Evidence map›Paper›PMID 32275695›Full record

SynthesisPloS one2020

The identification and treatment of mental health and substance misuse problems in sexual assault services: A systematic review.

Theodora Stefanidou, Elizabeth Hughes, Katherine Kester, Amanda Edmondson, Rabiya Majeed-Ariss, Christine Smith, Steven Ariss, Charlie Brooker, Gail Gilchrist, Sarah Kendal and 6 more

Abstract readSystematic Review
In one paragraph

Synthesis in PloS one, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

9 citing papers in PubMed.

  1. Article
  2. Article
  3. Female Sexual Violence: A 12-Year Experience at a Single University Hospital in North-East Italy.International journal of environmental research and public health · 2024
    Article
  4. The need for meaningful support following exposure to sexual assault.Social psychiatry and psychiatric epidemiology · 2023
    Article
  5. Article
  6. Article
  7. Article
  8. Article
  9. Underserved survivors of sexual assault: a systematic scoping review.European journal of psychotraumatology · 2021
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

16 authors.

Theodora StefanidouDivision of Psychiatry, University College London, London, United Kingdom.ORCID 0000-0002-3172-2685
Elizabeth HughesSchool of Healthcare, Faculty of Medicine and Health, University of Leeds, Leeds, United Kingdom.
Katherine KesterDivision of Psychiatry, University College London, London, United Kingdom.
Amanda EdmondsonSchool of Human and Health Sciences, University of Huddersfield, Huddersfield, West Yorkshire, United Kingdom.
Rabiya Majeed-ArissSchool of Healthcare, Faculty of Medicine and Health, University of Leeds, Leeds, United Kingdom.
Christine SmithSchool of Human and Health Sciences, University of Huddersfield, Huddersfield, West Yorkshire, United Kingdom.
Steven ArissCentre for Assistive Technology and Connected Healthcare (CATCH) and School of Health and Related Research (ScHARR), University of Sheffield, Sheffield, United Kingdom.
Charlie BrookerCentre for Criminology and Sociology, Royal Holloway University of London, Surrey, United Kingdom.
Gail GilchristSection of Women's Mental Health, Health Service and Population Research Department, Institute of Psychiatry, Psychology & Neuroscience, King's College London, London, United Kingdom.
Sarah KendalSchool of Healthcare, Faculty of Medicine and Health, University of Leeds, Leeds, United Kingdom.
Mike LucockSchool of Human and Health Sciences, University of Huddersfield, Huddersfield, West Yorkshire, United Kingdom.
Fay MaxtedThe Survivors Trust, Rugby, Warwickshire, United Kingdom.
Concetta PerotSection of Women's Mental Health, Health Service and Population Research Department, Institute of Psychiatry, Psychology & Neuroscience, King's College London, London, United Kingdom.
Rebekah ShallcrossSchool of Healthcare, Faculty of Medicine and Health, University of Leeds, Leeds, United Kingdom.ORCID 0000-0003-4764-0411
Kylee TrevillionSection of Women's Mental Health, Health Service and Population Research Department, Institute of Psychiatry, Psychology & Neuroscience, King's College London, London, United Kingdom.
Brynmor Lloyd-EvansDivision of Psychiatry, University College London, London, United Kingdom.ORCID 0000-0001-9866-788X

Funding

Department of Health 16/117/03Department of Health HS&DR 16/117/03
6 · The paper itself

Abstract

backgroundSpecialist sexual assault services, which collect forensic evidence and offer holistic healthcare to people following sexual assault, have been established internationally. In England, these services are called sexual assault referral centres (SARCs). Mental health and substance misuse problems are common among SARC attendees, but little is known about how SARCs should address these needs. This review aims to seek and synthesise evidence regarding approaches to identification and support for mental health and substance misuse problems in SARCs and corresponding services internationally; empirical evidence regarding effective service models; and stakeholders' views and policy recommendations about optimal SARC practice.

methodsA systematic review was undertaken. PsycINFO, MEDLINE, IBSS and CINAHL were searched from 1975 to August 2018. A web-based search up to December 2018 was also conducted to identify government and expert guidelines on SARCs. Quality assessment and narrative synthesis were conducted.

resultsWe included 107 papers. We found that identification based on clinical judgement, supportive counselling and referral to other services without active follow-up were the most common approaches. Evaluations of interventions for post-rape psychopathology in attendees of sexual assault services provided mixed evidence of moderate quality. Very little evidence was found regarding interventions or support for substance misuse. Stakeholders emphasised the importance of accessibility, flexibility, continuity of care, in-house psychological support, staff trained in mental health as well as specialist support for LGBT groups and people with learning difficulties. Guidelines suggested that SARCs should assess for mental health and substance misuse and provide in-house emotional support, but the extent and nature of support were not clarified. Both stakeholders and guidelines recommended close partnership between sexual assault services and local counselling services.

conclusionsThis review suggests that there is big variation in the mental health and substance misuse provision both across and within different sexual assault service models. We found no robust evidence about how sexual assault services can achieve good mental health and substance misuse outcomes for service users. Clearer guidance for service planners and commissioners, informed by robust evidence about optimal service organisations and pathways, is required. PROSPERO registration number: CRD42018119706.

Indexed as

Mental HealthFemaleGovernmentGuidelines as TopicHealth Planning GuidelinesHealth ResourcesHumansMaleSex OffensesSubstance-Related DisordersUnited Kingdom

Identifiers

PMID32275695
PMCPMC7147790

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.