Exposure to potentially traumatic events (PTEs) increases an individual's risk of suffering from psychiatric disorders. However, only a small proportion of individuals exposed to PTEs use health care services (HCS). Few studies have examined how exposure to different types of PTEs affect the odds an individual will suffer from a psychiatric disorder and access HCS. The present study aimed to examine the associations among lifetime exposure to sexual and nonsexual violence, psychiatric disorder presence, and utilization of HCS. Data were drawn from a large cross‐sectional survey (N = 19,958) representative of four regions of France. Lifetime occurrence of traumatic events, past‐year DSM‐IV Axis I psychiatric disorders, and past‐year use of HCS were assessed using the CIDI‐SF. Lifetime exposure to violence, particularly sexual violence, was associated with significantly higher odds of suffering from common psychiatric disorders in the past year, including major depression, aOR = 1.70, 95%CI [1.34, 2.17], which was present among 36.9% of participants who reported sexual violence exposure, 20.9% of those who reported exposure to nonsexual violence, and 7.1% of those exposed to neither. Compared to participants who were not exposed to sexual violence, victims of sexual violence were more likely to have contacted health care professionals due to a mental health problem and to have received psychotropic medication. However, a significant portion of individuals with psychiatric disorders did not report receiving potentially beneficial HCS. The present findings highlight the need to identify victims of violence and improve access to appropriate services for this population.

中文翻译：

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性和非性人际暴力、精神疾病和心理健康服务的使用

暴露于潜在的创伤性事件 (PTE) 会增加个人患精神疾病的风险。然而，只有一小部分暴露于 PTE 的人使用医疗保健服务 (HCS)。很少有研究调查暴露于不同类型的 PTE 如何影响个人患精神疾病和获得 HCS 的几率。本研究旨在检查终生暴露于性暴力和非性暴力、精神疾病的存在以及 HCS 的使用之间的关联。数据来自代表法国四个地区的大型横断面调查 ( N = 19,958)。创伤性事件发生的寿命，过去的一年DSM - IV使用 CIDI-SF 评估轴 I 精神疾病和过去一年 HCS 的使用情况。一生中接触暴力，特别是性暴力，与在过去的一年，从常见的精神障碍患者的显著较高的赔率，包括抑郁症，一个相关的OR= 1.70, 95% CI [1.34, 2.17]，36.9% 的报告暴露于性暴力的参与者、20.9% 的报告暴露于非性暴力的参与者以及 7.1% 的参与者都没有接触过。与没有接触过性暴力的参与者相比，性暴力的受害者更有可能因为心理健康问题联系过医疗保健专业人员并接受过精神药物治疗。然而，很大一部分患有精神障碍的人并未报告接受可能有益的 HCS。目前的调查结果强调需要确定暴力受害者并改善该人群获得适当服务的机会。