TY - JOUR PY - 2022// TI - Sexual abuse and mental ill health in boys and men: what we do and don't know JO - BJPsych open A1 - Rice, Simon M. A1 - Easton, Scott D. A1 - Seidler, Zac E. A1 - Oliffe, John L. SP - e110 EP - e110 VL - 8 IS - 4 N2 - The spectrum of adverse mental health trajectories caused by sexual abuse, broadly defined as exposure to rape and unwanted physical sexual contact, is well-known. Few studies have systematically appraised the epidemiology and impact of sexual abuse among boys and men. New meta-analytic insights (k = 44; n = 45 172) reported by Zarchev and colleagues challenge assumptions that men experiencing mental ill health rarely report sexual abuse exposure. Adult-onset sexual abuse rates of 1-7% are observed in the general population, but for men experiencing mental ill health, adult lifetime prevalence was 14.1% (95% CI 7.3-22.4%), with past-year exposure 5.3% (95% CI 1.6-12.8%). We note that these rates are certainly underestimates, as childhood sexual abuse exposures were excluded. Boys and men with a sexual abuse history experience substantial disclosure and treatment barriers. We draw attention to population health gains that could be achieved via implementation of gender-sensitive assessment and intervention approaches for this at-risk population.

Language: en

LA - en SN - 2056-4724 UR - http://dx.doi.org/10.1192/bjo.2022.508 ID - ref1 ER -