5d:
Q 5b :
Completing the article: Prevalence of child sexual abuse among adolescents in Geneva: results of a cross sectional survey (1996). Halpérin D.S., Bouvier P., Jaffe P. D., Mounoud R-L., Pawlak C.H., Laederach J.,
Rey Wicky H. British Medical Journal; 312: 1326-1329
Q1:
How old are you ?
years and
months
Q2:
Are you a girl or a boy ?
girl
boy
Q3:
Who do you live with ?
(several answers are possible)
father mother stepfather stepmother other :
(specify..............................................)
Q 4:
Here are some general statements on child sexual abuse.
Do you rather agree or rather disagree with these statements ?
Agree
a.
Some children are sexually abused by older children
b.
Most people who sexually abuse children do not belong to the child's family
c.
Most of the time children are sexually abused when they are alone, at night, and outside their home
d.
Only girls are victims of sexual abuse
e.
Sexually abused boys are usually not homosexual
f.
Children from reputable families are not victims of sexual abuse
g.
Children who report being victims of sexual abuse are not necessarily placed in foster care following these revelations
h.
Few children are victims of sexual abuse
i.
Only young children are victims of sexual abuse
j.
Boys are not sexually abused
k.
A majority of sexual abuse perpetrators are retarded or mentally ill
l.
Even if one lets a year go by before talking about a sexual abuse situation, it is still possible to do something about it
m.
In sexual abuse cases, the child him/herself is never responsible
© Daniel S. Halpérin et al., Geneva, 1996
Disagree
I don't know Page 1
© Daniel S. Halpérin et al., Geneva, 1996
Q5:
Have your parents ever talked with you about child sexual abuse ? no yes
If they have, please answ er questions
5b to 5d:
Q 5b :