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Sexual Assault what should i do?

If you are in immediate danger or feel unsafe, call 911.

YWCA 24-Hour Confidential Crisis Line

For all other YWCA Sexual Assault Services
Call 616.459.4652 (business hours only)

Right Now

Adapted from Rape, Abuse, Incest National Network

Find a safe environment — anywhere away from the attacker. Ask a trusted friend to stay with you for moral support.

Know that what happened was not your fault even if…

  • Your attacker was an acquaintance, date, friend or partner.
  • You have been sexually intimate with that person or with others before.
  • You were drinking or using drugs.
  • You froze and did not or could not say "no," or were unable to fight back physically.

Get medical attention. Even with no physical injuries, it is important to determine the risks of STDs and pregnancy. Contact the YWCA Nurse Examiner Program (616.776.7273), Planned Parenthood Centers of West Michigan, Kent County Health Department, or your physician.

Get help. Call the YWCA (616.776.7273) to talk with someone who knows how to help you deal with all the feelings and fear you are feeling.

Your Feelings

Survivors of sexual assault experience a wide range of reactions. Some have said that after the assault their emotions go up and down or from one extreme to another. It is important for you to know that what you are feeling and thinking right now is OK. Your reactions are your own way of coping with the crime that has been committed against you. There is no standard response to sexual assault. You may experience a few, none, or all of the following:

Shock and Numbness
Feelings of "spaciness," confusion, being easily overwhelmed, and not knowing how to feel or what to do are normal. You may react in a way that is similar to your reactions during other crises in your life (for example with: tears, irritability, nervous laughter, withdrawing).

WHAT YOU CAN DO: Be aware that these are normal reactions to trauma. Each person handles crisis differently, so think of things that helped you get through crises in the past. Get help to sort out what you would like to do and how you may want to organize your time, thoughts, and decisions. Be compassionate toward yourself; give yourself time to heal.

Loss of Control
You may feel like your whole life has been turned upside down and that you will never have control of your life again. Your thoughts and feelings seem out of control.

WHAT YOU CAN DO: Try to get as much control over your life as you possibly can, even over small things. Ask for information that may help you sort out your thoughts and feelings. Use outside resources, such as counselors and legal professionals. Ask how other people have handled similar situations. Try to make as many of your own decisions as possible. This may gradually help you regain a sense of control over your own life.

Fear that the rapist may return; fear for your general physical safety; fear of being alone; fear of other people or situations that may remind you of the assault.

WHAT YOU CAN DO: If you want company, do not hesitate to ask people whom you trust to be with you day and night. You may want to make your physical environment feel more safe (moving, making your home more secure, getting to know your neighbors better).

Guilt and Self-Blame
Feeling like you could have or should have done something to avoid or prevent the assault; doubts regarding your ability to make judgments.

WHAT YOU CAN DO: No matter what the situation was, you did not ask to be hurt or violated. Blaming yourself is sometimes another way to feel control over the situation, thinking that if you avoid similar circumstances, it will not happen to you again.

Feeling that this experience has set you apart from other people; feeling that other people can tell you have been sexually assaulted just by looking at you; not wanting to burden other people with your experience.

WHAT YOU CAN DO: Recovering from an assault can be a very lonely experience. However, you are not alone in what you are feeling. You may find it reassuring to talk to others who have been assaulted, or to a counselor at the YWCA who has worked with other sexual assault survivors.

Vulnerability, Distrust
Feeling that you are at the mercy of your own emotions or the actions of others; not knowing who to trust or how to trust yourself; feelings of suspicion and caution.

WHAT YOU CAN DO: Trust your instincts about who you want to talk with about what happened to you. Try to talk with people whom you have found to be the most dependable in the past; select those who have been good listeners and non-judgmental. Feelings of general suspicion may subside as you begin to find people you can trust.

Sexual Fears
Feelings that you do not want to have sexual relations; wondering whether you will ever want to enjoy sexual relationships again; fears that being sexually intimate may remind you of the assault.

WHAT YOU CAN DO: Try to tell your partner what your limits are. Let you partner know if the situation reminds you of the assault and may bring up painful memories. Let your partner know that it is the situation, not him/her, that is bringing up the painful memories. You may feel more comfortable with gentle physical affection. Let your partner know what level of intimacy feels comfortable for you.

