Skip to main content
Top
Published in: BMC Women's Health 1/2021

Open Access 01-12-2021 | Research article

Sexual assault: women’s voices on the health impacts of not being believed by police

Authors: Karen McQueen, Jodie Murphy-Oikonen, Ainsley Miller, Lori Chambers

Published in: BMC Women's Health | Issue 1/2021

Login to get access

Abstract

Background

Sexual assault is a prevalent crime against women globally with known negative effects on health. Recent media reports in Canada indicate that many sexual assault reports are not believed by police. Negative reporting experiences of sexual assault have been associated with secondary victimization and trauma among survivors. However, little is known about the impact that being sexually assaulted and not believed by police has on a survivor’s health and well-being. The purpose of this study was to explore women’s experiences of not being believed by police after sexual assault and their perceived impact on health.

Methods

We conducted open-ended and semi-structured interviews with 23 sexual assault survivors who were sexually assaulted and not believed by police. The interviews explored the self-reported health impacts of not being believed by police and were conducted from April to July, 2019. All interviews were audio-recorded, transcribed, and entered into NVIVO for analysis. Data were analyzed using Colaizzi’s analytic method.

Results

Analysis revealed three salient themes regarding the health and social impact of not being believed by police on survivors of sexual assault: (1) Broken Expectations which resulted in loss of trust and secondary victimization, (2) Loss of Self, and (3) Cumulative Health and Social Effects. The findings showed that not being believed by police resulted in additional mental and social burdens beyond that of the sexual assault. Many survivors felt further victimized by police at a time when they needed support, leading to the use taking of alcohol and/or drugs as a coping strategy.

