Brooker Charlie, Durmaz Emma
Royal Holloway, University of London, Egham Hill, Egham, Surrey TW20 0EX, UK.
Worcester SARCs - The Glade, Bransford, Worcester WR6 5JD, UK.
J Forensic Leg Med. 2015 Apr;31:47-51. doi: 10.1016/j.jflm.2015.01.006. Epub 2015 Feb 4.
There is a clear link between mental health status both before and after rape. It is known, for example, that approximately 40% of attendees to a Sexual Assault Referral centre (SARC) are already known to mental health services. Sexual Violence can also lead to the development of a mental illness. SARCs have been established, inter alia, to provide healthcare to the victims of rape where a mental health risk assessment should be undertaken. All 37 SARCs in England where asked to complete a short survey and a response rate of 68% was achieved. A high proportion (40%) of SACRs clients are already known to mental health services, however, only just under half of SARCs routinely assess mental health and when such an assessment is completed this is by an FME and substance misuse issues are not always included. Almost two-thirds of SARC services report problems in referring on to mental health services for a variety of reasons. More research is needed in this important area and NHS England should fully define the skills required to undertake a mental health risk assessment when someone has been the victim of rape.
强奸前后的心理健康状况之间存在明显联系。例如，已知性侵犯转介中心（SARC）约40%的来访者已被心理健康服务机构知晓。性暴力还可能导致精神疾病的发生。设立SARC的目的之一是为强奸受害者提供医疗保健服务，在此过程中应进行心理健康风险评估。英格兰的所有37个SARC都被要求完成一份简短调查，回复率达到了68%。SARC的很大一部分（40%）客户已被心理健康服务机构知晓，然而，只有不到一半的SARC会常规评估心理健康状况，而且当进行此类评估时，是由法医精神病学家（FME）完成的，药物滥用问题并不总是包含在内。近三分之二的SARC服务机构报告称，由于各种原因，在转介至心理健康服务机构时存在问题。在这一重要领域需要开展更多研究，英国国民保健服务体系（NHS）英格兰分部应全面界定在某人成为强奸受害者时进行心理健康风险评估所需的技能。
