Mental Health in Violent Crime Victims: Does Sexual Orientation Matter?
The present study investigates victim sexual orientation in a sample of 641 violent crime victims seeking emergency medical treatment at a public-sector hospital. Victim sexual orientation was examined as it: (a) varies by type of violent crime and demographic characteristics, (b) directly relates to psychological symptoms, and (c) moderates the relationship between victim and crime characteristics (i.e., victim gender, victim trauma history, and type of crime) and psychological symptoms (i.e., symptoms of acute stress, depression, panic, and general anxiety). Results showed that lesbian, gay, bisexual, and transgender (LGBT) victims were more likely to be victims of sexual assault. Heterosexual victims were more likely to be victims of general assault and shootings. LGBT victims demonstrated significantly higher levels of acute stress and general anxiety. Moreover, victim sexual orientation moderated the association of type of crime with experience of panic symptoms. Also, victim sexual orientation moderated the relation of victim trauma history and general anxiety symptoms. Results are discussed in relation to victimization prevalence rates, sexual prejudice theory, and assessment and treatment of violent crime victims.
KeywordsSexual orientation LGBT victim Violent crime Anxiety Sexual assault
The authors would like to acknowledge Dr. Jennifer Alvidrez for her valuable input on the manuscript.
- Boccellari, A., Alvidrez, J., Shumway, M., Kelly, V., Merrill, G., Gelb, M., …Okin, R. L. (2007). Characteristics and psychosocial needs of victims of violent crime identified at a public-sector hospital: Data from a large clinical trial. General Hospital Psychiatry, 29, 236–243. doi: 10.1016/j.genhosppsych.2007.01.008.CrossRefPubMedGoogle Scholar
- Bureau of Justice Statistics. (2009). Victim characteristics. Accessed November 28, 2010 from http://bjs.ojp.usdoj.gov/index.cfm?ty=tp&tid=92.
- Cohen, J., Cohen, P., West, S. G., & Aiken, L. S. (2003). Applied multiple regression/correlation analysis for the behavioral sciences. Mahwah, NJ: Lawrence Erlbaum, Inc.Google Scholar
- DeCoster, J. (2006). Testing group differences using T-tests, ANOVA, and nonparametric measures. Accessed November 30, 2010 from http://www.stat-help.com/ANOVA%202006-01-11.pdf.
- Department of Justice. (1994). Violent Crime Control and Law Enforcement Act fact sheet. Accessed November 25, 2010 from http://www.ncjrs.gov/txtfiles/billfs.txt.
- Federal Bureau of Investigation. (2009a). 2008 hate crimes statistics: Expanded Offense Data. Accessed April 23, 2010 from http://www.fbi.gov/ucr/cius2008/offenses/expanded_information/index.html.
- Federal Bureau of Investigation. (2009b). 2008 hate crimes statistics: Incidents and offense. Accessed April 23, 2010 from http://www.fbi.gov/ucr/hc2008/incidents.html.
- Grothues, C. A., & Marmion, S. L. (2006). Dismantling the myths about intimate violence against women. In P. K. Lundberg-Love & S. L. Marmion (Eds.), “Intimate” violence against women: When spouses, partners, or lovers attack. Westport, CT: Praeger Publishers.Google Scholar
- Hanson, R. F., Kilpatrick, D. G., Falsetti, S. A., & Resnick, H. S. (1995). Violent crime and mental health. In J. R. Freedy (Ed.), Traumatic stress: Theory and practice (pp. 129–161). New York, NY: Plenum Press.Google Scholar
- Human Rights Campaign. (2009). Matthew Shepard and James Byrd Jr., Hate Crimes Prevention Act. Accessed: April 23, 2010 from http://www.hrc.org/laws_and_elections/5660.htm.
- Kilpatrick, D. G., Resnick, H. S., Saunders, B. E., & Best, C. L. (1998). Rape, other violence against women, and posttraumatic stress disorder: Critical issues in assessing the adversity-stress-psychopathology relationship. In Dohrenwend (Ed.), Adversity, stress, & psychopathology (pp. 161–176). New York: Oxford University Press.Google Scholar
- Kilpatrick, D. G., Ruggiero, K. J., Acierno, R. E., Saunders, B. E., Resnick, H. S., & Best, C. L. (2003). Violence and risk of PTSD, major depression, substance abuse/dependence, and comorbidity: Results from the national survey of adolescents. Journal of Consulting and Clinical Psychology, 71, 697–703. doi: 10.1037/0022-006X.71.4.692.CrossRefGoogle Scholar
- MacLeod, C., Rutherford, E., Campbell, L., Ebsworthy, G., & Holker, L. (2002). Selective attention and emotional vulnerability: Assessing the causal basis of their association through the experimental manipulation of attentional bias. Journal of Abnormal Psychology, 111, 107–123. doi: 10.1037/0021-843X.111.1.107.CrossRefPubMedGoogle Scholar
- Major, B., Quinton, W. J., & McCoy, S. K. (2002). Antecedents and consequences of attributions to discrimination: Theoretical and empirical advances. In M. P. Zanna (Ed.), Advances in experimental social psychology (Vol. 34, pp. 251–330). San Diego, CA: Academic Press.Google Scholar
- Marmion, S. L., & Lundberg-Love, P. K. (2008). PTSD symptoms in college students exposed to interparental violence: Are they comparable to those that result from child physical and sexual abuse? Journal of Aggression, Maltreatment & Trauma, 17, 263–278. doi: 10.1080/10926770802424935.CrossRefGoogle Scholar
- National Coalition of Anti-Violence Programs. (2009). Hate violence against lesbian, gay, bisexual, and transgendered people in the United States: 2008. Accessed March 22, 2010 from http://ncavp.org/common/document_files/Reports/2008%20HV%20Report%20maller%20file.pdf.
- National Victim Center. (1993). Looking back, moving forward: A guidebook for communities responding to sexual assault. Washington, DC: Sponsored by the Office for Victims of Crime, U.S. Department of Justice.Google Scholar
- Nicholas, J., & Howard, J. (1998). Better dead than gay? Depression, suicide ideation and attempt among a sample of gay and straight-identified males aged 18 to 24. Youth Studies Australia, 17, 28–33.Google Scholar
- Pilkington, N. W., & D’Augelli, A. R. (2006). Victimization of lesbian, gay, and bisexual youth in community settings. Journal of Community Psychology, 23, 34–56. doi: 10.1002/1520-6629(199501)23:1<34:AID-JCOP2290230105>3.0.CO;2-N.CrossRefGoogle Scholar
- Spitzer, R. L., Kroenke, K., & Williams, J. B. (1999). Validation and utility of a self report version of PRIME-MD, the PHQ primary care study. Primary care evaluation of mental disorders. Patient Health Questionnaire. Journal of the American Medical Association, 282, 1737–1744. doi: 10.1001/jama.282.18.1737.CrossRefPubMedGoogle Scholar
- Steele, C. M., Spencer, S., & Aronson, J. (2002). Contending with group image: The psychology of stereotype and social identity threat. In M. Zanna (Ed.), Advances in experimental social psychology (Vol. 34, pp. 277–341). San Diego, CA: Academic Press.Google Scholar