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Help-seeking in older crime victims: A mixed-methods study in collaboration with the Metropolitan Police Service
Marc Serfaty1,2, Jo Billings1, Victoria Vickerstaff3
1Division of Psychiatry, University College London, London, United Kingdom.
PLOS Mental Health
|February 9, 2026
Summary
Few older crime victims seek mental health support, highlighting significant barriers to accessing care. Improved strategies are needed to address psychological distress in this vulnerable population.
Area of Science:
- Gerontology
- Criminology
- Public Health
Background:
- Growing concerns exist regarding the psychological impact of community crimes on older adults.
- Limited understanding of mental health support utilization by older crime victims.
Purpose of the Study:
- To determine if older crime victims seek psychological help.
- To identify factors predicting help-seeking behavior in older victims.
- To explore barriers and facilitators to accessing mental health support.
Main Methods:
- Longitudinal mixed-methods study embedded in the Victim Improvement Package (VIP) trial.
- Screening of 2,932 older victims for depressive/anxious symptoms; 1,170 with significant symptoms received signposting to General Practitioner (GP).
- Qualitative interviews (n=27) explored barriers, facilitators, and views on signposting.
Main Results:
- Only 13% of distressed older victims contacted their GP; 32% of those received help.
- Police-recorded vulnerability and persistent anxiety predicted acting on signposting.
- Help-seeking driven by feeling overwhelmed; barriers included accessibility and self-reliance.
Conclusions:
- Few older crime victims access necessary psychological support despite documented distress.
- Simple signposting may be inadequate; more active management is required to overcome barriers.
- Addressing psychological outcomes in older victims necessitates overcoming access and attitudinal challenges.
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