The impacts of working with victims of sexual violence: a rapid evidence assessment

Aim: Supporting clients who have experienced trauma can lead to trauma symptoms in those working with them; workers in the sexual violence field are at heightened risks of these. This article collated and critically appraised papers, published from 2017 onward, in the area of people assisting victims of sexual violence. It explores the impacts and effects the work has on them, their coping and self-care mechanisms, and organizational support offered to them. Design: A question-based rapid evidence assessment with a triangulated weight of evidence approach was used. Academic and nonacademic databases were searched. Twenty-five papers were included for analysis based on the inclusion/exclusion criteria. Results: Most studies were of medium to high methodological quality. Negative impacts included trauma symptoms, disrupted social relationships, behavioral changes, and emotional and psychological distress. Ability to manage negative impacts was influenced by overall organizational support, availability of training, supervision and guidance, workloads and caseload characteristics, individual characteristics, and their coping and self-care mechanisms. Positive impacts included empowering feelings, improved relationships, compassion satisfaction, and posttraumatic growth. Conclusions: Impacts are significant. Support at work and in personal life increases staff’s ability to cope and find meaning in their role. Implications for research and practice are discussed

The impacts of working with victims of sexual violence: A rapid evidence assessment

Aim: Supporting clients who have experienced trauma can lead to trauma symptoms in those working with them; workers in the sexual violence field are at heightened risks of these. This article collated and critically appraised papers, published from 2017 onward, in the area of people assisting victims of sexual violence. It explores the impacts and effects the work has on them, their coping and self-care mechanisms, and organizational support offered to them. Design: A question-based rapid evidence assessment with a triangulated weight of evidence approach was used. Academic and nonacademic databases were searched. Twenty-five papers were included for analysis based on the inclusion/exclusion criteria. Results: Most studies were of medium to high methodological quality. Negative impacts included trauma symptoms, disrupted social relationships, behavioral changes, and emotional and psychological distress. Ability to manage negative impacts was influenced by overall organizational support, availability of training, supervision and guidance, workloads and caseload characteristics, individual characteristics, and their coping and self-care mechanisms. Positive impacts included empowering feelings, improved relationships, compassion satisfaction, and posttraumatic growth. Conclusions: Impacts are significant. Support at work and in personal life increases staff’s ability to cope and find meaning in their role. Implications for research and practice are discussed

Intervening to prevent suicide at railway locations: findings from a qualitative study with front-line staff and rail commuters.

For every suicide on the British railway network, at least six potential attempts are interrupted by front-line staff or rail commuters. However, the factors that maximise or hinder the likelihood and effectiveness of such interventions are poorly understood. The aim of the current study was to shed light on the experience of intervening to prevent a suicide at a railway location, including how and why people intervene, and their feelings and reflections in the aftermath. In-depth interviews were carried out with rail commuters (n = 11) and front-line railway staff (n = 10) who had intervened to stop a suicide by train. Data were analysed thematically. Participants had intervened to prevent suicide in several ways, both from afar (e.g. by calling a member of staff) and more directly (verbally or non-verbally), in some cases with no prior training or experience in suicide prevention, and often as a 'quick, gut reaction' given the limited time to intervene. In more 'reasoned' interventions, poor confidence and concerns around safety were the greatest barriers to action. Although often privy to their final outcome, most participants reflected positively on their intervention/s, stressing the importance of training and teamwork, as well as small talk and non-judgemental listening. Suicides in railway environments can present bystanders with little time to intervene. Potential interveners should therefore be resourced as best as possible through clear infrastructure help/emergency points, visibility of station staff and training for gatekeepers

Independent sexual violence advisers (ISVAs) in England, Wales and Northern Ireland: a study of impacts, effects, coping mechanisms and effective support systems for people working as ISVAs and ISVA Managers

This study is the first of its kind in England, Wales and Northern Ireland and was carried out to gather information about the impact of working as Independent Sexual Violence Advisers (ISVAs) or ISVA Managers. The ISVA role is relatively new, and as such, little is known about this difficult and emotionally charged work. Although some literature looks at the impact of working in the sexual violence field, there is little from England, Wales or Northern Ireland, and even less focused on the direct, ongoing, face-to-face work ISVAs do. This report focuses on the impacts, effects, coping mechanisms and effective support systems for people working as ISVAs and ISVA Managers in supporting victim-survivors of sexual violence across England, Wales and Northern Ireland. Since its introduction in 2005, the ISVA role has been invaluable in providing continuous support to victim-survivors of sexual violence and working to meet their emotional and practical needs during the criminal justice process. As conviction rates are at an all-time low, ISVAs can also provide support to people who may otherwise feel let down by the Criminal Justice System. ISVAs can also support people who do not want to report the crime to the police – helping people at, potentially, the lowest point of their life. This survey focused on providing an overview of the ISVA role (e.g. context they work in, caseloads, supervision and support available) and determining which factors predict the likelihood of experiencing negative and positive impacts as a result of the work they do

Factors prompting and deterring suicides on the roads.

In addition to the devastating impact on the individual and their families, suicides on the roads can cause distress and harm to other people who might be involved in a collision or witness an attempt. Despite an increased focus on the characteristics and circumstances of road-related suicides, little is known about why people choose to end their lives in this way. The aim of the current study was to investigate the factors prompting and deterring the decision to attempt suicide on the roads. We conducted a secondary analysis of survey data, as well as seven in-depth qualitative interviews. Participants had lived experience of suicidal ideation or behaviour at a bridge or road location. We also carried out an online ethnography to explore interactions in different online communities relating to this method of suicide. Participants perceived a road-related suicide to be quick, lethal, easy and accessible and to have the potential to appear accidental. The proportion of participants who described their thoughts and attempts as impulsive appeared to be higher than had been observed with other method choices. The potential impact on other people was a strongly dissuasive factor. Measures designed to prevent access to potentially lethal sites may be particularly important, given that many participants described their thoughts and behaviour as impulsive. In addition, fostering a culture of care and consideration for other road users may help to dissuade people from taking action on the roads

Factors prompting and deterring suicides on the roads

Background: In addition to the devastating impact on the individual and their families, suicides on the roads can cause distress and harm to other people who might be involved in a collision or witness an attempt. Despite an increased focus on the characteristics and circumstances of road-related suicides, little is known about why people choose to end their lives in this way. Aims: The aim of the current study was to investigate the factors prompting and deterring the decision to attempt suicide on the roads. Method: We conducted a secondary analysis of survey data, as well as seven in-depth qualitative interviews. Participants had lived experience of suicidal ideation or behaviour at a bridge or road location. We also carried out an online ethnography to explore interactions in different online communities relating to this method of suicide. Results: Participants perceived a road-related suicide to be quick, lethal, easy and accessible, and to have the potential to appear accidental. The proportion of participants who described their thoughts and attempts as impulsive appeared to be higher than had been observed with other method choices. The potential impact on other people was a strongly dissuasive factor. Conclusions: Measures designed to prevent access to potentially lethal sites may be particularly important, given that many participants described their thoughts and behaviour as impulsive. In addition, fostering a culture of care and consideration for other road users may help to dissuade people from taking action on the roads