Evaluate your options

You have options when you are ready. If you are in immediate danger and/or physically hurt you can call the relevant emergency number in your country and/or visit a hospital. The resources and information below may be a helpful starting point in evaluating your options in general terms, however these are just examples of options that might be available to you. Only you can decide what’s right for you. Herstory does not provide any legal or medical advice. Some of the information and available options can also differ based on your locality and circumstances.

Collecting Physical Evidence

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Overview

In most cases, physical and DNA evidence needs to be collected with the help of a forensic medical exam (also known as an evidence collection or rape kit) within 72 hours of the assault. However, a sexual assault forensic exam can reveal other forms of evidence (e.g. bruises and marks) even beyond this time frame.1 A hospital/medical centre can also tend other medical needs where relevant. Whether or not the victim is required to file a police report should they request a rape kit depends on the locality (e.g. country, state).

Can it help with recovery?

Empowering victims by giving back control can be helpful for recovery2 and taking action can help the survivor regain some sense of agency3. A medical centre that is prepared to care for survivors can also connect the survivor with other support services that are helpful for healing. A hospital/medical centre can also tend other medical needs where relevant.

On the other hand, the experience of having a medical forensic exam too can cause distress, in particular if the medical centre is not prepared and its staff are not trained to care for survivors4,5. Identifying a medical centre with experience caring for survivors, and understanding what the exam will entail in advance of having it done can help to mitigate the risk of distress and re-traumatisation4,5. Women’s organisations and sexual assault crisis centres can typically connect survivors with a befriender or an advocate that is knowledgeable about the process and who can accompany the survivor for emotional support.

Can it help with holding the perpetrator accountable and protecting others?

Based on research, cases with physical evidence have been reported to be more likely to lead to arrest, be referred to the prosecutor, be charged, as well as result in conviction and have been associated with harsher sentences than cases without physical evidence6. Even if the perpetrator is not prosecuted, their DNA may be added to a national database, making it possible to connect them to any future offences1. In some localities (e.g. countries, states) the victim is required to file a police report should they request a rape kit while in others these are two independent decision making processes, and the victim can have the kit done and decide later if they want to make a police report.

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Making a  Police Report

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Overview

If you have decided to report the sexual assault with the authorities, you will need to make a police report. If it happened abroad, the report would usually still need to be made with the local authorities in the country where it happened – your nearest Embassy or Consular may be able to help you navigate the local police and medical systems.

Statistics can differ somewhat based on the source and country, however they typically conclude that sexual assault is a highly underreported crime. According to a Justice Department analysis of violent crime in 2016 78 percent of rapes and sexual assaults go unreported.21 A US Department of Justice report in 1993 concluded that reporting is even more rare when the perpetrator was someone the victim knew – less than 2% of acquaintance rape victims report the assault versus 21% of women raped by strangers.25

Can it help with recovery?

Empowering victims by giving back control can be helpful for recovery2 and taking action can help the survivor regain some sense of agency3In some localities, individuals may also be able to access treatment and counselling free of charge when they report the assault.

The conduct of the people working in the criminal justice system can either increase or ease the distress involved in reporting7A poll conducted by Global/Ipsos in Canada on those who chose to report it to police, found that their assessment of the outcome of that experience appears to be more negative (71%) than positive (22%).

Feelings about the outcome included:

  • 2% felt “vindicated”
  • 22% felt “satisfied”
  • 37% felt “distraught”
  • 39% felt “abandoned”
  • 39% felt “devastated”8

Women that weren’t satisfied with the experience, described that police interactions left them feeling unsupported, disbelieved, blamed or judged, re-victimised, and shamed.9 Women’s organisations and sexual assault crisis centres can typically connect survivors with a befriender who is knowledgeable about the process, can accompany the survivor for emotional support and help her navigate the process as well as advocate for her rights onsite.

Can it help with holding the perpetrator accountable and protecting others?

Some complaints to the police can result in criminal proceedings, and if the perpetrator is found guilty in them being punished. Reporting does not, however, guarantee that the perpetrator will be prosecuted and/or convicted3,6. However, even if the perpetrator is not prosecuted, the report will be on file if they commit any future offences.

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Documenting What Happened

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Overview

If you are not ready to make a police report, you could consider documenting what happened with an electronic time stamp and storing it for possible future reporting. Safe storing is of the essence to mitigate the risk of the documentation falling in the wrong hands.

Can it help with recovery?

Writing down what happened could potentially be distressing, and/or helpful in processing what happened. You may want to consider speaking with a therapist on best approach and to ensure you have support with processing possible distress arising from writing it down.

