Epstein Secrets

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

ly assaulted report poorer health and use medical services more frequently than those who have not been sexually assaulted (Du Mont & White, 2007; Resnick et al., 2000). Negative health outcomes include immediate physical injuries, pregnancy, gynecological compli- cations (e.g., vaginal bleeding, infection, p

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

does not match stereotypical conceptions of rape, such as involving a stranger. a weapon. and severe injury (Patterson. Greeson, & Campbell, 2009; Resnick et al., 2000). Accordingly, adolescents and young adults, who are more at risk to be victimized by rape than other age 88fLop groups (De Haas. Van Berl°

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

et al., 2011), especially when the rape has been committed on a date or by an acquaintance and involves the victim's use of drugs and/or alcohol (Resnick et al., 2000; Wolitzky-Taylor et al., 2011). There is evidence to suggest that victims believe that professionals will not be helpful to them because thei