The aim of this study was to evaluate how the COVID-19 pandemic may have impacted the number and patterns of sexual assault victims within a German metropolitan city. A retrospective single center analysis of the gynecology examination reports of all women presenting to the emergency department of a university hospital after a sexual offense between 03/2013 and 02/2021 (n = 1167). Comparison of the first year of the pandemic 03/2000-03/2021) to previous years (03/2017-02/2020) and comparison of periods of government-imposed social distancing (03/12/2020-05/23/2020 and 10/23/2020-02/28/2021) with corresponding periods of pre-pandemic years. The overall number of sexual assault cases did not change during the first year of the COVID-19 pandemic. However, during the stay-at-home orders, the number of women presenting to the emergency department decreased by 38% (n=45 vs. 72). Fewer victims filed a police report during the pandemic (49.5% vs. 73.9%, p<0.001) and the lockdown period (50% vs. 76.5%, p<0.001). Less genital injuries after sexual assault were detected during the pandemic (14.3% vs. 25.2%, p<0.02), but there was an increase of illegal substance abuse (19.5% vs. 9.3%, p<0.003). During the stay-at-home orders fewer victims reported alcohol consumption (42.4% vs. 62.5 %, p<0.023). Despite the decrease in sexual offense related police reports, the number of sexual assault cases remained consistent, and the usage of illegal drugs increased during the COVID-19 pandemic. These findings represent the importance of providing support to sexual assault victims, as well as the implementation of preventative measures, especially in times of crisis.

本研究的目的是评估 COVID-19 大流行如何影响德国大都市内性侵犯受害者的数量和模式。对 2013 年 3 月至 2021 年 2 月期间发生性犯罪后到大学医院急诊科就诊的所有女性 (n = 1167) 的妇科检查报告进行回顾性单中心分析。大流行第一年（03/2000-03/2021）与往年（03/2017-02/2020）的比较以及政府实施的社会疏远时期的比较（03/12/2020-05/23/2020）以及10/23/2020-02/28/2021）以及大流行前年份的相应时期。在 COVID-19 大流行的第一年，性侵犯案件的总数没有变化。然而，在居家令期间，到急诊室就诊的女性人数减少了 38%（n=45 vs. 72）。在大流行期间（49.5% vs. 73.9%，p<0.001）和封锁期间（50% vs. 76.5%，p<0.001），向警方报案的受害者较少。疫情期间性侵犯后发现的生殖器损伤较少（14.3% vs. 25.2%，p<0.02），但非法药物滥用有所增加（19.5% vs. 9.3%，p<0.003）。在居家令期间，报告饮酒情况的受害者较少（42.4% vs. 62.5%，p<0.023）。尽管与性犯罪相关的警方报告有所减少，但性侵犯案件的数量仍然保持不变，并且在 COVID-19 大流行期间非法毒品的使用有所增加。这些调查结果表明了向性侵犯受害者提供支持以及实施预防措施的重要性，特别是在危机时期。