147. The Court has maintained that rape is an extremely traumatic experience that may have serious consequences and it causes great physical and psychological damage that leaves the victim “physically and emotionally humiliated,” situation difficult to overcome with time.204 This reveals that severe suffering of the victim is inherent to rape, even when there is no evidence of physical injuries or disease. Indeed, the aftereffects of rape do not always involve physical injuries or disease. Women victims of rape also experience severe trauma and psychological and social consequences.205 148. The Commission notes that the Guidelines on Justice in Matters involving Child Victims and Witnesses of Crime provide that States should offer assistance and support services, such as health, social, and educational services, physical and psychological recovery services, and such other services as may be necessary for the child’s rehabilitation.206 149. As analyzed earlier when looking at the manner in which the investigation was carried out, it was not demonstrated that V.R.P. received medical and psychological attention once the authorities learned of the facts. The Commission reiterates that the State itself recognized this situation. 150. The Commission considers that the lack of medical attention, added to the situation of impunity, aggravated V.R.P’s mental health. According to a medical report from 2005, V.R.P. “exhibits depression, anxiety and self-mutilating behavior.” In 2008, V.R.P. was hospitalized in order to receive treatment for post-traumatic depression. That lack of comprehensive attention was combined with the different forms of revictimization and the situation of impunity already established in this report and, as a result, the repercussions of both the rape and the inadequate response given by the State’s authorities were exacerbated. Thus, the Commission notes that instead of providing the urgent and appropriate response that was required by the nature of the case, the State pursued a criminal trial that was plagued with shortcomings and instances of revictimization, to which V.R.P. was subjected during a significant portion of her childhood. In addition, V.R.P. has had to witness the serious impact of these facts on her mother and on her family in general. 151. The IACHR also notes that the petitioners claim that V.R.P. had to abandon school because she “felt ashamed and feared being rejected by others.” The Commission further notes that the State did not challenge those claims. Neither did the State present any information on the steps taken for the reincorporation of V.R.P. into the school system. 152. Consequently, the Commission concludes that by failing provide the timely and comprehensive attention she required as a child victim of rape, the State allowed for the adverse effects on V.R.P’s personal integrity to worsen, in violation of Article 5.1 of the American Convention in connection with Article 1.1 of the same instrument, to her detriment. 153. With respect to V.P.C, the Commission observes that it can be deduced from her testimony that her personal integrity, and that of her children, was adversely affected. The IACHR emphasizes the many obstacles that Mrs. V.P.C. faced in her pursuit of justice. Furthermore, the Commissions notes that complaints were filed against Mrs. V.P.C. in May 2002 by two members of the jury that found Mr. Rodríguez innocent, and by the physician that participated in the first medical examination. 154. The IACHR emphasizes that, even though these complaints were closed, they seriously and adversely affected V.P.C. and her family. Furthermore, the Commission notes that due to the situation of impunity, Mrs. V.P.C. and two of her daughters, including V.R.P., decided to leave Nicaragua and request asylum in another country, where they currently reside. 204 Inter-American Court. Case of the Miguel Castro Castro Prison v. Peru. Merits, Reparations, and Costs. Judgment of November 25, 2006. Series C No. 160, par. 311. 205 Inter-American Court. Case of Rosendo Cantú and other v. Mexico. Preliminary Objections, Merits, Reparations, and Costs. Judgment of August 31, 2010. Series C No. 216, par. 114. 206 UN, Guidelines on Justice in Matters involving Child Victims and Witnesses of Crime, Guideline 20.