Study Objective: To determine whether differences exist between the acute presentations and post-assault needs of youth presenting to an emergency department (ED) following multiple perpetrator sexual assault (MPSA) compared with those presenting after single perpetrator sexual assault.
Methods: A retrospective cohort study of all female adolescents evaluated in an urban pediatric ED between 2014 and 2021 for acute sexual assault was conducted. Demographic characteristics and assault outcomes were assessed using bivariate analyses.
Results: Survivors of MPSA were not more likely than survivors of single perpetrator assaults to be diagnosed with an anal-genital injury or sexually transmitted infection but were more likely to re-present in the subsequent year for an emergent mental health concern (31% vs 11%, P = .001), including suicide attempt (6% vs 1%, P = .022).
Conclusion: The high rate of subsequent ED visits for mental health concerns among female adolescent survivors of MPSA highlights the need for providing specialized support to this population.
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http://dx.doi.org/10.1016/j.jpag.2022.06.003 | DOI Listing |
Prevention of sexual assault in intellectual disability (ID) begins with defining the problem. There are identified risk factors and barriers faced by adults with ID who experience sexual assault. Research shows that individuals with ID are victimized by sexual assault at rates substantially higher than the general population.
View Article and Find Full Text PDFFront Psychiatry
December 2024
Department of Psychiatry, Erasmus Medical Center, Rotterdam, Netherlands.
Introduction: Domestic violence and abuse (DVA) are prevalent among persons with severe mental illness (SMI), being involved as victim, perpetrator, or both.
Aims: To assess rates of DVA victimization and perpetration in patients with SMI. We also aimed to assess whether DVA victimization was associated with DVA perpetration, and whether this was mediated by dispositional anger in patients with SMI.
PLoS One
January 2025
Department of Psychiatry and Behavioral Sciences, McMaster University/St Joseph's Healthcare Hamilton, Hamilton, Ontario, Canada.
Background: Dual harm involves the unfortunate experience of harm to self and others/objects. Safeguarding individuals in forensic psychiatric settings against all forms of harm to self and others is sacrosanct. While understanding dual harm is crucial in the care and rehabilitation of patients in forensic psychiatric settings, only a few studies have explored this phenomenon.
View Article and Find Full Text PDFConfl Health
January 2025
Harvard TH Chan School of Public Health, 677 Huntington Avenue, Boston, MA, 02115, USA.
Background: Intimate partner violence (IPV) is the most common form of gender-based violence affecting women and girls worldwide and is exacerbated in humanitarian settings. There is evidence that neighborhood social processes influence IPV. Perceived neighborhood social cohesion (P-NSC)-a measure of community trust, attachment, safety, and reciprocity-may be protective against women's experience of and men's perpetration of IPV and controlling behaviors.
View Article and Find Full Text PDFForensic Sci Int Synerg
June 2025
Department of Forensic Medicine, Faculty of Medicine, Chulalongkorn University, Bangkok, Thailand.
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