Adult Sexual Assault Research Articles

Romantic Functioning in the Aftermath of Adult Sexual Assault: A Scoping Review.

This scoping review investigates the influence of Adult Sexual Assault (ASA) on romantic functioning through an analysis of 16 studies. Four databases were searched (Google Scholar, PsycINFO, Taylor & Francis Online, and ProQuest) in June 2023 for relevant published and grey literature. Emphasis was placed on conducting analyses solely among individuals who had experienced ASA, defined in this context as non-consensual sexual contact occurring at or after the age of 18 years. The review highlighted several factors explored in existing literature, encompassing relationship satisfaction, sexual functioning, partner effects, risk assessment, and protective factors. Results yielded mixed findings on the effects of ASA on relationships and sexual functioning. Insights from the partners of individuals who have experienced ASA illuminate emotional repercussions and communication disruptions, highlighting the intricate relationship dynamics affected by ASA within romantic relationships. Moreover, the review identifies protective factors, such as enhanced relationship communication and partner support, potentially mitigating adverse romantic outcomes. The review also revealed shortcomings in the existing literature, including sparse research on ASA, limited demographic representation, and inadequate control between adult and child sexual assault. These insights inform evidence-based interventions, policy development, and future research directions, highlighting the need for tailored approaches to address ASA's multifaceted impact on survivors' romantic well-being.

Predictors of Trauma-Related Self-Blame in Male Survivors of Sexual Violence

ABSTRACT Survivors of adult sexual assault and child sexual abuse – together encompassing sexual violence (SV) – experience a number of adverse consequences. High rates of self-blame can lead to increased symptomatology and treatment resistance. There has been a paucity of studies of men who have experienced SV, particularly about self-blame. For this study, 179 cisgender male survivors of SV completed an online survey to explore the relationships among 10 variables, including trauma-related self-blame, rape myth acceptance, tonic immobility, disclosure experiences, sexual arousal, and substance use. Multiple regression analyses and t-tests were used to test the study hypotheses. Results indicate that 93% of the sample reported some level of self-blame. However, only rape myth acceptance was strongly associated with self-blame. Additionally, participants who used substances within 12 hours prior to their SV had higher rates of self-blame, as did participants who had not previously disclosed their abuse. Exploratory analyses also found a significant difference in self-blame between those who experienced SV in childhood and adulthood versus those who only experienced SV in either childhood or adulthood. The findings of this research highlight the high rates of self-blame and how imperative it is to provide psychoeducation about the variables discussed in this study and to normalize these experiences, especially for less well-known phenomena such as physiological sexual arousal and TI.

Using Restorative Justice to Respond to and Prevent Sexual Harm: A Qualitative Study of Formal Practices in Six Countries.

Sexual violence (SV), which causes sexual harm, is a significant public health issue globally. In many nations, conventional legal remedies are the prevailing responses to SV. Restorative justice (RJ) shows promise as a potential alternative way to address sexual harm, given evidence that RJ better aligns with expressed needs and safety concerns of those directly impacted by SV. However, few empirical studies exist concerning best practices for and the effectiveness of using RJ for this purpose. This study helped address this research gap by conducting in-depth interviews to understand how organizations choose to use RJ to address sexual harm; how RJ is being operationalized to address sexual harm; how those involved in offering RJ to address sexual harm define success or positive outcomes; and factors that present challenges for or contribute to the success of RJ processes addressing sexual harm. We conducted 24 semi-structured key informant interviews with RJ practitioners and researchers in six countries. Interviews were transcribed verbatim and emergent themes were identified through a rigorous, iterative coding process. Informants discussed using formal RJ practices with a subset of sexual harm cases, typically instances of adult sexual assault or to resolve sexual harm adults experienced as children. These responses generally adhered to this sequence: referral, assessing appropriateness for participation, preparing participants, and conducting the process. Informants shared anecdotal examples of RJ benefits and measurable indicators of program success like participant satisfaction, increased coping skills, and signs that harm will not recur, although, most were not formally evaluating their programs. Challenges included limited resources, unsupportive RJ-related beliefs, and COVID-19. Factors that aid success include funding, partnerships, and positive RJ-related views. Study findings underscore the need for more research on using RJ to address sexual harm with exploration of best practices for delivering such services to diverse communities.

