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Mental and sexual health outcomes following sexual assault in adolescents: a prospective cohort study

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Mental and sexual health outcomes following sexual assault in adolescents : a prospective cohort study. / Khadr, Sophie; Clarke, Venetia; Wellings, Kaye; Villalta, Laia; Goddard, Andrea; Welch, Jan; Bewley, Susan; Kramer, Tami; Viner, Russell.

In: The Lancet Child & Adolescent Health, Vol. 2, No. 9, 09.2018, p. 654-665.

Research output: Contribution to journalArticle

Harvard

Khadr, S, Clarke, V, Wellings, K, Villalta, L, Goddard, A, Welch, J, Bewley, S, Kramer, T & Viner, R 2018, 'Mental and sexual health outcomes following sexual assault in adolescents: a prospective cohort study', The Lancet Child & Adolescent Health, vol. 2, no. 9, pp. 654-665. https://doi.org/10.1016/S2352-4642(18)30202-5

APA

Khadr, S., Clarke, V., Wellings, K., Villalta, L., Goddard, A., Welch, J., Bewley, S., Kramer, T., & Viner, R. (2018). Mental and sexual health outcomes following sexual assault in adolescents: a prospective cohort study. The Lancet Child & Adolescent Health, 2(9), 654-665. https://doi.org/10.1016/S2352-4642(18)30202-5

Vancouver

Khadr S, Clarke V, Wellings K, Villalta L, Goddard A, Welch J et al. Mental and sexual health outcomes following sexual assault in adolescents: a prospective cohort study. The Lancet Child & Adolescent Health. 2018 Sep;2(9):654-665. https://doi.org/10.1016/S2352-4642(18)30202-5

Author

Khadr, Sophie ; Clarke, Venetia ; Wellings, Kaye ; Villalta, Laia ; Goddard, Andrea ; Welch, Jan ; Bewley, Susan ; Kramer, Tami ; Viner, Russell. / Mental and sexual health outcomes following sexual assault in adolescents : a prospective cohort study. In: The Lancet Child & Adolescent Health. 2018 ; Vol. 2, No. 9. pp. 654-665.

Bibtex Download

@article{0b4978ab7dc64fe796859429a650b61e,
title = "Mental and sexual health outcomes following sexual assault in adolescents: a prospective cohort study",
abstract = "BackgroundYoung people are disproportionately affected by sexual assault, yet longitudinal data are sparse. This paper examines the characteristics of adolescents presenting to sexual assault services and mental and sexual health outcomes after an assault.MethodsThis was a prospective cohort study in adolescents aged 13–17 years attending the Sexual Assault Referral Centres serving Greater London, UK, over 2 years. Baseline interviews (T0) were done less than 6 weeks after an assault to collect data on sociodemographic and assault characteristics and psychological symptoms, with follow-up interviews (T1) at 4–5 months after the assault. Four psychological symptom questionnaires were used at T0 and T1: The Child Revised Impact of Events Scale, the Short Mood and Feelings Questionnaire, the Screen for Child Anxiety Related Disorders, and the Strengths and Difficulties Questionnaire. The primary outcome was prevalence of any psychiatric disorder at T1, assessed using the Development and Wellbeing Assessment. Secondary outcomes at T1 were pregnancy, sexually transmitted infections, and sexual health screening since the assault.FindingsBetween April 15, 2013, and April 20, 2015, 141 (29%) of 491 eligible young people were recruited to the study (134 females; mean age 15·6 years [SD 1·27]), and 106 (75%) of 141 participants had T1 interviews (99 female). At T0, psychological symptom scores showed that 115 (88%) of 130 females were at risk for depressive disorder, 90 (71%) of 126 were at risk for anxiety disorders, and 116 (91%) of 128 were at risk for post-traumatic stress disorder, with symptoms largely persisting at T1. 68 (80%) of 85 females who had a diagnostic assessment at T1 had a psychiatric disorder, with multiple disorders in 47 (55%) of 85. Anxiety, post-traumatic stress, and major depressive disorders were the commonest diagnoses. Presence of a psychiatric disorder was associated with baseline psychosocial vulnerability (previous social services involvement, mental health service use, self-harm, or sexual abuse), but not assault characteristics. At T1, four (4%) of 105 females had been pregnant since the assault, 14 (12%) of 119 had a sexually transmitted infection diagnosed between T0 and T1, and nine (8%) of 107 reported re-victimisation since the assault.InterpretationVulnerable adolescents have the double disadvantage of being at risk for both sexual assault and associated psychiatric disorders, highlighting the need for comprehensive support after an assault. Feasibility and effectiveness of prevention programmes should be investigated.FundingNational Institute for Health Research Policy Research Programme grant (115/0001).",
author = "Sophie Khadr and Venetia Clarke and Kaye Wellings and Laia Villalta and Andrea Goddard and Jan Welch and Susan Bewley and Tami Kramer and Russell Viner",
year = "2018",
month = sep,
doi = "10.1016/S2352-4642(18)30202-5",
language = "English",
volume = "2",
pages = "654--665",
journal = "The Lancet Child & Adolescent Health",
issn = "2352-4642",
publisher = "Elsevier BV",
number = "9",

