Epstein Secrets

d in the review examined women's experi- ences of delayed disclosure to a range of health-care providers. Health-care providers included physicians (Ahrens, Campbell, Terrier-Thames, Vasco, & Sefi, 2007; Diaz et al., 2004; Fili- pas & Ullman, 2001; Golding et al., 1989; Mazza, Dennerstein, & Ryan, 1996

2006; Filipas & Ullman, 2001; Lessing, 2005; Muganyizi et al., 2009; Plumbo, 1995; Popiel & Sus- skind, 1985; Ullman, 1996b; Ullman & Siegel, 1995). Ahrens, Cabral, and Abeling (2009) found that "emotional support from medical staff was almost always considered healing" for survivors (p. 87). Emotion

hs, or years after the assault (Dunleavy & Slowik, 2012; Esposito, 2006; Pilipas & Ullman, 2001; Lessing, 2005; Mon- roe et al., 2005; Plumbo, 1995; Ullman, 1996a) with fewer survivors disclosing in the acute period (7 days or less) when specialized sexual assault services (e.g., Sexual Assault Nurse

). An ecological model of the impact of sexual assault on women's mental health. Trauma. Violence. & Abuse. 10.225-246. Campbell. R.. Wasco. S. M.. Ahrens. C. E.. Sefl, T.. & Barnes. H. E (2001). Preventing the "second rape": Rape survivors' experiences with community service providers. Journal of int

s, certain victim charac- teristics (e.g., age, income level, education level, race). and the contextual characteristics of the crimes. Starzynski. Ullman. Filipas, and Townsend (2005) emphasized that deciding whom to tell about sexual assault is an important and potentially consequential decision for

(2001). blamed for the AS£BA school•age forms & profiles. Burlington. VP University of Vermont. Research Centre for Children. Youth, and Families. Ahrens. C. E.. Sunset]. 1. & Jennings. A. (2010). To tell or not to tell: The impact of disclosure on sexual assault survivors' nicety. Violence and Victi

of prior sexual trauma are more likely to postpone disclosure of a subsequent assault than those without prior victimization (Smith et al., 2000: Ullman, 1996). This is in contrast with the findings of Ahrens et al. (2010), who report no dif- ference in rates of prior sexual trauma between early and

losure of a subsequent assault than those without prior victimization (Smith et al., 2000; Ullman, 1996). This is in contrast with the findings of Ahrens et al. (2010), who report no dif- ference in rates of prior sexual trauma between early and delayed disclosers. In addition, the victim's age appear

y to utilize medical services and report to the police than early disclosers is in line with previous studies in adult women (Ahrens et al., 2010; Ullman, 1996; Ullman & Filipas, 2001). It suggests that disclosure latency is important for public health and safety, as delayed disclosure may not only