Can it help with holding the perpetrator accountable and protecting others?

If you decide to later make a police report, documenting what happened can help you retain your memories. Some complaints to the police can result in criminal proceedings, and if the perpetrator is found guilty in them being punished. Reporting does not, however, guarantee that the perpetrator will be prosecuted and/or convicted3,6. However, even if the perpetrator is not prosecuted, the report will be on file if they commit any future offences.

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Finding a Sexual Assault Survivor Advocate or Case Manager

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Overview

Women’s organisations and sexual assault crisis centres can typically offer case manager services for those affected by sexual assault. You can approach a women’s organisations and sexual assault crisis centres even if you are not sure if you define your experience as sexual assault.

An advocate or case manager can serve as the primary initial point of contact for victims of sexual assault, and help to:

  • Provide support for the victims’ immediate needs
  • Assess safety concerns, provide information on resources that are available
  • Make sense of what happened in a supportive and non-judgemental environment. If the survivor is not sure how to define their experience, an experienced advocate/case manager can support
  • Navigate the survivor’s options (e.g. seeking counselling, making a police report, writing down what happened), empower the survivor to make informed decisions and coordinate the services the survivor expresses they want to access
Can it help with recovery?

Empowering victims by giving back control can be helpful for recovery2 and taking action can help the survivor regain some sense of agency3. Furthermore, a case manager can typically help survivors identify short-term coping methods (e.g. re-establishing a sense of safety, breathing and grounding exercises), help to identify their emotions and symptoms (e.g. with the help of self-diagnosis tools) as well as support in identifying possible long-term resources for healing (e.g. connect with a therapist). They can also help to empower survivors to make informed decisions. 

Some women’s organisations and/or sexual assault centres, depending on the locality, may be able to offer counseling or therapy sessions for survivors free of charge of at discounted rates.

Can it help with holding the perpetrator accountable and protecting others?

Case managers can typically advise survivors about how to make a police report, connect them with a befriender to accompany them if they decide to move forward, and help them find legal assistance where relevant. Some complaints to the police can result in criminal proceedings, and if the perpetrator is found guilty in them being punished.

Other considerations: You can ask about confidentiality and it’s possible limitations in case you decide to make a police report/pursue legal action. 

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Telling Loved Ones

Overview

Survivors often find it difficult to share with loved ones about what happened. More than half, 59% of women do disclose their assault to at least one person.10 Victims who disclosed in crisis and during the first week of the assault only disclosed to an average of 3 people. Victims who were slow to start disclosing told an average of 3-4 people and victims who disclosed on an ongoing basis told 6 people on average.19

Another study found that out of those that had disclosed 96% had told to at least one informal support provider, and 24% to at least one formal support provider. More than half had told a female friend, 18% had told their mother and/or male friend, 16% had told a sister and/or other female family member. When it comes to formal support providers, 8% had told a therapist or a counselor and 5% had told the police.10

More than half had told someone because they were close to the person and they needed to talk to someone about what had happened. Other reasons endorsed by more than 30%  were that they talked to that person about everything, wanted someone else to be aware of the situation, needed support, and needed advice.10

Can it help with recovery?

The strength of the victim’s social support system has been shown to positively correlate with healing.11  On the other hand, if the survivor believes that others have failed to react in a positive and supportive manner, there is also a greater risk of PTSD.2

Feelings following disclosure were:

  • Based on one study participants reported receiving high levels of social support and low levels of disregard from others. Yet, negative responses from others had a stronger impact on well-being than did positive responses.10
  • Of the study participants, majority did not regret disclosing with 18% wishing they had not told someone, most commonly female friends and mothers.10
  • The most common reasons for regretting telling a person were that they made them feel ashamed or embarrassed and that the assault was their fault or they deserved it.10
  • Survivors who delay disclosing (i.e., “slow starters,” or those who wait at least 2 weeks before telling anyone) reported experiencing fewer negative reactions from others, and are also less likely to disclose to law enforcement and medical professionals
  • Crisis disclosers report experiencing more negative reactions from others compared to slow starters,19 perhaps due to being less selective (e.g. disclosing due to proximity/availability vs expected level of support or knowledge, which increases the likelihood of receiving a negative response.20 Negative responses may be the reason why crisis disclosers may also stop disclosing.19

The reactions of the first people the survivor tells typically have a profound impact on the survivor’s journey11 and therefore, it’s often recommended to start with the people the survivor trusts most to react supportively where possible. 

Can it help with holding the perpetrator accountable and protecting others?

