Search Results (209)

Background: Sexual Assault Care Centres (SACCs) in Belgium provide integrated medical and psychological care, a forensic examination and the option to report to the police to victims of sexual assault (SA). Understanding victims’ acceptability of these services is essential for improving SACC’s effectiveness and informing policy. Methods: In-depth interviews were conducted with 19 victims and 14 support persons to explore victims’ experiences with SACCs. The victims represented diverse characteristics (gender, age, SACC site and police reporting status). Data were analysed using thematic framework analysis, guided by Sekhon’s “Theoretical Framework of Acceptability”. Results: Participants viewed SACCs as a highly acceptable integrated model of specialised care for victims of recent SA. They expressed strong appreciation for the care provided at the SACC and its set-up (affective attitude), and they identified key professional qualities of SACC professionals (ethicality). Participants demonstrated good understanding of the functioning of the SACCs (intervention coherence). The model was perceived as effective in providing medical care, mental health support, and facilitating police reporting, though gaps were noted in linking victims with other actors in the criminal justice system (perceived effectiveness). Organisational strengths included the holistic, long-term, proactive, affordable and accessible nature of the care offered (perceived effectiveness, burden and opportunity cost). Victims faced challenges in linking to, engaging with and remaining in care due to distress post-SA, with support persons playing a crucial role in helping them navigate these challenges (self-efficacy). Conclusions: The study highlights the acceptability of an integrated, multidisciplinary approach to specialised SA care. Key elements include embedded psychological support, the option for forensic examination without mandatory reporting, and the possibility of police reporting at the SACC. These findings may inform the development of specialised SA services in other settings. Full article

Background/Objectives: Forensic DNA analysis is a key investigative resource in sexual-violence casework, but its recorded use depends on how cases move through clinical, custody, judicial, and laboratory pathways. In Italy, this transition is organizationally heterogeneous and poorly documented through linkable procedural data. This study aimed to describe archive-based trends in archived cases, documented judicial seizures, and recorded forensic DNA analyses within a Milan-based clinical-forensic custody pathway from 2016 to 2024. Methods: A retrospective, archive-based observational study was conducted using records from the institutional UNIMI forensic custody observatory linked to the SVSeD pathway. The primary dataset included annual counts of archived sexual-violence-related cases, cases with documented judicial seizure of biological evidence, and cases with recorded forensic DNA analysis. For contextual interpretation, aggregate centre-level indicators, namely total sexual-violence cases and ex officio reports, were also reviewed as non-linkable background data. Only descriptive analyses were performed, and no causal inference was attempted. Results: Over the study period, the archive recorded 2311 cases, 102 cases with documented judicial seizure of biological evidence, and 142 cases with recorded forensic DNA analysis. The temporal series showed marked variability, including a decline in 2020, followed by recovery in subsequent years. Most recorded forensic DNA analyses were documented as being performed by the Polizia Scientifica and Carabinieri (RIS/RaCIS), whereas smaller proportions involved the university laboratory and other external laboratories. Contextual indicators showed a progressive increase in total sexual-violence cases over time, while ex officio reports did not rise proportionally. Conclusions: The findings document pathway-level attrition between archived cases, documented seizure, and recorded forensic DNA analysis, but they do not identify the exact procedural stage at which attrition occurs. The absence of standardized case-level procedural variables precludes causal attribution for non-seizure or non-analysis of biological evidence. Future evaluation of forensic DNA utilization in sexual-violence casework will require standardized tracking across clinical, custody, judicial, and laboratory stages. Full article

