University of Kentucky College of Medicine, Lexington, KY, USA.
University of Kentucky College of Public Health, Lexington, KY, USA.
J Interpers Violence. 2022 Jan;37(1-2):151-171. doi: 10.1177/0886260520908028. Epub 2020 Mar 3.
Sexual violence perpetration (SVP), including coerced, physically forced, and alcohol- or drug-facilitated unwanted sex, occurs frequently in adolescence and may represent a risk factor for future perpetration. Sexual violence victimization (SVV) has been found to be a risk factor for increased rates of depression and posttraumatic stress disorder (PTSD); however, the associations of SVP with depression or posttraumatic stress symptoms (PTSS) have been less well described. This study examined associations between symptoms of depression and PTSS with SVP in the prior 12 months among high school students. In this cross-sectional analysis, a representative sample of public high school students (ninth-12th grades) completed self-reported surveys on peer SVP and SVV within the past year. Among 16,784 students completing surveys, 7.2% disclosed SVP against another high school student in the past 12 months; 64.4% of students disclosing SVP also experienced SVV. Both SVP and SVV, alone or in combination, were associated with a greater likelihood of symptoms of depression or PTSS. These associations were similar by sex and sexual minority status (e.g., lesbian, gay, bisexual, transgender, and queer [LGBTQ+]). These findings highlight the need for continued primary prevention efforts. Additional screening to recognize adolescent SVP can allow both early treatment of depression and PTSD and address the individual risks of SVP to reduce subsequent repeated sexual assaults.
性暴力行为（SVP）包括强迫、身体强迫和酒精或药物辅助的非自愿性行为，在青少年中经常发生，可能是未来施暴的一个风险因素。性暴力受害（SVV）已被发现是增加抑郁和创伤后应激障碍（PTSD）发生率的一个风险因素；然而，SVP 与抑郁或创伤后应激症状（PTSS）的关联描述得较少。本研究调查了在过去 12 个月中，高中生中 SVP 与抑郁或创伤后应激症状之间的关联。在这项横断面分析中，代表性的公立高中学生（9 至 12 年级）完成了关于过去一年中同伴 SVP 和 SVV 的自我报告调查。在完成调查的 16784 名学生中，7.2%的学生在过去 12 个月中披露了对另一名高中生的 SVP；64.4%披露 SVP 的学生也经历了 SVV。SVP 和 SVV 单独或组合，都与抑郁或创伤后应激症状的可能性增加有关。这些关联在性别和性少数群体身份（例如，女同性恋、男同性恋、双性恋、跨性别者和酷儿 [LGBTQ+]）方面相似。这些发现强调了持续进行初级预防工作的必要性。对青少年 SVP 的额外筛查可以允许早期治疗抑郁和 PTSD，并解决 SVP 的个体风险，以减少随后的反复性侵犯。