CHILDHOOD SEXUAL ABUSE IMPACT ON ADULTHOOD

Introduction – Child sexual abuse (CSA) occurs when a kid or younger person is forced or persuaded to engage in sexual activity, whether the child is conscious of what is taking place. According to global databases, in one-third of countries in the world, at least 5% of young women reported experiences of sexual abuse in childhood. Mental health issues, behavioral manifestations, and interpersonal outcomes are a few impacts of CSA. This study aims to discuss the CSA's impact on adulthood. Methods – The researcher used a total of 13 works of literature, articles, and journals that discuss CSA and its correlation with some mental health issues impact on an adult. Results – Adults with a history of CSA are more likely to suffer from early onset depression, borderline personality disorder, and suicidal tendencies than someone without a history, that is why emotional support seems very important to the CSA survivors. Discuss – As children are sexually abused, it may lead to a variety of difficulties with relationships in general, as well as a host of poor intimate relationship consequences such as adult sexual assault, intimate partner violence, and reduced happiness in romantic relationships. Conclusion – Childhood sexual abuse is still a major problem among children and has several psychological impacts on adulthood, and emotional support is one of the great therapies. Keywords: childhood, sexual, abuse.

Childhood Sexual Abuse & Sexual Revictimization Among Sexual Minority Men

ABSTRACT Sexual minority (SM) men’s sexual revictimization (SR; i.e. experiences of adult victimization among childhood sexual abuse survivors) is an understudied topic despite evidence that SM men are disproportionately impacted by sexual violence (SV) over the life course. This study addresses this gap utilizing a diverse sample (n = 2859) of SM men (age 18–30) from the U.S. Results demonstrated that over 10% of SM men had experienced SR. Further, strength-based (e.g. sense of LGBTQIA2S+ community) and minority-stress (e.g. internalized homonegativity) related factors were examined as moderators of the relationship between child sexual abuse (CSA) and adult sexual assault victimization (ASAV) in the past six months. One factor emerged as a significant moderator of the CSA-ASAV relationship: perceived discrimination. Practice-based implications are provided.

Domestic, family and sexual violence polyvictimisation and health experiences of Australian nurses, midwives and carers: a cross-sectional study

BackgroundDomestic, family and sexual violence is a prevalent health and social issue. Nurses may be exposed to higher rates of this violence in their personal lives compared to the community, but little is known about their polyvictimisation experiences or health and well-being impacts.MethodsAn online descriptive, cross-sectional survey of women nurses, midwives and carer members of the Australian Nursing and Midwifery Federation (ANMF) (Victorian Branch) (response rate: 15.2% of nurses sent an invitation email/28.4% opened the email). Violence survey measures included: intimate partner violence (Composite Abuse Scale); child abuse and sexual violence (Australian Bureau of Statistics Personal Safety Survey items). Health measures included: Short Form-12; Fast Alcohol Screening Test; Patient Health Questionnaire-4; Short Screening for DSM-IV Posttraumatic Stress Disorder; well-being measures included: Connor-Davidson Resilience Scale, social support, and financial stress. Proportions were used to describe the prevalence of violence by sociodemographic characteristics and health and well-being issues; logistic regression predicted the odds of experiencing overlapping types of violence and of experiencing health and well-being outcomes.Results5,982 participants (from a parent study of 10,674 nurses, midwives and carers) had experienced at least one type of lifetime violence; half (50.1%) had experienced two or three types (polyvictimisation). Survivors of child abuse were three times more likely to experience both intimate partner violence and non-partner adult sexual assault. Any violence was associated with poorer health and well-being, and the proportion of affected participants increased as the types of violence they had experienced increased. Violence in the last 12-months was associated with the poorest health and well-being.ConclusionsFindings suggest a cumulative, temporal and injurious life course effect of domestic, family and sexual violence. The polyvictimisation experiences and health and well-being associations reported by survivor nurses, midwives and carers underscores the need for more accessible and effective workplace interventions to prevent and mitigate psychosocial ill health, especially in the recent aftermath of violence.

