Where do those experiencing sexual violence seek help and is routine enquiry acceptable within a sexual healthcare setting? Findings from a population-based survey Original research

Objectives: Most sexual violence (SV) remains undisclosed to healthcare professionals. This study aimed to identify where support would be sought after SV and whether routine enquiry about SV was acceptable in a sexual healthcare setting. Design: An online population-based survey collected data on a history of SV and preferences on support after SV, in addition to sociodemographic data. Results: The police were the most frequent first choice for support after experiencing SV (n=520; 25.9%); however, this was less common in younger age groups and in those with a history of SV. For those reporting a history of SV, the first choice was Rape Crisis or a similar organization. The majority of respondents supported routine enquiry about SV during Sexual and Reproductive Health Service (SRHS) consultations (84.4%), although acceptability was significantly lower in older age groups. Conclusions: Greater awareness of the influence of sociodemographic factors is needed when planning services for SV survivors. A 'one-size-fits-all' approach is unlikely to be optimal. Routine enquiry about SV is highly acceptable in an SRHS setting and likely to improve disclosure when appropriately implemented.

Rachel J Caswell, James Hodson, Caroline Bradbury-Jones, Jonathan D C Ross