Although sexual assault is associated with significant negative psychological health outcomes, few survivors seek support from formal providers. This study explored the barriers to accessing and benefitting from services for sexual assault, as disclosed in narrative posts on social media, using qualitative methodology. Of the 1,179 narratives posted to the subreddit‘r/rapecounseling’ that were reviewed, 81 data extracts from 52 women were included in this study based on predefined inclusion/exclusion criteria. Six themes were identified that prevented survivors from accessing or benefitting from help. Internal barriers included feeling overwhelmed and avoidance-based coping. External barriers included availability of services, suitability of services, and therapist-caused harms. Stigma was the only barrier that was experienced both internally and externally. These findings suggest a need for more supportive mental health services.

中文翻译：

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在线寻求性侵害幸存者话语的探索。

尽管性攻击与严重的负面心理健康结果相关，但很少有幸存者寻求正式提供者的支持。这项研究使用定性方法探讨了性侵犯服务获得和受益的障碍，正如社交媒体叙事文章所披露的那样。在审查过的1179条叙述中，根据预先确定的纳入/排除标准，从52名女性中提取了81个数据摘录。确定了六个主题，使幸存者无法获得帮助或无法从中受益。内部障碍包括不知所措和基于回避的应对。外部障碍包括服务的可用性，服务的适用性以及治疗师造成的危害。污名是内部和外部经历的唯一障碍。这些发现表明需要更多的支持性精神卫生服务。