Support from loved ones can be helpful in reporting. Furthermore, some survivors may choose to delay reporting until they feel better prepared to handle it emotionally3. Social support received from loved ones may be able to help the survivor gather emotional resources.11

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Counseling and Therapy

Overview

Short-term services for sexual assault survivors include the initial crisis response immediately following the assault. Long-term mental health services might include a variety of therapeutic components such as an assessment, goal setting, a treatment plan and step-by-step work toward therapeutic goals.12

Examples of types of therapies can include:

  • Cognitive Behavioural Therapy (CBT): processing the traumatic experience by talking about it. This typically includes helping the patient understand for example their responses and challenge negative beliefs about themselves (e.g. self-blame)12,13
  • Eye Movement Desensitisation and Reprocessing (EMDR): The therapist helps the client to identify “targets” (disturbing events) and rate them in terms of level of distress experiences. The client is then instructed to focus on identified the image, negative thought, and body sensations while simultaneously engaging in EMDR processing using sets of bilateral stimulation (e.g. therapist will move a pen from side to side with the client following it with their eyes).  At this point, the client is instructed to just notice whatever spontaneously happens.13,14
Can it help with recovery?

Based on research, survivors report better outcomes when short-term crisis intervention is followed by long-term services such as individual counseling combined with group support work.12 

Can it help with holding the perpetrator accountable and protecting others?

Some survivors may choose to delay reporting until they feel better prepared to handle it emotionally.3 Counselling or therapy can be helpful in regaining emotional resources.12

Other considerations: You can ask about confidentiality and it’s possible limitations in case you decide to make a police report/pursue legal action. 

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Joining a Support Group

Overview

Group therapy is often designed to target a specific issue (e.g. sexual assault) and involves one or more psychologists who lead a group of roughly five to 15 patients. The group typically meet for an hour or two each week. Some survivors attend individual therapy only, or in addition to groups, while others participate in groups only. In open groups new members can join at any time while in closed groups all members begin the group at the same time.15

In peer-led groups, the group is peer-led (e.g. by another survivor) rather than led by a psychologist.16

Can it help with recovery?

Based on research group therapy and/or peer-led groups can provide empathetic and safe environments to share experiences with others thus having a positive impact on survivors’ well-being.16,17 There is a risk of painful memories being triggered, however this is interconnected with reciprocal healing.17

One study found that group members were more comfortable in a peer-led group and acquired more knowledge and skills in a professional-led group.16

Can it help with holding the perpetrator accountable and protecting others?

Some survivors may choose to delay reporting until they feel better prepared to handle it emotionally.3 A support group can be helpful in regaining emotional resources.15,16

Other considerations: You can ask about confidentiality and it’s possible limitations in case you decide to make a police report/pursue legal action. 

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Speaking to an Attorney

Overview

An attorney can help survivors navigate what legal measures are available to them based on the laws of the locality and their specific situation (e.g. help to understand various requirements involved in filing a case, including the statute of limitations).

Can it help with recovery?

Empowering victims by giving back control can be helpful for recovery2 and taking action can help the survivor regain some sense of agency3. Womens organisations and sexual assault centers may be able to connect survivors with legal firms with experience and sensitivity towards working with survivors.

Can it help with holding the perpetrator accountable and protecting others?

An attorney can help survivors navigate what legal measures are available to them (e.g. criminal and/or a civil case). If the survivor decides to take action in the form of e.g. making a police report or filing a complaint it might lead to the perpetrator being held accountable. For example some complaints to the police can result in criminal proceedings, and if the perpetrator is found guilty in them being punished. Reporting does not, however, guarantee that the perpetrator will be prosecuted and/or convicted3,6. However, even if the perpetrator is not prosecuted, the report will be on file if they commit any future offences.

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Filing a Complaint with Your Place of Work or Education

Overview

The U.S. Equal Employment Opportunity Commission (EEOC) defines sexual harassment as unwelcome sexual advances, requests for sexual favours, and other verbal or physical harassment of a sexual nature.26 Sexual harrassment can also include criminal offences such as sexual assault.27

Unwelcome does not mean “involuntary.” A victim may agree to certain conduct and actively participate in it even though it is offensive and objectionable27 e.g. due to the other party being in a more powerful position and fear of repercussions of refusal28. The sexual conduct is unwelcome whenever the person subjected to it considers it unwelcome.27

If the perpetrator and the survivors study or work at the same place, the place of study or employer may have a disciplinary policy or Code of Conduct covering the behaviour in question as well as a process for filing complaints. Even if there is no policy, you can approach e.g. your line manager or the HR department. HR decisions can be made based on victim testimonials and credibility assessments.

