Study Objective: To compare characteristics of patients with confirmatory evidence (eg, disclosure, found by law enforcement) of domestic minor sex trafficking (DMST) involvement with those without confirmatory evidence but who were suspected of involvement. Design: A retrospective chart review was conducted of all patients referred for DMST involvement. Confirmed DMST patients were compared with suspected patients with regard to demographic, psychosocial, medical, and psychiatric variables. Setting: A child protection program at a children's hospital where patients are evaluated by child abuse pediatricians in outpatient, emergency department, and inpatient settings. Participants: Patients 11-17 years old referred for concern of DMST involvement between August 1, 2013 and July 1, 2016 were included. Patients self-disclosed, had reported with evidence, and/or had histories that placed them at high risk for DMST involvement. Interventions and Main Outcome Measures: We collected data on demographic, psychosocial, medical, and psychiatric variables from the medical records of patients referred for evaluation. Results: A total of 67 patients were included. No statistically significant differences were identified between the confirmed and suspected groups. Conclusion: Our preliminary data showed that confirmed and suspected patients presented with similar and high rates of concerning medical and psychosocial issues; therefore, medical providers should evaluate and treat all patients referred for DMST. Similar treatment includes referrals for psychological/substance abuse interventions, safety planning, and collaboration with a multidisciplinary team. © 2019 North American Society for Pediatric and Adolescent Gynecology

DMST Domestic minor sex trafficking Victim Sexual abuse Suspected

medical record review pediatrician hospital patient human controlled study substance abuse outpatient emergency ward multidisciplinary team child protection sex trafficking preliminary data Adolescent male female clinical evaluation victim sexual abuse Article major clinical study Child Abuse outcome assessment retrospective study Child