Conclusion

Reporting a sexual assault and not being believed by police has negative health outcomes for survivors. Improving the disclosure experience is needed to mitigate the negative health and social impacts and promote healing. This is important for police, health, and social service providers who receive sexual assault disclosures and may be able to positively influence the reporting experience and overall health effects.
Appendix
Available only for authorised users
Literature
1.
go back to reference Benoit C, Shumka L, Phillips R, Kennedy MC, Belle-Isle L. Issue brief: sexual violence against women in Canada. Ottawa: Status of Women Canada; 2015. Benoit C, Shumka L, Phillips R, Kennedy MC, Belle-Isle L. Issue brief: sexual violence against women in Canada. Ottawa: Status of Women Canada; 2015.
4.
go back to reference O’Neal EN, Spohn C, Tellis K, White C. The truth behind the lies: The complex motivations for false allegations of sexual assault. Women Crim Justice. 2014;24(4):324–40.CrossRef O’Neal EN, Spohn C, Tellis K, White C. The truth behind the lies: The complex motivations for false allegations of sexual assault. Women Crim Justice. 2014;24(4):324–40.CrossRef
5.
go back to reference Du Mont J, Kosa D, Macdonald S, Benoit A, Forte T. A comparison of Indigenous and non-Indigenous survivors of sexual assault and their receipt of and satisfaction with specialized health care services. PLoS ONE. 2017;12(11):e0188253.PubMedPubMedCentralCrossRef Du Mont J, Kosa D, Macdonald S, Benoit A, Forte T. A comparison of Indigenous and non-Indigenous survivors of sexual assault and their receipt of and satisfaction with specialized health care services. PLoS ONE. 2017;12(11):e0188253.PubMedPubMedCentralCrossRef
6.
go back to reference Kaye J. Reconciliation in the context of settler-colonial gender violence: “How do we reconcile with an abuser?” Can Rev Sociol Can Sociol. 2016;53(4):461–7.CrossRef Kaye J. Reconciliation in the context of settler-colonial gender violence: “How do we reconcile with an abuser?” Can Rev Sociol Can Sociol. 2016;53(4):461–7.CrossRef
7.
8.
go back to reference Mellins CA, Walsh K, Sarvet AL, Wall M, Gilbert L, Santelli JS, et al. Sexual assault incidents among college undergraduates: prevalence and factors associated with risk. PLoS ONE. 2017;12(11):e0186471.PubMedPubMedCentralCrossRef Mellins CA, Walsh K, Sarvet AL, Wall M, Gilbert L, Santelli JS, et al. Sexual assault incidents among college undergraduates: prevalence and factors associated with risk. PLoS ONE. 2017;12(11):e0186471.PubMedPubMedCentralCrossRef
10.
go back to reference Dworkin ER, Menon SV, Bystrynski J, Allen NE. Sexual assault victimization and psychopathology: a review and meta-analysis. Clin Psychol Rev. 2017;1(56):65–81.CrossRef Dworkin ER, Menon SV, Bystrynski J, Allen NE. Sexual assault victimization and psychopathology: a review and meta-analysis. Clin Psychol Rev. 2017;1(56):65–81.CrossRef
11.
go back to reference Ahrens CE. Being silenced: the impact of negative social reactions on the disclosure of rape. Am J Community Psychol. 2006;38(3/4):263–74.PubMedPubMedCentral Ahrens CE. Being silenced: the impact of negative social reactions on the disclosure of rape. Am J Community Psychol. 2006;38(3/4):263–74.PubMedPubMedCentral
12.
go back to reference Badour CL, Feldner MT, Babson KA, Blumenthal H, Dutton CE. Disgust, mental contamination, and posttraumatic stress: unique relations following sexual versus non-sexual assault. J Anxiety Disord. 2013;27(1):155–62.PubMedCrossRef Badour CL, Feldner MT, Babson KA, Blumenthal H, Dutton CE. Disgust, mental contamination, and posttraumatic stress: unique relations following sexual versus non-sexual assault. J Anxiety Disord. 2013;27(1):155–62.PubMedCrossRef
13.
go back to reference Bordere T. Disenfranchisement and ambiguity in the face of loss: the suffocated grief of sexual assault survivors: sexual assault, loss, and grief. Fam Relat. 2017;66(1):29–45.CrossRef Bordere T. Disenfranchisement and ambiguity in the face of loss: the suffocated grief of sexual assault survivors: sexual assault, loss, and grief. Fam Relat. 2017;66(1):29–45.CrossRef
14.
