TY - JOUR
PY - 2023//
TI - Mental health of sexual assault victims and predictors of their use of support from in-house psychologists at Belgian sexual assault care centres
JO - European journal of psychotraumatology
A1 - Baert, Saar
A1 - Fomenko, Elizaveta
A1 - Machiels, Aurélie
A1 - Bicanic, Iva
A1 - Van Belle, Sara
A1 - Gemmel, Paul
A1 - Gilles, Christine
A1 - Roelens, Kristien
A1 - Keygnaert, Ines
SP - e2263312
EP - e2263312
VL - 14
IS - 2
N2 - BACKGROUND: Sexual assault (SA) can induce a negative impact on victims' mental health. Specialised SA services generally offer medical care and a forensic examination to SA victims. However, there is a large variation in how these services provide mental health support.
OBJECTIVE: This study aims to assess mental health problems of SA victims attending the Belgian Sexual Assault Care Centres (SACCs) and identify predictors for victims' use of support from in-house psychologists.
METHOD: Health records of victims ≥ 16 years who presented within one week post-SA to one of the three Belgian SACCs between 25 October 2017 and 31 October 2019 were reviewed. An AIC-based stepwise backward binary logistic regression was used to analyse the association between victim, assault, service use and mental health characteristics and follow-up by a SACC-psychologist.
RESULTS: Of the 555 victims, more than half had a history of mental health problems. Of those assessed, over 70% showed symptoms of posttraumatic stress disorder (PTSD), depression and/or anxiety disorder. One in two victims consulted a SACC-psychologist. Victims with a mental health history (OR 1.46, p = .04), victims accompanied by a support person during acute care (OR 1.51, p = .04), and victims who were assaulted by an acquaintance in comparison to those assaulted by a stranger (OR 1.60, p = .039) were more likely to attend their appointment with the SACC-psychologist.
CONCLUSION: The study reaffirms the high mental health burden among victims attending specialised SA services, stressing the need to provide effective mental health interventions at these services and improve their longer-term use by victims. Prescheduling of appointments with an in-house psychologist in combination with phone reminders may improve the uptake of such services. Health care providers must be vigilant about potential barriers faced by victims without a mental health history or social support in attending appointments with mental health professionals.
Language: en
LA - en SN - 2000-8198 UR - http://dx.doi.org/10.1080/20008066.2023.2263312 ID - ref1 ER -