Sexual violence and mental health services: a call to action
Open accessAbstract
People who experience sexual violence are highly likely to experience psychological and/or mental health (MH) problems as a result. People who use MH services often have a history of sexual assault and are also likely to be revictimised as an adult. Yet despite there being a very clear association, MH services are not yet performing routine enquiry, and even if they do, are not confident about how to record and manage disclosures. There is some emerging evidence that people with MH problems are exposed to sexual violence in inpatient MH settings, perpetrated by both other patients or members of staff. In this editorial, we explore the evidence to support a wider focus on sexual violence as a part of routine care, as well as some recommendations about how staff can more effectively discuss sexual issues including that of sexual victimisation.
The claims and statistics of this paper haven’t been checked yet.
Run the check — free, no account needed. It reads the open-access text and checks the sources it cites.
Integrity signals
Registry
Cites
Statistics
Claims the paper makes
The claims and statistics of this paper haven’t been checked yet.
Run the check — free, no account needed. It reads the open-access text and checks the sources it cites.
Claims other papers make about this one
Each is checked against this paper’s own text: does it say what the citing paper says it does?
People with type 1 diabetes and disordered eating with insulin omission have a 3-fold mortality.
“This is best demonstrated with the 3-fold mortality of people with type 1 diabetes and disordered eating with insulin omission [73,74].”
From Prevalence of mental disorders in people living with type 1 diabetes: A systematic literature review and meta-analysis (2023) · cites this paper as [74]
Self-check
Percentages, sums and reported differences re-computed from the paper’s own numbers.
The self-check needs the paper’s full text.
Cites
Kilpatrick, D. G., Acierno, R. E., Resnick, H. S., Saunders, B. E., & Best, C. L. (1997) · Journal of Consulting and Clinical Psychology · doi:10.1037//0022-006x.65.5.834 · Cited by 854 · see citing works
CREAMER, M., Burgess, P. M., & McFARLANE, A. C. (2001) · Psychological Medicine · doi:10.1017/s0033291701004287 · Cited by 757 · see citing works
Domestic and sexual violence against patients with severe mental illness
Khalifeh, H., Moran, P., Borschmann, R., Dean, K., Hart, C., Hogg, J., Osborn, D., Johnson, S., & Howard, L. M. (2015) · Psychological Medicine · doi:10.1017/s0033291714001962 · Cited by 280 · see citing works
THE NATIONAL SOCIETY FOR 'THE PREVENTION OF CRUELTY TO CHILDREN.
(1899) · The Lancet · doi:10.1016/s0140-6736(01)57839-3 · Cited by 141 · see citing works
Do adult mental health services identify child abuse and neglect? A systematic review.
Read, J., Harper, D., Tucker, I., & Kennedy, A. (2018) · International Journal of Mental Health Nursing · doi:10.1111/inm.12369 · Cited by 129 · see citing works
Talking or avoiding? Mental health nurses' views about discussing sexual health with consumers
Quinn, C., Happell, B., & Browne, G. (2011) · International Journal of Mental Health Nursing · doi:10.1111/j.1447-0349.2010.00705.x · Cited by 115 · see citing works
Mental health professionals’ attitudes and practices towards male childhood sexual abuse
Lab, D. D., Feigenbaum, J., & de Silva, P. (2000) · Child Abuse & Neglect · doi:10.1016/s0145-2134(99)00152-0 · Cited by 101 · see citing works
Zilkens, R., Smith, D. A., Phillips, M. A., Mukhtar, S. A., Semmens, J. B., & Kelly, M. C. (2017) · Forensic Science International · doi:10.1016/j.forsciint.2017.03.013 · Cited by 73 · see citing works
Hepworth, I., & McGowan, L. (2012) · Journal of Psychiatric and Mental Health Nursing · doi:10.1111/j.1365-2850.2012.01939.x · Cited by 71 · see citing works
Hughes, E. A., Edmondson, A., Onyekwe, I., Quinn, C., & Nolan, F. (2017) · International Journal of Mental Health Nursing · doi:10.1111/inm.12402 · Cited by 58 · see citing works
Self-citationQuinn, C., & Happell, B. (2011) · International Journal of Mental Health Nursing · doi:10.1111/j.1447-0349.2011.00783.x · Cited by 48 · see citing works
Mental health, sexual violence and the work of Sexual Assault Referral centres (SARCs) in England
Brooker, C., & Durmaz, E. (2015) · Journal of Forensic and Legal Medicine · doi:10.1016/j.jflm.2015.01.006 · Cited by 44 · see citing works
Self-citationAre mental health services getting better at responding to abuse, assault and neglect?