Suicidal thoughts among young bisexual women: Sexual violence, minority stress, and interpersonal factors.

The present study tested a model of suicidal thoughts among bisexual women focusing on sexual violence, bisexual minority stress, and risk factors for suicide identified within the interpersonal theory of suicide (i.e., perceived burdensomeness and thwarted belongingness). The model was tested using cross-sectional, baseline data and longitudinally using 3- and 6-month follow-up assessments in a sample of bisexual women (N = 393, 98.3% cisgender, ages 18-35). Using structural equation modeling, we tested a serial mediation model predicting recent suicidal thoughts related to sexual violence and antibisexual stigma via internalized binegativity and expectations of rejection and subsequent perceived burdensomeness and thwarted belongingness. Findings suggest that bisexual minority stress and child/adolescent sexual abuse relate to suicidal thoughts among bisexual women. In the cross-sectional model, the hypothesized serial links between antibisexual stigma and concurrent suicidal thoughts via expectations of rejection and internalized binegativity and subsequent perceived burdensomeness were significant. These paths were not significant in prospective analyses. Child/adolescent sexual abuse (but not adult sexual assault) related to suicidal thoughts via perceived burdensomeness; these paths were not significant in prospective analyses. It appears important to address both universal (i.e., perceived burdensomeness) and group-specific (i.e., expectations of rejection and internalized binegativity) mechanisms of risk in suicide prevention efforts with young bisexual women. (PsycInfo Database Record (c) 2024 APA, all rights reserved).

Latent profiles of social reactions to sexual assault disclosure among bisexual women.

Bisexual women experience higher rates of sexual assault (SA) and posttrauma distress compared to monosexual women. We examined the patterns of reactions to SA disclosure (positive and two types of negative) and bisexual minority stress (antibisexual stigma from heterosexual and lesbian/gay people, internalized binegativity) experienced by young bisexual women who experienced adult SA. We also examined differences in assault-related experiences, posttraumatic stress disorder and depression symptoms, and hazardous drinking based on the identified patterns. The current sample was drawn from two parent samples of women and included survivors who had disclosed an adult SA: (a) n = 149 bisexual women (98% cisgender, ages 18-35, 87.9% White) recruited via Amazon's Mechanical Turk and (b) n = 81 cisgender bisexual women (ages 18-25, 84% White) recruited via online ads. Latent profile analyses and analyses of variance were conducted. Analyses identified four latent profiles characterized by: (a) low stigmatizing responses, (b) high negative SA disclosure reactions, (c) high antibisexual stigma, and (d) highest stigmatizing responses. The fourth profile had higher posttraumatic stress disorder and depression symptoms and hazardous drinking compared to the other profiles. Results suggest women in the profile characterized by highest negative reactions to SA disclosure and highest bisexual minority stress (antibisexual stigma and internalized binegativity) may experience greatest distress postassault. Results highlight the importance for researchers, policymakers, and clinicians to consider and address both SA-related and identity-related stigma among bisexual survivors. (PsycInfo Database Record (c) 2024 APA, all rights reserved).

Latent Profiles of Co-occurring Sexual Problems and Posttraumatic Stress Symptoms Among Young Women Exposed to Sexual Violence.

Sexual dysfunctions (SDs) have been noted to occur following exposure to sexual violence although how these conditions covary with other mental health conditions, particularly posttraumatic stress disorder symptoms (PTSS), is relatively understudied. The current study examined patterns of co-occurring SDs and PTSS in a sample of 328 college-aged, female-identified survivors of adolescent/early adulthood sexual assault (ASA). Latent profile analysis was used to examine patterns of symptom endorsement of various types of SDs and PTSS at the symptom cluster level. Four profiles were identified: asymptomatic (41.2% of sample), sexually distressed + intrusions (24.7%), co-occurring (21%), and PTSS (13.1%). Profiles were compared to one another on various characteristics of sexual assault and social reactions from others following assault disclosure. Results indicated that those in the co-occurring symptom and PTSS profiles reported more severe ASA and more unsupportive social responses relative to the sexually distressed + intrusions and asymptomatic profiles. The asymptomatic profile was significantly less likely to have experienced rape relative to the other three profiles and was less likely to report instances where a close other treated them in a negative manner following assault disclosure. Results are discussed in light of mental health needs for young women who have experienced ASA, with implications discussed for future research and clinical services for university students.