Can it help with recovery?

Empowering victims by giving back control can be helpful for recovery2 and taking action can help the survivor regain some sense of agency3. A place of study or work that is prepared handle sexual assault claims may also be able to connect the survivor with other support services that are helpful for healing (e.g. therapists or counselors) and/or help to navigate other options (e.g. medical leave where relevant). 

The conduct of the people handling the complaint can either increase or ease the distress involved in making one. If the people involved handle the complaint and/or investigation well from the survivor’s point of view, and the outcome meets their expectation, it can make the survivor feel heard and supported. Furthermore, if the outcome leads to the survivor no longer being re-exposed to the perpetrator this too can ease distress. A poorly handled complaint or investigation can do the opposite.

People who file grievances do frequently face retaliation18If you are retaliated against or if no action is taken by your place of study or your employer, you may be able to file a complaint with a POC governing your rights (e.g. a IX Coordinator in the US) or a government agency (e.g. a Labor Office) respectively depending on the country (deadlines often apply). An advocate at a sexual assault centre or women’s organisation may be able to help the survivor navigate the process of filing with the Labor Office, and/or help to connect the survivor with a lawyer to navigate options.

Can it help with holding the perpetrator accountable and protecting others?

HR decisions can be made based on victim testimonials and credibility assessments alone. That means while in court proceedings the standard of proof without ‘reasonable doubt’ can be required (depending on the locality), in HR investigations it is typically not required. Some complaints to place of study or work (e.g. HR) can result in consequences for the perpetrator including expulsion or termination of employment. Reporting does not, however, guarantee that the perpetrator will face consequences.

If the perpetrator is expelled from school or their employment is terminated it can limit their access to create opportunities to assault other women at the survivor’s place of study or work. However, it leaves the door open for the perpetrator to offend elsewhere.

Other considerations: You can ask about confidentiality and it’s possible limitations in case you decide to make a police report/pursue legal action. Additionally, you can ask about retaliation policies in case you experience negative consequences at your place of study or employment after you report.

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Sources:

1.  (2020). What Is a Sexual Assault Forensic Exam? RAINN. https://www.rainn.org/articles/rape-kit

2. Chivers-Wilson K. A. (2006). Sexual assault and posttraumatic stress disorder: a review of the biological, psychological and sociological factors and treatments. McGill journal of medicine : MJM : an international forum for the advancement of medical sciences by students, 9(2), 111–118. PMID: 18523613.

3. Chakaryan, H. (10 Jul 2018). Effective ways to approach sexual assault response. https://ct.counseling.org/2018/07/effective-ways-to-approach-sexual-assault-response/

4. Spivak, H. National Best Practices for Sexual Assault Kits: A Multidisciplinary Approach. U.S. Department of Justice Office of Justice Programs. National Institute of Justice. https://www.ncjrs.gov/pdffiles1/nij/250384.pdf

5. Resnick, H., Acierno, R., Holmes, M., Kilpatrick D.G. & Jager, N. (1999). Prevention of post-rape psychopathology: preliminary findings of a controlled acute rape treatment study. J Anxiety Disord. 13(4):359-70.

6. Peterson, Jp. et al., . (2010). The Role and Impact of Forensic Evidence in the Criminal Justice Process,” Final report to the National Institute of Justice, grant number 2006-DN-BX-0094, September 2010, NCJ 231977.

7. Prochuk, A. (Nov 2018). We are here. Women’s experiences to the barriers of reporting sexual assault. West Coast Leaf. http://www.westcoastleaf.org/wp-content/uploads/2018/10/West-Coast-Leaf-dismantling-web-final.pdf

8. (24 Feb 2015). Eight in Ten (82%) Women who are Victims of Sexual Assault Didn’t Report Incident(s) to Police. Ipsos Canada. https://www.ipsos.com/en-ca/eight-ten-82-women-who-are-victims-sexual-assault-didnt-report-incidents-police

9. Allyson Clarke, In the Eyes of the Law: Survivor Experiences and Image Construction within Sexual Assault Cases (PhD Thesis, University of Toronto, Ontario Institute for Studies in Education, 2014) [unpublished] at 70; Robyn Doolittle, “What it’s Like to Report a Sexual Assault”, The Globe and Mail (17 March 2017), theglobeandmail.com/news/ investigations/what-its-like-to-report-a-sexual-assault-36-people-share-their-stories/article34338353/.