Primary care clinics represent a promising, yet underutilized, setting for delivering health-focused prevention programming targeting adolescent substance use, sexual assault, and sexual risk behaviors; however, little is known about adolescents’ prior exposure to such messaging. Therefore, the present study examined adolescents’ prior prevention exposure, their perceptions of prevention content, and recommendations for future programs. Semi-structured qualitative interviews were conducted with 25 adolescents (ages 14–18; 56% female, 36% male, 8% gender fluid or Two-Spirit) recruited from primary care and community settings in the southeastern United States. Thematic analysis was used to examine youth exposure to and perspectives on prevention programming. Three core themes emerged: (1) prior exposure to prevention content across topics; (2) appraisal of strengths and limitations within previous programming; and (3) recommendations for what adolescents believe their same-aged peers should know. Participants reported a preference for technology-based programs, criticized interventions exclusively promoting abstinence and negative consequences, and emphasized needing additional information on sexual consent. Adolescents in primary care settings report inconsistent exposure to prior prevention, most centering abstinence and negative consequences, rather than inclusive harm-reduction approaches. Findings highlight a structural gap in exposure to comprehensive adolescent prevention programming and position pediatric primary care as a uniquely flexible and developmentally congruent setting for delivering integrated, harm-reduction-oriented prevention interventions. These findings also further support the development of scalable, technology-driven prevention tools that can be implemented within pediatric primary care settings to improve accessibility reach, engagement, and relevance. Full article

Depression, although a consequence of sexual violence, has not been studied in the context of college students’ views of campus sexual violence climate. Depression is one of the most prevalent and impairing mental health concerns among college students and has well-established links to sexual violence victimization; therefore, it serves as a theoretically and clinically meaningful focal outcome. Therefore, we assessed perceptions of institutional climate in the context of self-reported depression. Undergraduates (n = 716) reported perceptions and experiences of campus sexual violence and misconduct, connectedness, attitude, and depressive symptoms in an online survey. More than a third of participants reported elevated depressive symptoms. This was associated with campus connectedness and attitude, perceived campus climate, and personally experiencing rape, assault, or harassment. In a multivariate model, only the perceived climate variables did not retain significance. Elevated depressive symptoms were associated with connectedness and attitude towards the university and experiencing sexual harassment/assault. Understanding and explicitly addressing these connections may be beneficial for the effectiveness of campus prevention and intervention. Full article

The forensic reliability of biological fluids in sexual assault investigations depends on substrate type, environmental exposure, time since deposition, and analytical methodology. This systematic review evaluates the forensic reliability of major biological fluids, semen, blood, saliva, and vaginal secretions by comparing detectability and persistence on porous and non-porous substrates, assessing environmental and temporal effects on DNA integrity, and examining the performance of identification methods. A systematic search of PubMed, Scopus, and Web of Science (2001–2025) was conducted following PRISMA 2020 guidelines. Eligible studies investigated fluid persistence, degradation, or identification reliability under controlled or casework-relevant conditions. A weighted scoring framework categorised relative reliability. Twenty-seven studies met inclusion criteria. Semen and blood demonstrated higher reliability across substrates, particularly when collected within recommended timeframes. Porous substrates reduced surface detectability but occasionally preserved DNA from rapid degradation. Elevated temperature, humidity, and prolonged intervals consistently reduced DNA quality and detection success. Molecular approaches, including mRNA profiling, showed enhanced specificity in degraded or mixed samples, though methodological variability limited direct comparability across studies. The forensic reliability of biological fluids is context-dependent, shaped by complex interactions between substrate characteristics, environmental exposure, and analytical technique. Semen and blood remain robust DNA sources, while emerging technologies offer improved specificity in challenging scenarios. Standardised evaluation frameworks and timely evidence collection remain essential to enhance evidential value and minimise misinterpretation in sexual assault investigations. Full article

Herein, RATSGO (Real-time Automated Training and Sensing for Gas Odor), a fully automated live-animal olfactory training platform, for the detection of GBL as a sexual assault-facilitating drug is reported. The system integrates four distinct operant conditioning-based training paradigms, all executed without human intervention, to enhance learning speed, consistency, and scalability. Using this fully automated framework, four rats were trained to identify γ-butyrolactone (GBL). Three of the four animals successfully reached the predefined learning completion criterion, whereas one failed to meet the criterion. Across 320 automated trials, the GBL rats achieved a mean detection accuracy of 90%, with sensitivity and specificity values of 97% and 82%, respectively. The corresponding positive and negative predictive values (PPV and NPV) were 85% and 96%. When challenged with GBL diluted in drinking water (180 trials), performance remained high, yielding 88% accuracy, 89% sensitivity, 87% specificity, 85% PPV, and 90% NPV. Similarly, in experiments involving GBL mixed with whisky (200 trials), the rats demonstrated robust recognition capability, achieving 90% overall accuracy, perfect sensitivity (100%), 84% specificity, 79% PPV, and 100% NPV. Importantly, odor discrimination performance was preserved when reassessed four months after the completion of training, indicating strong long-term retention of the learned odor representations. Collectively, these findings confirm that the RATSGO system supports rapid, stable, and precise odor learning, underscoring its promise as a practical and extensible biological sensing platform for chemical detection applications. Full article

