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Underserved survivors of sexual assault: a systematic scoping review
European Journal of Psychotraumatology ( IF 5.783 ) Pub Date : 2021-04-09 , DOI: 10.1080/20008198.2021.1895516
Maria Hardeberg Bach 1 , Nina Beck Hansen 1, 2 , Courtney Ahrens 3 , Cecilie Reendal Nielsen 1 , Catherine Walshe 4 , Maj Hansen 1
Affiliation  

ABSTRACT

Background: Despite knowledge about the extensive and often long-lasting consequences of sexual assault, many survivors remain underserved by formal support systems (e.g. medical, mental health and criminal justice systems). Reasons for underutilizing services are as diverse as the survivors themselves, and little is known about which survivors are most underserved and why they are underserved.

Objective: To help organize existing findings on this topic, a systematic scoping review was conducted to identify adult survivors of sexual assault, who may be particularly underserved when attempting to obtain services in Western countries.

Method: Five databases (PsycINFO, Embase, MEDLINE, Scopus and CINAHL) were systematically searched for studies published in English from 2000 onwards using terms such as ‘sexual assault’, ‘help seeking’, ‘formal support’, ‘barriers’ and variations thereof.

Results: A total of 41 studies were included in the present scoping review, resulting in seven main categories of underserved survivors: Ethnic and cultural minorities, Disabilities, Financial vulnerability, Sexual and gender minorities, Mental health conditions, Problematic substance use, and Older age. Barriers encountered by survivors with these characteristics included limited access to formal supports and insufficient training and awareness among service providers about how to best support survivors.

Conclusions: Recommendations include the need for more survivor-centred, culturally appropriate and trauma-informed services and more attention to survivors belonging to underserved groups in policy, practice and research.



中文翻译:

性侵犯的服务不足的幸存者:系统的范围界定审查

摘要

背景:尽管了解性侵犯的广泛且往往持久的后果,但许多幸存者仍然得不到正式支持系统(例如医疗、心理健康和刑事司法系统)的服务。服务利用不足的原因与幸存者本身一样多种多样,而且对于哪些幸存者服务最不足以及他们为何服务不足知之甚少。

目的:为了帮助整理关于该主题的现有调查结果,进行了系统的范围界定审查,以确定性侵犯的成年幸存者,他们在西方国家试图获得服务时可能特别缺乏服务。

方法:系统地搜索五个数据库(PsycINFO、Embase、MEDLINE、Scopus 和 CINAHL)从 2000 年起使用“性侵犯”、“寻求帮助”、“正式支持”、“障碍”和变体等术语以英文发表的研究其中。

结果:本次范围界定审查共纳入 41 项研究,导致服务不足的幸存者分为七大类:少数民族和文化、残疾、财务脆弱性、性和性别少数、心理健康状况、有问题的物质使用和老年人. 具有这些特征的幸存者遇到的障碍包括获得正式支持的机会有限,以及服务提供者对如何最好地支持幸存者的培训和意识不足。

结论:建议包括需要更多以幸存者为中心的、文化上适当的和创伤知情的服务,以及在政策、实践和研究中更多地关注属于服务不足群体的幸存者。

更新日期:2021-04-09
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