10. Jacques-Tiura, A. J., Tkatch, R., Abbey, A., & Wegner, R. (2010). Disclosure of sexual assault: characteristics and implications for posttraumatic stress symptoms among African American and caucasian survivors. Journal of trauma & dissociation : the official journal of the International Society for the Study of Dissociation (ISSD), 11(2), 174–192. https://doi.org/10.1080/15299730903502938

11. Wilson, K. (2006). Sexual assault and posttraumatic stress disorder: A review of the biological, psychological and sociological factors and treatments. . 9(2): 111–118.

12. National Center for Post Traumatic Stress Disorder. Epidemiological Facts About PTSD – A National Center for PTSD Fact Sheet. Retrieved April 1, 2005 from http://www.ncptsd.va.gov/facts/general/fs_epidemiological.html; 2005 via Chivers-Wilson K. A. (2006). Sexual assault and posttraumatic stress disorder: a review of the biological, psychological and sociological factors and treatments. McGill journal of medicine : MJM : an international forum for the advancement of medical sciences by students, 9(2), 111–118.

13. Post-Traumatic Stress Disorder: The Management of PTSD in Adults and Children in Primary and Secondary Care. The Management of PTSD in Adults and Children in Primary and Secondary Care. NICE Clinical Guidelines, No. 26. . Leicester (UK): Gaskell; . https://www.ncbi.nlm.nih.gov/books/NBK56501/

14. What is EMDR? The EMDR Institute. Retrieved August 1 2020. https://www.emdr.com/what-is-emdr/

15. (2019). Psychotherapy: Understanding group therapy. American Psychological Association. https://www.apa.org/topics/group-therapy

16. Pallaveshi, L., Balachandra, K., Subramanian, P. & Rudnick, A. (2014). Peer-led and professional-led group interventions for people with co-occurring disorders: a qualitative study. Community Ment Health J. 50(4):388-394. doi:10.1007/s10597-013-9612-8

17. Konya, J., Perôt, C., Pitt, K., Johnson, E., Gregory, A., Brown, E., Feder, G. & Campbell, J. (2020). Peer-led groups for survivors of sexual abuse and assault: a systematic review, Journal of Mental Health, DOI: 10.1080/09638237.2020.1770206

18. Dobbin, F., & Kalev, A. (2019). The promise and peril of sexual harassment programs. Proceedings of the National Academy of Sciences of the United States of America, 116(25), 12255–12260. https://doi.org/10.1073/pnas.1818477116

19. Ahrens, C., Stansell, J. & Jennings, A. (2010). To Tell or Not to Tell: The Impact of Disclosure on Sexual Assault Survivors’ Recovery. Vol 25. Journal of Violence and victims. DOI: 10.1891/0886-6708.25.5.631

20. (Petronio, Flores, & Hecht, 1997) via Pinciotti, K. & Orcutt, H. (2018). Institutional Betrayal: Who Is Most Vulnerable? Journal of Interpersonal Violence. DOI: 10.1177/0886260518802850

21. Morgan, R. &  Kena, G. (October 2018)/ Criminal Victimization, 2016: Revised. U.S. Department of Justice Office of Justice Programs Bureau of Justice Statistics. https://www.bjs.gov/content/pub/pdf/cv16.pdf

22, Lovejoy, J. (4 April 2019). Why I Want to Share My Story of Sexual Abuse. Scribe. https://medium.com/scribe/why-i-want-to-share-my-story-of-sexual-harassment-1a07f1afc70d 

23. Matis, A. (3 May 2012). A Hiker’s Guide to Healing. The New York Times. https://www.nytimes.com/2012/05/06/fashion/a-hikers-guide-to-healing.html

24. Price, H. (6 March 2018). ‘I was raped as a student – and I’m not the only one.’ BBC News. https://www.bbc.com/news/stories-432581702

25. (1993). Acquaintance Rape. When the Rapist is Someone You Know. Illinois Coalition Against Sexual Assault. U.S. Department of Justice National Institute of Justice. https://www.ncjrs.gov/pdffiles1/Digitization/146610NCJRS.pdf

26. (Retrieved 23 August 2020). The U.S. Equal Employment Opportunity Commission (EEOC). https://www.eeoc.gov/sexual-harassment

27. (Retrieved 23 August 2020). What is Sexual Harassment. Womenwatch. United Nations. https://www.un.org/womenwatch/osagi/pdf/whatissh.pdf

28. Pugh, B. & Becker, P. (2018). Exploring Definitions and Prevalence of Verbal Sexual Coercion and Its Relationship to Consent to Unwanted Sex: Implications for Affirmative Consent Standards on College Campuses. Journal of Behavioral Science. 8(8): 69. doi: 10.3390/bs8080069