The current study followed women who participated in a sexual assault risk reduction program and a wait-list control group for 4 months. Those women in both groups who reported being revictimized (N = 147) were assessed to determine the effect of program participation on psychological distress. Intervention group participants reported a significant reduction in both psychological distress and posttraumatic stress disorder (PTSD) symptoms at follow-up relative to wait-list control participants, even after controlling for frequency of revictimization. Significantly fewer intervention participants met criteria for PTSD from Time 1 to Time 2. Hierarchical multiple regression analyses indicated frequency and severity of victimization and behavioral and characterological self-blame, and use of avoidance coping explained a significant amount of the variance in distress following revictimization. Implications for future research and risk reduction programs are discussed.