The purpose of this study is to explore how adolescents in self-contained classrooms or schools for students with autism or ADHD, with no prior involvement in criminality, perceive and interpret different forms of early offending behavior through fictional case stories. The study specifically aims to examine their ability to discern what constitutes offending behavior, based on the double empathy problem. In total, 13 participants currently receiving secondary-level education (grades 10–12, aged 16–20 years) in self-contained classes at schools for adolescents with autism or ADHD participated. No student had cognitive disabilities or had been involved in any criminal act or criminal justice issues. The students were individually given three fictional written cases of offending behavior (theft, physical assault, and sexual assault). Audio-recorded stimulated recall interviews were obtained while the students solved tasks in relation to the cases, and these were analyzed to capture whether and what aspects of early offending were discerned. Overall, the results indicated limited awareness and enhanced social vulnerability, risking unwitting engagement in early offending behavior. Adapting social science education to students’ special educational needs to understand social interactions might be used to prevent and enhance their awareness of early offending behavior. Full article

Background/Objectives: Workplace violence (WPV) is a major occupational concern in psychiatric settings, where mental health nurses (MHNs) are consistently identified as a high-risk professional group. Within this context, sexual violence (SV) remains understudied as a distinct phenomenon and is often embedded within aggregated measures of WPV. This systematic review aimed to synthesize the available evidence on SV against MHNs working in inpatient settings by: (1) describing its prevalence, forms, and characteristics; (2) examining psychological, occupational, and physical outcomes; and (3) identifying associated risk factors. Methods: This systematic review was conducted in accordance with PRISMA guidelines and registered in PROSPERO (CRD420251103606). A literature search was performed across PubMed, CINAHL, Scopus, Web of Science, and PsycInfo, supplemented by reference list checking and citation tracking. Peer-reviewed quantitative and qualitative studies published in English or Italian were eligible if they involved MHNs working in inpatient settings and addressed SV. Study selection, data extraction, and risk-of-bias assessment were conducted independently by two reviewers. A narrative synthesis following SWiM guidance was undertaken, and the certainty of evidence for statistically significant outcomes was assessed using the GRADE approach. Results: Twenty-five studies published between 2003 and 2025 were included. Definitions of SV varied substantially. Reported prevalence ranged from 0% to 68%, with verbal sexual harassment ranging from 19.5% to 53.4%, physical sexual harassment ranging from 14% to 42.9%, and sexual assault up to 18.6%. Evidence indicated associations between SV exposure and poorer quality of life, burnout, and days lost from work. The main risk factors included gender, age, education, work experience, employment type, acute psychiatric settings, night shifts, normalization of violence, and history of physical and sexual violence. Conclusions: SV against MHNs represents a relevant issue in psychiatric settings. Findings suggest significant psychological and occupational consequences. Standardized definitions and measurement, longitudinal research, and intervention studies are needed to inform effective prevention strategies and organizational responses. Full article

Exposure to violence (physical, domestic, or sexual assault) increases risk for alcohol problems and alcohol use disorder (AUD), consistent with self-medication and drinking-to-cope theories of alcohol use, which posit that some individuals may misuse alcohol to alleviate distress associated with trauma. Yet how violence exposure and coping motives interact to influence objective AUD risk markers remains unclear. Emerging evidence suggests that trauma type affects psychiatric outcomes, but its role in moderating AUD risk via coping motives remains unknown. We examined these gaps in the literature in a cohort of youth (ages 16–19; n = 157) over-sampled for violence exposure. Participants completed a structured trauma interview and an assessment of drinking motives. A total of 60 participants reported experiencing sexual assault (SA), 54 physical assault (PA), and 32 domestic violence (DV). AUD risk was captured using the alcohol cue reactivity paradigm. Participants were exposed to images of alcoholic beverages, high-calorie foods (reward-related control), and neutral objects. The late positive potential (LPP), an event-related potential captured via electroencephalogram, was used to index cue reactivity. We ran two linear regression analyses to assess the relationship between trauma type and coping motives to drink on LPP to alcohol and food cues (>neutral). For alcohol cues, there was a significant SA and coping interaction. At high levels of coping motivations, SA was associated with enhanced LPP to alcohol cues. At low levels of coping motivations there was no association. No effects were observed for food cues. Our results demonstrate that heightened coping motives to drink are associated with enhanced alcohol cue reactivity among SA victims, indicating increased vulnerability for AUD risk. Full article