Trauma exposure across the lifespan among individuals engaged in treatment with medication for opioid use disorder: differences by gender, PTSD status, and chronic pain

BackgroundThere is little study of lifetime trauma exposure among individuals engaged in medication treatment for opioid use disorder (MOUD). A multisite study provided the opportunity to examine the prevalence of lifetime trauma and differences by gender, PTSD status, and chronic pain.MethodsA cross-sectional study examined baseline data from participants (N = 303) enrolled in a randomized controlled trial of a mind–body intervention as an adjunct to MOUD. All participants were stabilized on MOUD. Measures included the Trauma Life Events Questionnaire (TLEQ), the Brief Pain Inventory (BPI), and the Posttraumatic Stress Disorder Checklist (PCL-5). Analyses involved descriptive statistics, independent sample t-tests, and linear and logistic regression.ResultsParticipants were self-identified as women (n = 157), men (n = 144), and non-binary (n = 2). Fifty-seven percent (n = 172) self-reported chronic pain, and 41% (n = 124) scored above the screening cut-off for PTSD. Women reported significantly more intimate partner violence (85%) vs 73%) and adult sexual assault (57% vs 13%), while men reported more physical assault (81% vs 61%) and witnessing trauma (66% vs 48%). Men and women experienced substantial childhood physical abuse, witnessed intimate partner violence as children, and reported an equivalent exposure to accidents as adults. The number of traumatic events predicted PTSD symptom severity and PTSD diagnostic status. Participants with chronic pain, compared to those without chronic pain, had significantly more traumatic events in childhood (85% vs 75%).ConclusionThe study found a high prevalence of lifetime trauma among people in MOUD. Results highlight the need for comprehensive assessment and mental health services to address trauma among those in MOUD treatment.Trial registrationNCT04082637.

준거기반내용분석(CBCA)의 변별력

Criteria-Based Content Analysis (CBCA) is part of Statement Validity Analysis (SVA), a process that checks for the presence of 19 criteria that are known to be frequently found in the statements of truth-tellers. This study examined how well CBCA scores predict trial outcomes (guilty or not guilty) and which conventions are associated with higher conviction rates in order to validate the analysis of adult sexual assault victim statements. The results showed that the CBCA total score was not a reliable predictor of guilt or innocence. Next, we examined the truth discriminatory power of CBCA subcategories: logical structure and superfluous details were significantly higher in the guilty group and self-deprecation was significantly higher in the innocent group. The logical structure of the statement was found to be of significant value in assessing credibility, while the other cues were found to be of varying value depending on the characteristics and psychological state of the individual interviewee and the nature of the case, and thus need to be judged in a case-specific manner. These findings suggest that CBCA is a useful tool for analyzing adult sexual assault victim statements, but it is only valuable when used as part of an SVA and cannot be used as a stand-alone authenticity tool.

Social Reactions to Disclosures of Multiple-Perpetrator Sexual Assault: Do Number of Offenders Matter?