go back to reference Jozkowski KN, Sanders SA. Health and sexual outcomes of women who have experienced forced or coercive sex. Women Health. 2012;52(2):101–18.PubMedCrossRef Jozkowski KN, Sanders SA. Health and sexual outcomes of women who have experienced forced or coercive sex. Women Health. 2012;52(2):101–18.PubMedCrossRef
15.
go back to reference Astbury J, Bruck D, Loxton D. Forced sex: a critical factor in the sleep difficulties of young Australian women. Violence Vict. 2011;26(1):53.PubMedCrossRef Astbury J, Bruck D, Loxton D. Forced sex: a critical factor in the sleep difficulties of young Australian women. Violence Vict. 2011;26(1):53.PubMedCrossRef
16.
go back to reference Santaularia J, Johnson M, Hart L, Haskett L, Welsh E, Faseru B. Relationships between sexual violence and chronic disease: a cross-sectional study. BMC Public Health. 2014;14(1):868–82.CrossRef Santaularia J, Johnson M, Hart L, Haskett L, Welsh E, Faseru B. Relationships between sexual violence and chronic disease: a cross-sectional study. BMC Public Health. 2014;14(1):868–82.CrossRef
17.
go back to reference Wong JS, Balemba S. Resisting during sexual assault: a meta-analysis of the effects on injury. Aggress Violent Behav. 2016;1(28):1–11.CrossRef Wong JS, Balemba S. Resisting during sexual assault: a meta-analysis of the effects on injury. Aggress Violent Behav. 2016;1(28):1–11.CrossRef
18.
go back to reference Shaw J, Campbell R, Cain D, Feeney H. Beyond surveys and scales: how rape myths manifest in sexual assault police records. Psychol Violence. 2017;7(4):602.CrossRef Shaw J, Campbell R, Cain D, Feeney H. Beyond surveys and scales: how rape myths manifest in sexual assault police records. Psychol Violence. 2017;7(4):602.CrossRef
19.
go back to reference Venema RM. Police officers’ rape myth acceptance: Examining the role of officer characteristics, estimates of false reporting, and social desirability bias. Violence Vict. 2018;33(1):176–200.PubMed Venema RM. Police officers’ rape myth acceptance: Examining the role of officer characteristics, estimates of false reporting, and social desirability bias. Violence Vict. 2018;33(1):176–200.PubMed
20.
go back to reference Weiser DA. Confronting myths about sexual assault: a feminist analysis of the false report literature. Fam Relat. 2017;66(1):46–60.CrossRef Weiser DA. Confronting myths about sexual assault: a feminist analysis of the false report literature. Fam Relat. 2017;66(1):46–60.CrossRef
22.
go back to reference Doolittle R, Pereira M, Blenkinsop L, Agilus J. Will the police believe you? A 20-month investigation by The Globe and Mail. Globe & Mail (Toronto, Canada). 2017. Doolittle R, Pereira M, Blenkinsop L, Agilus J. Will the police believe you? A 20-month investigation by The Globe and Mail. Globe & Mail (Toronto, Canada). 2017.
23.
go back to reference Rotenberg C. Police-reporter sexual assaults in Canada, 2009 to 2014: a statistical profile. Juristat: Canadian Centre for Justice Statistics; 2017. Rotenberg C. Police-reporter sexual assaults in Canada, 2009 to 2014: a statistical profile. Juristat: Canadian Centre for Justice Statistics; 2017.
24.
go back to reference Ferguson CE, Malouff JM. Assessing police classifications of sexual assault reports: a meta-analysis of false reporting rates. Arch Sex Behav. 2016;5:1185.CrossRef Ferguson CE, Malouff JM. Assessing police classifications of sexual assault reports: a meta-analysis of false reporting rates. Arch Sex Behav. 2016;5:1185.CrossRef
25.
go back to reference Jordan J. Perfect victims, perfect policing? Improving rape complainant’s experiences of police investigations. Public Adm. 2008;86(3):699–719.CrossRef Jordan J. Perfect victims, perfect policing? Improving rape complainant’s experiences of police investigations. Public Adm. 2008;86(3):699–719.CrossRef
26.
go back to reference Venema RM. Police officer schema of sexual assault reports: real rape, ambiguous cases, and false reports. J Interpers Violence. 2016;5:872.CrossRef Venema RM. Police officer schema of sexual assault reports: real rape, ambiguous cases, and false reports. J Interpers Violence. 2016;5:872.CrossRef
28.
