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Managing post-sexual assault suicide risk.

Amanda K Gilmore1,2, Erin F Ward-Ciesielski3, Anna Smalling4

  • 1Department of Health Policy & Behavioral Sciences, School of Public Health, Georgia State University, PO Box 3995, Atlanta, GA, 30302, USA. agilmore12@gsu.edu.

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Sexual assault survivors frequently experience suicidal thoughts. A mental health screening after a sexual assault medical forensic examination (SAMFE) identifies risk factors like prior hospitalizations, acute stress, and homelessness.

Keywords:
Behavioral healthSexual assaultSuicide

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Area of Science:

  • Mental Health
  • Forensic Nursing
  • Trauma Studies

Background:

  • Sexual assault is a significant risk factor for suicidal ideation and behavior.
  • Effective management of suicide risk post-sexual assault requires evidence-based assessment and intervention.
  • Sexual assault medical forensic examinations (SAMFE) provide a critical opportunity for mental health screening.

Purpose of the Study:

  • To identify factors associated with increased suicidal ideation following a SAMFE.
  • To explore strategies for managing suicide risk in this population.
  • To highlight unique considerations in assessing suicide risk post-SAMFE.

Main Methods:

  • Analysis of mental health screening data collected via phone post-SAMFE.
  • Assessment of demographic, clinical, and symptom-related factors.
  • Review of case examples and clinical considerations.

Main Results:

  • Individuals with a history of mental health hospitalization, higher acute stress symptoms, and homelessness reported greater suicidal ideation.
  • Specific risk factors were identified through post-SAMFE mental health screening.
  • The study underscores the prevalence of suicidal ideation in this patient group.

Conclusions:

  • Universal screening for suicidal ideation is crucial for all individuals undergoing a SAMFE.
  • Early identification and management of suicide risk factors are essential.
  • Addressing factors such as prior mental health treatment, acute stress, and housing instability is vital for survivor care.