Adolescent sexual assault survivors have myriad post-assault needs. However, if and how they access resources to attend to those needs can be complicated due to their legal status as minors and child abuse mandatory reporting policies. Such policies that require specific entities to be notified when a sexual assault involving a minor has occurred might deter adolescents from seeking post-assault care. However, no studies to date have examined how mandatory reporting laws inform adolescents’ post-assault decisions and experiences. Through semi-structured qualitative interviews with twenty-one survivors of adolescent sexual assault in one Northeastern US state, we found that mandatory reporting actively deterred sixteen survivors from seeking formal help; would have deterred two survivors from seeking formal help had they known about it; and was a nonissue for three survivors who chose to seek formal help in an attempt to have very specific needs met. Survivors of adolescent sexual assault had serious concerns about losing agency and control and about unwanted involvement from police, parents, and child protective services. Individual providers, organizations, and whole communities must seriously consider the potential harm of mandatory reporting policies and think creatively and collaboratively alongside adolescent survivors to ensure they can access the care they need and deserve. Full article

This study addresses the persistence of gender inequalities among university students by analysing the acceptance of modern myths about sexual assault and ambivalent sexism in the academic context. These beliefs, although subtle or socially accepted, contribute to the normalisation of sexual violence and hinder progress towards real equality. The aim of this research was to analyse the presence of these attitudes among students at the University of Granada and to examine their relationship according to gender. A quantitative, descriptive and cross-sectional design was used with a sample of 210 students. Data were collected using the Ambivalent Sexism Inventory (ASI) and the Acceptance of Modern Myths about Sexual Aggression Scale (AMMSA-21) and analysed using descriptive statistics, correlations and non-parametric tests. The results show greater acceptance of myths and sexist attitudes among men, as well as a positive correlation between ambivalent sexism (hostile and benevolent) and acceptance of myths. These findings confirm the persistence of symbolic justifications for sexual violence in the university setting. The study concludes by highlighting the need for preventive educational interventions and institutional strategies that promote equality and consent. Full article

Introduction: Women and LGBTQ+ undergraduates face higher rates of sexual assault and rape compared to cisgender male peers—the overwhelming majority of perpetrators. Federal policies have aimed to curb campus sexual violence, yet questions remain about the efficacy of consent education, particularly among cisgender heterosexual men. Methods: This study surveyed 1567 undergraduate students at a large Northeastern public university in 2017 and 2022. Responses to a nine-item consent scale were analyzed by gender, sexuality, and demographic factors. Results: Cisgender heterosexual (cis-het) men had poorer understanding of consent compared to women and LGBTQ+ students, both in 2017 and 2022. Cis-het men’s consent scores showed no improvement, and for some items worsened from 2017 to 2022, while other groups showed significant improvements in recognizing the nuances of consent. Conclusions: Findings suggest that, despite increased focus on sexual assault prevention and social awareness campaigns like #MeToo, cisgender heterosexual men’s understanding of consent has not improved, highlighting the persistent challenge in shifting deeply ingrained beliefs about consent. Educational efforts should address these beliefs more directly, focusing on transforming societal norms around masculinity and sexual entitlement. Policy Implications: These results underscore the need for more comprehensive, gender-transformative education on consent. Current programs primarily focus on victims rather than perpetrators, which fails to address the root causes of sexual violence. To reduce sexual assault, consent education, delivered K-12 and in higher education, must consistently challenge harmful gender norms and promote equitable relationships. More targeted strategies are necessary to engage cisgender heterosexual men in these discussions. Full article