go back to reference Alderden MA, Ullman SE. Creating a more complete and current picture: examining police and prosecutor decision-making when processing sexual assault cases. Violence Women. 2012;5:525.CrossRef Alderden MA, Ullman SE. Creating a more complete and current picture: examining police and prosecutor decision-making when processing sexual assault cases. Violence Women. 2012;5:525.CrossRef
29.
go back to reference Chen Y, Ullman SE. Women’s reporting of sexual and physical assaults to police in the National Violence Against Women Survey. Violence Women. 2010;16(3):262–79.CrossRef Chen Y, Ullman SE. Women’s reporting of sexual and physical assaults to police in the National Violence Against Women Survey. Violence Women. 2010;16(3):262–79.CrossRef
30.
go back to reference Patterson D. The linkage between secondary victimization by law enforcement and rape case outcomes. J Interpers Violence. 2011;26(2):328–47.PubMedCrossRef Patterson D. The linkage between secondary victimization by law enforcement and rape case outcomes. J Interpers Violence. 2011;26(2):328–47.PubMedCrossRef
31.
go back to reference Greeson MR, Campbell R. Sexual Assault Response Teams (SARTs): an empirical review of their effectiveness and challenges to successful implementation. Trauma Violence Abuse. 2013;14(2):83–95.PubMedCrossRef Greeson MR, Campbell R. Sexual Assault Response Teams (SARTs): an empirical review of their effectiveness and challenges to successful implementation. Trauma Violence Abuse. 2013;14(2):83–95.PubMedCrossRef
32.
go back to reference Chakaryan H. Effective ways to approach sexual assault response. Couns Today. 2018;61(1):52–7. Chakaryan H. Effective ways to approach sexual assault response. Couns Today. 2018;61(1):52–7.
34.
go back to reference Murphy-Oikonen J, McQueen K, Miller A, Chambers L, Hiebert A. Unfounded sexual assault: Women’s experiences of not being believed by the police. J Interpers Violence. 2020;11:088626052097819. Murphy-Oikonen J, McQueen K, Miller A, Chambers L, Hiebert A. Unfounded sexual assault: Women’s experiences of not being believed by the police. J Interpers Violence. 2020;11:088626052097819.
35.
go back to reference Van Manen M. Researching lived experience: human science for an action sensitive pedagogy. Routledge; 2016. Van Manen M. Researching lived experience: human science for an action sensitive pedagogy. Routledge; 2016.
36.
go back to reference Tong A, Sainsbury P, Craig J. Consolidated criteria for reporting qualitative research (COREQ): a 32-item checklist for interviews and focus groups. Int J Qual Health Care. 2007;19(6):349–57.CrossRef Tong A, Sainsbury P, Craig J. Consolidated criteria for reporting qualitative research (COREQ): a 32-item checklist for interviews and focus groups. Int J Qual Health Care. 2007;19(6):349–57.CrossRef
37.
go back to reference Colaizzi P. Psychological research as the phenomenologist views it. In: Valle RS, Kings M, editors. Existential-phenomenological alternatives for psychology. Oxford: Oxford University Press; 1978. Colaizzi P. Psychological research as the phenomenologist views it. In: Valle RS, Kings M, editors. Existential-phenomenological alternatives for psychology. Oxford: Oxford University Press; 1978.
38.
go back to reference Alderden M, Long L. Sexual assault victim participation in police investigations and prosecution. Violence Vict. 2016;31(5):819–36.PubMedCrossRef Alderden M, Long L. Sexual assault victim participation in police investigations and prosecution. Violence Vict. 2016;31(5):819–36.PubMedCrossRef
39.
go back to reference Campbell R, Dworkin E, Cabral G. An ecological model of the impact of sexual assault on women’s mental health. Trauma Violence Abuse. 2009;10(3):225–46.PubMedCrossRef Campbell R, Dworkin E, Cabral G. An ecological model of the impact of sexual assault on women’s mental health. Trauma Violence Abuse. 2009;10(3):225–46.PubMedCrossRef
40.
go back to reference Mason F, Lodrick Z. Psychological consequences of sexual assault. Best Pract Res Clin Obstet Gynaecol. 2013;1(27):27–37.CrossRef Mason F, Lodrick Z. Psychological consequences of sexual assault. Best Pract Res Clin Obstet Gynaecol. 2013;1(27):27–37.CrossRef