Sexual assault (SA) victimization is a prevalent issue both in the U.S. and globally. Although SA victimization is usually perpetrated by a single-perpetrator, multiple-perpetrator sexual assaults (MPSAs) also occur. Unfortunately, there is less literature concerning MPSAs, including the well-being of survivors' post-assault. One factor that has been shown to be important in the well-being of SA survivors' post-assault are the social reactions survivors receive from others following disclosure. The current study sought to compare social reactions received by MPSA survivors to the social reactions received by single-perpetrator sexual assault (SPSA) survivors in a community sample of adult female SA survivors (N = 1,863). We examined "turning against" (TA) reactions, a type of negative social reaction in which the supporter expresses more overtly distressing reactions that focus blame on the victim. We also examined unsupportive acknowledgment reactions (UA) the second type of negative reaction in which survivors receive acknowledgment that the assault occurred but are not supported. Additionally, we examined differences in positive reactions that survivors received from their support systems. One-way Analysis of Variance showed statistically significant differences in social reactions to disclosure according to number of offenders in the SA, with MPSA survivors receiving more TA and UA negative reactions than SPSA survivors. There were no differences in positive reactions by number of offenders. Multiple regression analyses also revealed that several demographics, assault characteristics, and post-assault factors (total Post-Traumatic Stress Disorder (PTSD) symptoms, coping, attributions of self-blame) were related to the social reactions received by MPSA survivors post-assault. Implications and recommendations for support providers are discussed.

Analyzing an archive of allyish distributed mentorship in "Speak" fan fiction comments and reviews

Young adult sexual assault narrative Speak (1999), by Laurie Halse Anderson, has inspired a small yet significant fandom, especially across two key platforms: Archive of Our Own (AO3) and FanFiction.net (FFN). The responses to fan fiction inspired by Speak demonstrate compelling discourses—celebratory, critical, vulnerable, and pedagogic—that also show evidence of significant allyish distributed mentorship in the Speak fandom archive. These comments and reviews demonstrate how digital spaces can be generative sites for feminist consciousness building around the topic of sexual trauma and rape culture, precisely because Speak fans produce, rewrite, and connect testimonies, both real and fictive.

Le Centre Régional de Psychotraumatisme Paris Centre et Sud : quel profil psychotraumatique pour les victimes appelant sa plateforme téléphonique ?

ContextPsychotrauma is a public health issue. Prior to 1995 in France, support for victims of psychotrauma was mainly provided by associations. Following the terrorist bombing in the Paris metro at the Saint-Michel station on 25 July 1995, a new emergency care unit, the Cellule d’Urgence Médico-Psychologique (CUMP), was created. Its main mission is to provide immediate and post-traumatic event care to victims of disasters or events involving a large number of victims and likely to result in significant psychological repercussions. Following the 2015 attacks in Paris and Saint-Denis, the creation of the National Resource and Resilience Center and the Regional Psychotrauma Centers in 2018, represented a major step forward in the field of victim care and resilience. The Regional Psychotrauma Center for Central and Southern Paris (CRPPCS), which covers an area that consists of several departments (including Paris and the south of the Île-de-France region), is organized on a model of the federation of several care and associative structures. The originality of the CRPPCS system lies in the establishment of a call center, assessment, and referral platform. Three state-certified nurses trained in psychotraumatology engage callers in a semi-structured interview, explaining the course and purpose of the interview; noting the reason for the call, then evaluating any psychotraumatic symptoms according to a grid inspired by the Posttraumatic Stress Disorder Checklist version DSM-5. They also evaluate potential comorbidities (associated depression, addictions, suicidal behaviors, somatoform disorders, etc.). The callers’ psychiatric and addictological history are explored. ObjectivesThe aim of this study is to establish the profiles of callers, studying the different types of trauma, addictive comorbidity, treatment approaches and demographic data. Materials and methodsThis is a descriptive and retrospective observational study that was carried out from September 2020 to the end of June 2021. Our sample comprised 502 people, 75% of whom were women, 70% of whom were aged between 25 and 60, and the majority of whom were from the Île-de-France region (98%). ResultsPsychotrauma was diagnosed in 411 out of the 502 individuals. The main causes of trauma, in descending order of importance, were: domestic violence (32%), rape, physical assault, psychological assault, sexual assault other than rape, traumatic bereavement, confrontation with death, traffic accidents, verbal aggression/psychological violence/harassment at work, fire/explosion, traumatic migration path, assistance provided to a loved one in danger, and serious medical problems. For 24% of the sample, a previous history of traumatic events was reported. Among, these callers, 289 were redirected to a specialized structure for further treatment, and 20% of them also had an addictive comorbidity. Of the 52 people with a substance use disorder, 20 % reported a sexual assault as a child, 31% had been the victim of a rape, 26% of a sexual assault in adulthood and 43% of a traumatic migration journey. Of the 289 calls involving psychotrauma in the network, the distribution between the different subtypes was as follows: 137 people experienced a simple psychotrauma (47%) and 152 people were suffering from a complex psychotrauma (52%). ConclusionThe high prevalence of psychotrauma as well as the medical and social cost of its chronicity and associated frequent comorbidities illustrate the urgency to act in order to establish coherent public health strategies. The CRPPCS telephone platform provides direct access to specially trained staff. It contributes to an improvement in mental health by identifying disorders at an early stage and by referring patients for appropriate specialized care for psychotrauma and associated comorbidities. Our study highlights the significant addictive comorbidity associated with PTSD, which is often secondary to the onset of PTSD, as well as the risk of developing complex trauma if early treatment is not provided. These conclusions stress the need for simultaneous joint care of both the psychotrauma and the comorbidity of addiction.