Background/Objectives: Workplace violence in the healthcare sector is a growing global concern. Defined as incidents where staff are abused, threatened, or assaulted in work-related contexts, this issue affects over half of healthcare personnel worldwide, with nurses being particularly vulnerable. The consequences are far-reaching, leading to diminished service quality, workforce turnover, reduced healthcare access, and increased costs. Despite its physical and psychological impact, workplace violence remains underreported, especially in its psychological forms, which have historically been underestimated. Methods: This study applies Per Isdal’s typology of violence to analyze incident reports from a hospital setting. By doing so, it offers a structured framework for understanding the multifaceted nature of workplace violence. By categorizing and examining how different forms of violence co-occur and manifest in daily professional interactions, the study aims to contribute to more systematic documentation and theoretical understanding of the field. Results: In total, 247 incidents were analyzed. Physical violence was the most frequently reported type with 167 incidents, followed by psychological violence with 125 cases. Material violence accounted for 28 reports, sexual violence for 10, and latent violence for 4, indicating that physical and psychological aggression dominates the spectrum of workplace violence in this context. Conclusions: The prevalence and complexity of violent incidents targeting healthcare personnel highlight the pressing need for actionable policies and evidence-based interventions that prioritize staff safety and psychological well-being. Establishing clear definitions of violence, alongside fostering a culture of reporting, is essential to create safer and more resilient healthcare environments. Full article

Background/Objectives: Violence against older adults is a rising public health issue. Though older adults may not openly disclose such experiences, they are often willing to discuss them when given the opportunity. Healthcare providers in hospital settings can play a crucial role in the early identification and care. However, effective screening and response require comprehensive guidance. Methods: A pilot, multicentric feasibility study with a single-group intervention was implemented at three Belgian geriatric departments. The aim was to assess the feasibility and acceptability of a new guide for identifying older adults (≥75 years), without major cognitive deficits, who have experienced violence, in order to subsequently provide them with adequate care. Admitted older adults were screened using the guidance, and healthcare providers who conducted the screenings completed questionnaires to evaluate their feasibility and acceptability. The Trial is registered in Clinicaltrials.gov [NCT06780540]. Results: A total of 104 admitted older adults (mean age: 83 years) were recruited across two Dutch-speaking and one French-speaking hospital in Belgium. One in five participants (20.2%) disclosed experiences of violence, either recent or throughout their lives. Healthcare providers (n = 12) positively evaluated the guidance, suggesting improvements in question formulation, protocol adaptability, and the need for further training. Conclusions: This guidance is feasible, acceptable, and holds potential for improving disclosure rates. To ensure the provision of appropriate and equitable care, it is essential to first equip healthcare providers with education and training on this topic. Future interventional research is required to implement the guide on a larger scale and to measure health-related outcomes. Full article

Background and Objectives: Sexual violence constitutes a major public health concern that undermines safety, bodily integrity, and autonomy. This study aimed to assess the prevalence, risk factors, and preventive strategies related to sexual misconduct in party-related social settings in Poland. Materials and Methods: A cross-sectional survey was conducted between 18 and 27 March 2025 among a representative sample of 1000 adults using computer-assisted web interviews. The questionnaire covered perceived risk, preventive measures, and personal or witnessed experiences of sexual violence. Data were analyzed using chi-square tests and multivariable logistic regression. Results: More than half of respondents reported unwanted touching (53.8%) or persistent harassment (46.9%), and 54.1% had encountered sexual comments. Drug-facilitated assaults were reported by approximately 10% of participants, while 12.3% indicated forced sex. Despite frequent reliance on precautionary measures (e.g., returning home with friends in 64.2% of cases), concerns about sexual victimization were widespread. Multivariable analysis showed that women (aOR 1.91), young adults (aOR 2.80 for those aged 18–24 years), and sexual minorities were disproportionately affected. Conclusions: This study highlights that sexual violence in party-related settings is a structural rather than marginal problem in Poland. Women, young adults, and sexual minorities are disproportionately affected. Effective prevention requires multilevel interventions, including bystander programs, venue-level safety policies, and broader public health strategies to reduce tolerance for sexual harassment and violence. Full article