Read, J., Sampson, M., & Critchley, C. R. (2016) · Acta Psychiatrica Scandinavica · doi:10.1111/acps.12552 · Cited by 39 · see citing works
Talking about sex as part of our role: Making and sustaining practice change
Quinn, C., Happell, B., & Welch, A. (2012) · International Journal of Mental Health Nursing · doi:10.1111/j.1447-0349.2012.00865.x · Cited by 37 · see citing works
Victims’ use of professional services in a Dutch sexual assault centre
Bicanic, I., Snetselaar, H., de Jongh, A., & van de Putte, E. M. (2014) · European Journal of Psychotraumatology · doi:10.3402/ejpt.v5.23645 · Cited by 37 · see citing works
Ashmore, T., Spangaro, J., & McNamara, L. (2015) · International Journal of Mental Health Nursing · doi:10.1111/inm.12114 · Cited by 35 · see citing works
McLindon, E. V.-M., & Harms, L. (2011) · International Journal of Mental Health Nursing · doi:10.1111/j.1447-0349.2010.00697.x · Cited by 33 · see citing works
A Comparative Analysis of Victims of Sexual Assault With and Without Mental Health Histories
Brown, R., Mont, J. D., Macdonald, S., & Bainbridge, D. (2013) · Journal of Forensic Nursing · doi:10.1097/jfn.0b013e31828106df · Cited by 30 · see citing works
Sexual behaviours on acute inpatient psychiatric units
Bowers, L., Ross, J., Cutting, P., & Stewart, D. (2013) · Journal of Psychiatric and Mental Health Nursing · doi:10.1111/jpm.12080 · Cited by 20 · see citing works
Brooker, C., Tocque, K., & Paul, S. (2018) · Journal of Forensic and Legal Medicine · doi:10.1016/j.jflm.2017.12.018 · Cited by 19 · see citing works
Self-citationSexual violence and abuse and the care programme approach
Brooker, C., Tocque, K., Brown, M., & Kennedy, A. (2016) · The British Journal of Psychiatry · doi:10.1192/bjp.bp.116.186122 · Cited by 17 · see citing works
Self-citationReporting sexual violence on mental health wards
Foley, M., & Cummins, I. (2018) · The Journal of Adult Protection · doi:10.1108/jap-11-2017-0036 · Cited by 7 · see citing works
Hughes, E. A., Domoney, J., Knights, N., Price, H., Rutsito, S., Stefanidou, T., Majeed‐Ariss, R., Papamichail, A., Ariss, S., Gilchrist, G., et al. (2023) · Health and Social Care Delivery Research · doi:10.3310/ytrw7448 · Cited by 5 · see citing works
Self-citation
Flagged first, then by citations
Cited by
Sorted by citations
Benton, M., Cleal, B., Prina, M., Baykoca, J., Willaing, I., Price, H., & Ismail, K. (2023) · General Hospital Psychiatry · doi:10.1016/j.genhosppsych.2022.11.004 · Cited by 58 · see citing works
O’Dwyer, C., Tarzia, L., Fernbacher, S., & Hegarty, K. L. (2019) · BMC Health Services Research · doi:10.1186/s12913-019-4683-z · Cited by 52 · see citing works
Sexual violence and mental health
Oram, S. (2019) · Epidemiology and Psychiatric Sciences · doi:10.1017/s2045796019000106 · Cited by 34 · see citing works
Yapp, E., Booth, T., Davis, K. A. S., Coleman, J. R. I., Howard, L. M., Breen, G. D., Hatch, S. L., Hotopf, M. H., & Oram, S. (2021) · Social Psychiatry and Psychiatric Epidemiology · doi:10.1007/s00127-021-02092-y · Cited by 21 · see citing works
Women's Experiences Accessing Mental Health Care in Australia After Sexual Violence in Adulthood
Isaac, S., McLindon, E. V.-M., Hegarty, K. L., & Tarzia, L. (2023) · Violence Against Women · doi:10.1177/10778012231176198 · Cited by 10 · see citing works
Clarke, J., Hyde, A., & Caswell, R. J. (2022) · International Journal of STD & AIDS · doi:10.1177/09564624221135295 · Cited by 7 · see citing works
Sheehan, D., Holland, J. F., & Carr, A. (2023) · Child Abuse Review · doi:10.1002/car.2849 · Cited by 7 · see citing works
Fadeeva, A., Barbosa, E. C., Walker, A., & McManus, S. (2024) · Social Sciences · doi:10.3390/socsci13030147 · Cited by 5 · see citing works
Healers that hurt: a scoping review of media reports of cases of rape in healthcare settings
Okonji, A. M., Ishola, A. G., Ayamolowo, L. B., Femi-Akinlosotu, O. M., Mapayi, B. M., & Foláyan, M. O. (2024) · BMC Psychology · doi:10.1186/s40359-024-01721-w · Cited by 3 · see citing works
Sexual violence within mental health units: The forgotten fight?