}

RIS (suitable for import to EndNote) Download

TY - JOUR

T1 - Mental and sexual health outcomes following sexual assault in adolescents

T2 - a prospective cohort study

AU - Khadr, Sophie

AU - Clarke, Venetia

AU - Wellings, Kaye

AU - Villalta, Laia

AU - Goddard, Andrea

AU - Welch, Jan

AU - Bewley, Susan

AU - Kramer, Tami

AU - Viner, Russell

PY - 2018/9

Y1 - 2018/9

N2 - BackgroundYoung people are disproportionately affected by sexual assault, yet longitudinal data are sparse. This paper examines the characteristics of adolescents presenting to sexual assault services and mental and sexual health outcomes after an assault.MethodsThis was a prospective cohort study in adolescents aged 13–17 years attending the Sexual Assault Referral Centres serving Greater London, UK, over 2 years. Baseline interviews (T0) were done less than 6 weeks after an assault to collect data on sociodemographic and assault characteristics and psychological symptoms, with follow-up interviews (T1) at 4–5 months after the assault. Four psychological symptom questionnaires were used at T0 and T1: The Child Revised Impact of Events Scale, the Short Mood and Feelings Questionnaire, the Screen for Child Anxiety Related Disorders, and the Strengths and Difficulties Questionnaire. The primary outcome was prevalence of any psychiatric disorder at T1, assessed using the Development and Wellbeing Assessment. Secondary outcomes at T1 were pregnancy, sexually transmitted infections, and sexual health screening since the assault.FindingsBetween April 15, 2013, and April 20, 2015, 141 (29%) of 491 eligible young people were recruited to the study (134 females; mean age 15·6 years [SD 1·27]), and 106 (75%) of 141 participants had T1 interviews (99 female). At T0, psychological symptom scores showed that 115 (88%) of 130 females were at risk for depressive disorder, 90 (71%) of 126 were at risk for anxiety disorders, and 116 (91%) of 128 were at risk for post-traumatic stress disorder, with symptoms largely persisting at T1. 68 (80%) of 85 females who had a diagnostic assessment at T1 had a psychiatric disorder, with multiple disorders in 47 (55%) of 85. Anxiety, post-traumatic stress, and major depressive disorders were the commonest diagnoses. Presence of a psychiatric disorder was associated with baseline psychosocial vulnerability (previous social services involvement, mental health service use, self-harm, or sexual abuse), but not assault characteristics. At T1, four (4%) of 105 females had been pregnant since the assault, 14 (12%) of 119 had a sexually transmitted infection diagnosed between T0 and T1, and nine (8%) of 107 reported re-victimisation since the assault.InterpretationVulnerable adolescents have the double disadvantage of being at risk for both sexual assault and associated psychiatric disorders, highlighting the need for comprehensive support after an assault. Feasibility and effectiveness of prevention programmes should be investigated.FundingNational Institute for Health Research Policy Research Programme grant (115/0001).

AB - BackgroundYoung people are disproportionately affected by sexual assault, yet longitudinal data are sparse. This paper examines the characteristics of adolescents presenting to sexual assault services and mental and sexual health outcomes after an assault.MethodsThis was a prospective cohort study in adolescents aged 13–17 years attending the Sexual Assault Referral Centres serving Greater London, UK, over 2 years. Baseline interviews (T0) were done less than 6 weeks after an assault to collect data on sociodemographic and assault characteristics and psychological symptoms, with follow-up interviews (T1) at 4–5 months after the assault. Four psychological symptom questionnaires were used at T0 and T1: The Child Revised Impact of Events Scale, the Short Mood and Feelings Questionnaire, the Screen for Child Anxiety Related Disorders, and the Strengths and Difficulties Questionnaire. The primary outcome was prevalence of any psychiatric disorder at T1, assessed using the Development and Wellbeing Assessment. Secondary outcomes at T1 were pregnancy, sexually transmitted infections, and sexual health screening since the assault.FindingsBetween April 15, 2013, and April 20, 2015, 141 (29%) of 491 eligible young people were recruited to the study (134 females; mean age 15·6 years [SD 1·27]), and 106 (75%) of 141 participants had T1 interviews (99 female). At T0, psychological symptom scores showed that 115 (88%) of 130 females were at risk for depressive disorder, 90 (71%) of 126 were at risk for anxiety disorders, and 116 (91%) of 128 were at risk for post-traumatic stress disorder, with symptoms largely persisting at T1. 68 (80%) of 85 females who had a diagnostic assessment at T1 had a psychiatric disorder, with multiple disorders in 47 (55%) of 85. Anxiety, post-traumatic stress, and major depressive disorders were the commonest diagnoses. Presence of a psychiatric disorder was associated with baseline psychosocial vulnerability (previous social services involvement, mental health service use, self-harm, or sexual abuse), but not assault characteristics. At T1, four (4%) of 105 females had been pregnant since the assault, 14 (12%) of 119 had a sexually transmitted infection diagnosed between T0 and T1, and nine (8%) of 107 reported re-victimisation since the assault.InterpretationVulnerable adolescents have the double disadvantage of being at risk for both sexual assault and associated psychiatric disorders, highlighting the need for comprehensive support after an assault. Feasibility and effectiveness of prevention programmes should be investigated.FundingNational Institute for Health Research Policy Research Programme grant (115/0001).

U2 - 10.1016/S2352-4642(18)30202-5

DO - 10.1016/S2352-4642(18)30202-5

M3 - Article

VL - 2

SP - 654

EP - 665

JO - The Lancet Child & Adolescent Health

JF - The Lancet Child & Adolescent Health

SN - 2352-4642

IS - 9

ER -

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