Child sexual abuse versus adult sexual assault: A review of psychological and neurobiological sequelae.

Sexual trauma (ST) occurs with alarming frequency in the United States (U.S.) in the form of both childhood sexual abuse (CSA) and adulthood sexual assault (ASA). It is well-established that the effects of ST are pervasive, and that ST can be a risk factor for the development of several psychiatric disorders. However, the potential for distinct psychological consequences or neural correlates between CSA and ASA has received little attention. Furthermore, despite the high prevalence of sexual revictimization, the combinatorial effects of CSA and ASA are understudied in comparison to each form of ST on its own. In the current review, we present results from both clinical psychology and neuroscience research on the impacts of CSA and ASA, describing major psychological, biopsychosocial, and neuroimaging findings for each form of ST. We further highlight limitations in the current state of the research and needed areas of future research to better understand the distinct, overlapping, and cumulative effects of ST in both childhood and adulthood. The present study summarizes the state of the literature on this critical form of trauma and provides recommendations for future clinical research practices to mitigate the deleterious outcomes of ST.

Impact of Self-Blame and Social Reactions on Adult Sexual Assault Sequelae

This study examined the effects of self-blame attribution and social response after disclosure of sexual assault on the adult female victims’ trauma symptoms. The author applied a sequential explanatory mixed method and quantitatively analyzed the data from 81 women and subsequently conducted in-depth interviews with 10 women who experienced sexual assault in their adulthood. In the final stage, we integrated the two phases and interpreted how self-blame, family reactions, response from institutions, and rape myths affect the sequelae of the victims of sexual assault. This study provides a comprehensive understanding of the relationship and impact of individual and social contextual factors of sexual assault sequelae.

A Systematic Review of Evidence-Based Treatments for Adolescent and Adult Sexual Assault Victims.

Sexual assault (SA) is a serious crime that is a prevalent mental and public health problem. Addressing the needs of SA victims and providing appropriate treatment are essential to reduce potential adverse short- and long-term outcomes. Our team undertook an extensive systematic literature review (published between January 2006 and July 2021) to provide evidence-based mental health intervention recommendations for adolescent and adult victims of SA. Where SA-specific research was limited, the literature and clinical practice guidelines on treatments for trauma-induced post-traumatic stress disorder (PTSD) were reviewed to provide additional information to formulate recommendations. Findings strongly support several primary psychotherapy treatments: cognitive behavioral therapy, cognitive processing therapy, eye movement desensitization and reprocessing, narrative exposure therapy, and prolonged exposure therapy. Complementary (aerobic exercise, art, drama, and music therapy) and pharmacological treatments were explored. Mental health nurses who provide services for victims of SA can utilize this overview to guide recommendations for treatment of SA trauma and related PTSD symptoms to mitigate the short- and long-term negative impacts after a traumatic event. When victims of SA receive optimal mental health treatments, our communities benefit as victims heal and recover.