Feeling angry at the assailant. You may find yourself thinking about retaliation. You may be angry at the world since you no longer feel safe. If you are religious, you may feel angry that your faith did not prevent this.

WHAT YOU CAN DO: Accept your anger. Thoughts of being violent toward the attacker do not mean that you are a violent or bad person. You have the right to feel angry about the violation you have experienced. You may want to talk to people who understand this.

Disruption of Daily Activities
During the first few days or weeks after that assault you may feel preoccupied with intrusive thoughts about the assault. You may experience difficulty concentrating, nightmares, sleep disturbances, changes in appetite, 'startle reactions,' phobias, general anxiety or depression. You may have memories of prior crises.

WHAT YOU CAN DO: Although these are common reactions, they can be quite disturbing. Take things very slowly. Some people find it helpful to keep a notebook at hand to write down feelings, thoughts, ideas, or details of the assault. Keeping the thoughts and feelings in one place may make you feel more comfortable.

Experiencing so many different emotions is a part of working through what has happened to you. Right now, you may wonder when you will "get your life back" or, perhaps you are not feeling much at all. There is no right or wrong way to react to sexual assault. Many survivors have found that patience, time, and support from others has helped them recover. The YWCA has worked with many who have had similar experiences. A good counselor will understand and help you work through the emotional roller coaster that you may be on.

If You Were Recently Assaulted

You are encouraged to receive medical treatment. The most important reason to do this is to check for injuries. Shock and general aches and pains from the assault may be difficult to distinguish from a serious injury. Although it will not be easy, an exam may help set your mind at ease. You will also be given important information about STDs and pregnancy.

Another important reason to receive immediate medical attention is to collect physical evidence for a criminal investigation.

Specially trained nurses at the Nurse Examiner Program can complete a sexual assault evidence collection exam. This standardized exam is a series of lab tests that are designed to collect physical evidence. The nurse examiner will explain exactly what the exam entails.

Will I need a police report?
If you are currently unsure about participating in criminal prosecution, having the sexual assault evidence collection kit completed will help keep your options open. At the Nurse Examiner Program, evidence may be kept for 15 days as you consider your options. The sexual assault evidence collection kit cannot be released to the police without your signature on an authorization form.

"Rape Drugs"
Some assailants use drugs (Rohypnol, also known as Roofies: Gamma hydoxybutrate, also known as GHB; Ketamine also known as Special K; to name a few) to physically control their victim and render them defenseless. If you believe you were drugged, inform the nurse examiner. Blood or urine tests may detect the drug in your system. Testing should be done as soon as possible as some drugs can only be detected within 12 hours of ingestion.

What about my private doctor?
Although you may feel more comfortable with your family doctor, s/he will not be available 24 hours a day, and will most likely send you to the YWCA Nurse Examiner Program to have the sexual assault medical-forensic exam completed. Private doctors do not have access to the kit. The Nurse Examiner Program can send your discharge information to your private doctor and you can complete your follow-up care with her or him.

If You Were Assaulted in the Past

It is still very important to receive medical attention. You may want to have pregnancy and STD tests done. Although a sexual assault evidence collection exam can be performed at anytime, the chances of collecting evidence decrease significantly when more than a few days have gone by. However, you can still report the crime to the police and prosecution is still possible.

Follow-Up Medical Care
Follow-up care is vitally important. Any sexually transmitted disease that you may have contracted from the offender will not show up until later. A follow-up test for pregnancy is also recommended. Even if you were given preventive medication, it is very important that you are re-tested a few weeks after the assault. A follow-up exam will also give you the opportunity to check your injuries and discuss any new physical symptoms that you may have developed since the assault.

If you are uninsured or have financial concerns, you can get pregnancy and STD tests at your local Planned Parenthood office, or your local health department. Planned Parenthood will charge you based on your ability to pay.

While sexual assault survivors are at low risk for HIV infection, an HIV test may help you feel more comfortable. It is recommended that you get tested 2-6 weeks following the assault and again 3, 6, and 12 months following the assault. Most county health departments will have information about free, anonymous HIV testing. You can ask a health care professional or sexual assault counselor for more information.

If it is determined by your doctor that you are at high-risk for HIV infection (i.e., your assailant is HIV positive or engages in high-risk behaviors such as injecting drugs) you may be a good candidate for HIV post-exposure antiretroviral therapy. Your doctor will be able to discuss the risks, potential benefits and cost of this treatment with you.

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