41.
go back to reference Bhuptani PH, Kaufman JS, Messman-Moore TL, Gratz KL, DiLillo D. Rape disclosure and depression among community women: the mediating roles of shame and experiential avoidance. Violence Women. 2019;25(10):1226–42.CrossRef Bhuptani PH, Kaufman JS, Messman-Moore TL, Gratz KL, DiLillo D. Rape disclosure and depression among community women: the mediating roles of shame and experiential avoidance. Violence Women. 2019;25(10):1226–42.CrossRef
42.
go back to reference DeCou CR, Cole TT, Lynch SM, Wong MM, Matthews KC. Assault-related shame mediates the association between negative social reactions to disclosure of sexual assault and psychological distress. Psychol Trauma Theory Res Pract Policy. 2017;9(2):166–72.CrossRef DeCou CR, Cole TT, Lynch SM, Wong MM, Matthews KC. Assault-related shame mediates the association between negative social reactions to disclosure of sexual assault and psychological distress. Psychol Trauma Theory Res Pract Policy. 2017;9(2):166–72.CrossRef
43.
go back to reference Thompson KM. Helping survivors of sexual assault. J Am Acad Physician Assist. 2020;33(1):39–44.CrossRef Thompson KM. Helping survivors of sexual assault. J Am Acad Physician Assist. 2020;33(1):39–44.CrossRef
44.
go back to reference Kirkner A, Lorenz K, Ullman SE. Recommendations for responding to survivors of sexual assault: a qualitative study of survivors and support providers. J Interpers Violence. 2017;7:088626051773928. Kirkner A, Lorenz K, Ullman SE. Recommendations for responding to survivors of sexual assault: a qualitative study of survivors and support providers. J Interpers Violence. 2017;7:088626051773928.
45.
go back to reference Quinn DM, Williams MK, Quintana F, Gaskins JL, Overstreet NM, Pishori A, et al. Examining effects of anticipated stigma, centrality, salience, internalization, and outness on psychological distress for people with concealable stigmatized identities. PLoS ONE. 2014;5:e96977.CrossRef Quinn DM, Williams MK, Quintana F, Gaskins JL, Overstreet NM, Pishori A, et al. Examining effects of anticipated stigma, centrality, salience, internalization, and outness on psychological distress for people with concealable stigmatized identities. PLoS ONE. 2014;5:e96977.CrossRef
46.
go back to reference Ullman SE, Peter-Hagene L. Social reactions to sexual assault disclosure, coping, perceived control, and PTSD symptoms in sexual assault victims. J Community Psychol. 2014;42(4):495–508.PubMedPubMedCentralCrossRef Ullman SE, Peter-Hagene L. Social reactions to sexual assault disclosure, coping, perceived control, and PTSD symptoms in sexual assault victims. J Community Psychol. 2014;42(4):495–508.PubMedPubMedCentralCrossRef
47.
go back to reference Campbell R. Pathways to help: adolescent sexual assault victims’ disclosure and help-seeking experiences. Violence Women. 2015;21(7):824–47.CrossRef Campbell R. Pathways to help: adolescent sexual assault victims’ disclosure and help-seeking experiences. Violence Women. 2015;21(7):824–47.CrossRef
48.
go back to reference Maier SL. Sexual assault nurse examiners’ perceptions of the revictimization of rape victims. J Interpers Violence. 2012;27(2):287–315.PubMedCrossRef Maier SL. Sexual assault nurse examiners’ perceptions of the revictimization of rape victims. J Interpers Violence. 2012;27(2):287–315.PubMedCrossRef
49.
go back to reference Campbell R, Greeson M, Patterson D. Defining the boundaries: how sexual assault nurse examiners (SANEs) balance patient care and law enforcement collaboration. J Forensic Nurs. 2011;7(1):17–26.PubMedCrossRef Campbell R, Greeson M, Patterson D. Defining the boundaries: how sexual assault nurse examiners (SANEs) balance patient care and law enforcement collaboration. J Forensic Nurs. 2011;7(1):17–26.PubMedCrossRef
50.
go back to reference Abrahams N, Devries K, Watts C, Pallitto C, Petzold M, Shamu S, et al. Worldwide prevalence of non-partner sexual violence: a systematic review. The Lancet. 2014;9929:1648.CrossRef Abrahams N, Devries K, Watts C, Pallitto C, Petzold M, Shamu S, et al. Worldwide prevalence of non-partner sexual violence: a systematic review. The Lancet. 2014;9929:1648.CrossRef