A case–control study of filicide/infanticide in 90 mothers

AbstractThis study aims to explore the clinical and socio-demographic characteristics of 30 women who committed filicide and compare them to those of 60 postpartum women who did not commit filicide, including 30 with severe postpartum mental illness and 30 without a known history of psychiatric disorders. Clinical assessment included a face-to-face interview with the Structured Clinical Interviews for DSM-IV Axis I and Axis II Disorders. Information on socio-economic, medical, and personal factors was collected using the Clinical Interview for DSM-IV and organized in a clinical vignette and OPCRIT ratings. Consensus best-estimate diagnoses were made according to DSM-V criteria. Inference was conducted using Fisher’s exact test for categorical variables and Mann–Whitney U rank test for continuous variables. Family history of violent death, psychotic symptoms (OR 8.3; CI 95% 2.26–36.13), severe insomnia (9.8; 2.28–61.75), and a schizophrenia spectrum or bipolar diathesis (4.8; 1.22–23.86) were associated with history of filicide. Rates of history of sexual abuse in childhood were higher in both the filicide and the severe postpartum mental illness groups compared to healthy controls (6.7; 1.25–70.46 and 7.8; 1.47; 80.47 respectively). Conversely, we did not observe any difference in the rates of history of sexual abuse in adulthood across groups. The lack of adequate postpartum psychiatric care was an important precipitating factor in many cases of infanticide and even late filicide. This study underscores the need for increasing awareness by health care professionals and the wider society of the complex dynamics and psychiatric risks associated with motherhood.

Police-recorded adult sexual assault in the Northern Territory, Australia: Alcohol involvement and alcohol policy effects.

Between 2017 and 2018 three major alcohol policy changes were introduced in the Northern Territory (NT): the Banned Drinker Register, an individual-level ban enforced via ID scanners at takeaway outlets; a Minimum Unit Price on alcohol; and Police Auxiliary Liquor Inspectors, who monitor takeaway outlets to prevent purchase by people who do not have a legal place to consume alcohol. We aimed to: (i) describe alcohol-involved adult sexual assault in the NT; and (ii) estimate the impacts of these alcohol policies on police-recorded adult sexual assault. We used victim records for sexual assault where victims were aged 15 years and over. We undertook descriptive analyses for the NT from 2014 to 2020 and used interrupted time series analysis to assess policy impacts across the NT and in Greater Darwin. In 2020, the NT adult victimisation rate was 105 per 100,000. A large minority (40%) of adult sexual assaults involved alcohol. Interrupted time series analyses showed no effect of the Banned Drinker Register or Minimum Unit Price on sexual assault across the NT or in Greater Darwin. The rate of adult sexual assaults in the NT is extremely high and many involve alcohol. Neither the Banned Drinker Register or Minimum Unit Price were associated with changes in police-recorded adult sexual assault in Greater Darwin or across the NT. Due to small counts, we were unable to assess policy impacts in three of the four main towns, highlighting the challenges of assessing impacts of policies on sexual assault in small population areas.

Sexual Objectification Racial Microaggressions Amplify the Positive Relation Between Sexual Assault and Posttraumatic Stress Among Black Women

Black women report higher rates of adult sexual assault (ASA) and sexual objectification compared to White women. Sexual objectification serves as a reminder that Black women's bodies are viewed as sexual objects based on racist/sexist ideologies, though trauma research rarely includes race-specific stressors. In this study, we examined sexual objectification racial microaggressions as a moderator of the relation between ASA severity and posttraumatic stress disorder (PTSD) symptoms among Black women. Data were collected from 129 Black college and community women ( Mage = 33.84). ASA severity was associated with greater overall PTSD symptoms and symptom clusters. The interaction between ASA severity and sexual objectification microaggressions was associated with greater PTSD symptoms and the PTSD symptom cluster, negative alterations in cognition and mood. ASA severity was associated with PTSD at mean and high sexual objectification racial microaggressions but not low levels. Associations with other PTSD symptom clusters were not significant. Findings suggest sexual objectification racial microaggressions amplify the positive relation between ASA and PTSD symptoms, specifically symptoms related to cognition and mood. It is essential that clinicians assess for race-specific stressors during trauma interventions to help reduce mental health disparities. Post-assault interventions should be tailored with multiculturally sensitive practices to address the ways racial discrimination can exacerbate trauma symptoms.