Belet, B., Demeulemeester, E., & Vaïva, G. (2021) · Australian & New Zealand Journal of Psychiatry · doi:10.1177/00048674211025708 · Cited by 1 · see citing works
Sexual Violence in Developing Countries
Enokela, A. E. (2023) · Springer eBooks · doi:10.1007/978-3-030-68127-2_425-1 · Cited by 1 · see citing works
Breaking down barriers to conversations about sexual and reproductive health
Hughes, E. A. (2025) · World Psychiatry · doi:10.1002/wps.21309 · Cited by 1 · see citing works
Self-citationdos Santos, C. A., Moura, M. A. V., Órfão, N. H., Queiroz, A. B. A., Parmejiani, E. P., & Paredes, H. D. M. T. (2022) · Escola Anna Nery · doi:10.1590/2177-9465-ean-2021-0405en · Cited by 1 · see citing works
dos Santos, C. A., Moura, M. A. V., Órfão, N. H., Queiroz, A. B. A., Parmejiani, E. P., & Paredes, H. D. M. T. (2022) · Escola Anna Nery · doi:10.1590/2177-9465-ean-2021-0405pt · Cited by 1 · see citing works
The gender-sensitive care project: Exploring sexual violence in psychiatric inpatient units
O’Dwyer, C. (2020) · Minerva Access (University of Melbourne)
Belet, B., Demeulemeester, E., Ghestem, L., Dupont, F., Trimbur, M., Wathelet, M., D’Hondt, F., Thomas, P., & Bouchard, J. (2023) · Annales Médico-psychologiques revue psychiatrique · doi:10.1016/j.amp.2023.04.003
Protecting Rural Young People from Sexual Abuse and Exploitation
Nelson, S. (2024) · Rethinking rural · doi:10.1007/978-3-031-52440-0_11
Suhomlinova, O. O., & O’Shea, S. C. (2024) · Emerald Group Publishing Limited eBooks · doi:10.1108/978-1-80071-044-320241006
Child sexual abuse and post-traumatic stress disorder: Implications for social work practice
Cleece, K., & Hill, J. E. (2025) · Journal of family & child health. · doi:10.12968/jfch.2025.2.3.112
A Supervision Intervention for Child Sexual Trauma Clinicians: A Single-Case Design
Wymer, B., Limberg, D., Wolfe, K., LoDato, K. K., & Guest, J. (2025) · Single Case in the Social Sciences · doi:10.15763/issn.1936-9298.2025.2.4.49-66
Okonji, A. M., Ishola, A. G., Ayamolowo, L. B., Femi-Akinlosotu, O. M., Mapayi, B. M., & Foláyan, M. O. (2024) · Figshare · doi:10.6084/m9.figshare.26707394
Deng, Y., Butler, J., & Oram, S. (2026) · BJPsych Bulletin · doi:10.1192/bjb.2026.10222
Health Outcomes in Migrant Survivors of Sexual Violence and Abuse
O’Doherty, L., Carter, G., & Chet, E. O. Y. (2026) · Sustainable development goals series · doi:10.1007/978-3-032-20707-4_6
Sibanyoni, E. K., Sharpley, N. V., Majija, Y. C., Mavuso, N. C., & Mkwananzi, S. (2025) · African Journal of Inter/Multidisciplinary Studies · doi:10.51415/ajims.v7i2.1357
Richardson, M. C. (2026) · Violence Against Women · doi:10.1177/10778012261458785
Dosdale, C., Bevan, M., & Skarparis, K. (2026) · Journal of Research in Nursing · doi:10.1177/17449871261476617
Sexual Violence in Developing Countries
Enokela, A. E. (2026) · Springer eBooks · doi:10.1007/978-3-032-35695-6_425
- Authors
- Hughes, E., Lucock, M., & Brooker, C.
- Affiliations
- University of Leeds (GB)
- Royal Holloway University of London (GB)
- Corresponding author
- Hughes, Elizabeth
- Venue
- Epidemiology and Psychiatric Sciences
- Publisher
- Cambridge University Press (CUP)
- Published
- 2019-03-11
- Volume
- 28
- Issue
- 6
- Pages
- 594-597
- ISSN
- 2045-7960 (ISSN-L)
- 2045-7979
- PMC
- PMC6998872
- OpenAlex
- W2922249658
- Cited by
- 27
- References
- 23
- Citations by year
- 2026: 5 · 2025: 4 · 2024: 5 · 2023: 4 · 2022: 4 · 2021: 2 · 2020: 1 · 2019: 2
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- Epidemiology and Psychiatric Sciences (publishedVersion)
- PubMed Central (publishedVersion)
- PubMed (publishedVersion)
- White Rose Research Online (University of Leeds, The University of Sheffield, University of York) (acceptedVersion)
- Edinburgh Napier Research Repository (Edinburgh Napier University) (submittedVersion)
- Huddersfield Research Portal (University of Huddersfield) (submittedVersion, other-oa)
- Funders
- National Institute for Health and Care Research (16/117/03)
- Economic and Social Research Council (ES/S004424/1)
- Topics
- Social Sciences › Gender Studies › Sexual Assault and Victimization Studies
- Social Sciences › Health › Intimate Partner and Family Violence
- Social Sciences › Psychology › Clinical Psychology › Child Abuse and Trauma
- Keywords
- sexual violence, sexual assault, mental health services, revictimization, disclosure management, employee training
- MeSH terms
- Adult, Mental Disorders, Female, Humans, Mental Health Services, Sex Offenses, Crime Victims
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
Are you an author, or do you see a problem with this page? Request a review