LGBTQIA+ Identity-Related Concerns of Sexual Assault Survivors Who Access an Anonymous Online Hotline.

LGBTQIA+ individuals experience higher rates of sexual violence victimization than their heterosexual, cisgender counterparts. Emerging research suggests unique barriers to disclosure and help-seeking in the aftermath of sexual assault, but relatively little work has examined LGBTQIA+ identity-related concerns discussed in a help-seeking context. This study examined anonymous, archival data, from a sample of 292 visitors to the National Sexual Assault Online Hotline. Analyses were limited to visitors who identified as the victim of a sexual violence event, disclosed they identified as LGTBQIA+, and discussed concerns related to their gender identity and/or sexual orientation. Open-ended responses from hotline staff revealed four overarching themes: (1) Identity-related blame and discrimination, (2) barriers to disclosure and/or help-seeking, (3) discussion of identity and/or behavior, and (4) When perpetrators are LGBTQIA+. Practitioners should be aware of the unique barriers LGBTQIA+ survivors face in disclosure and help-seeking and how their experiences may differ from heterosexual, cisgender survivors. Findings underscore the need for more affirming and accessible care for LGBTQIA+ survivors.