51.
go back to reference Starzynski LL, Ullman SE. Correlates of perceived helpfulness of mental health professionals following disclosure of sexual assault. Violence Women. 2014;20(1):74–94.CrossRef Starzynski LL, Ullman SE. Correlates of perceived helpfulness of mental health professionals following disclosure of sexual assault. Violence Women. 2014;20(1):74–94.CrossRef
52.
go back to reference Spohn C. Sexual assault case processing: the more things change, the more they stay the same. Int J Crime Justice Soc Democr. 2020;9(1):86–94.CrossRef Spohn C. Sexual assault case processing: the more things change, the more they stay the same. Int J Crime Justice Soc Democr. 2020;9(1):86–94.CrossRef
53.
go back to reference Muldoon K, Smith G, Talarico R, Heimerl M, McLean C, Sampsel K, et al. A 15-Year population-based investigation of sexual assault cases across the province of Ontario, Canada, 2002–2016. Am J Public Health. 2019;109(9):1280–7.PubMedCrossRef Muldoon K, Smith G, Talarico R, Heimerl M, McLean C, Sampsel K, et al. A 15-Year population-based investigation of sexual assault cases across the province of Ontario, Canada, 2002–2016. Am J Public Health. 2019;109(9):1280–7.PubMedCrossRef
54.
go back to reference Cleary M, Hungerford C. Trauma-informed care and the research literature: how can the mental health nurse take the lead to support women who have survived sexual assault? Issues Ment Health Nurs. 2015;36(5):370–8.PubMedCrossRef Cleary M, Hungerford C. Trauma-informed care and the research literature: how can the mental health nurse take the lead to support women who have survived sexual assault? Issues Ment Health Nurs. 2015;36(5):370–8.PubMedCrossRef
55.
go back to reference Murphy-Oikonen J, Chambers L, McQueen K, Hiebert A, Miller A. Sexual assault: indigenous women’s experiences of not being believed by the police. Violence Against Women (in press). Murphy-Oikonen J, Chambers L, McQueen K, Hiebert A, Miller A. Sexual assault: indigenous women’s experiences of not being believed by the police. Violence Against Women (in press).
56.
go back to reference Razack S. Dying from improvement: inquests and inquiries into Indigenous deaths in custody. Toronto: University of Toronto Press; 2015. Razack S. Dying from improvement: inquests and inquiries into Indigenous deaths in custody. Toronto: University of Toronto Press; 2015.
57.
go back to reference Scrim K. Aboriginal victimization in Canada: a summary of the literature. Vict Crime Res Dig. 2010;3(1):15–20. Scrim K. Aboriginal victimization in Canada: a summary of the literature. Vict Crime Res Dig. 2010;3(1):15–20.
58.
go back to reference Spohn C, Tellis K. The criminal justice system’s response to sexual violence. Violence Women. 2012;2:169.CrossRef Spohn C, Tellis K. The criminal justice system’s response to sexual violence. Violence Women. 2012;2:169.CrossRef
59.
go back to reference Elliott DE, Bjelajac P, Fallot RD, Markoff LS, Reed BG. Trauma-informed or trauma-denied: principles and implementation of trauma-informed services for women. J Community Psychol. 2005;33(4):461–77.CrossRef Elliott DE, Bjelajac P, Fallot RD, Markoff LS, Reed BG. Trauma-informed or trauma-denied: principles and implementation of trauma-informed services for women. J Community Psychol. 2005;33(4):461–77.CrossRef
60.
go back to reference Eisenberg ME, Palacios L, Lust K, Porta CM. Sexual assault reporting and emotional distress among college female-identified victims/survivors. J Forensic Nurs. 2019;15(4):222–30.PubMedCrossRef Eisenberg ME, Palacios L, Lust K, Porta CM. Sexual assault reporting and emotional distress among college female-identified victims/survivors. J Forensic Nurs. 2019;15(4):222–30.PubMedCrossRef
Metadata
Title
Sexual assault: women’s voices on the health impacts of not being believed by police
Authors
Karen McQueen
Jodie Murphy-Oikonen
Ainsley Miller
Lori Chambers
Publication date
01-12-2021
Publisher
BioMed Central
Published in
BMC Women's Health / Issue 1/2021
Electronic ISSN: 1472-6874
DOI
https://doi.org/10.1186/s12905-021-01358-6

Other articles of this Issue 1/2021

BMC Women's Health 1/2021 Go to the issue