“I feel hopeless.”
“I just don’t know how I can continue with this pain.”
“Sometimes I think dying is the only way.”
“I don’t really want to die, but I think about it all the time.” 
 

It is common for therapists to hear phrases like these when sitting with clients in the aftermath of sexual violence. The phrases reveal the depth of the pain that sexual trauma creates. Many clients who share these words struggle with post-traumatic stress disorder (PTSD) symptoms such as nightmares, intrusive thoughts, hypervigilance, avoidance of reminders of the trauma, anxiety, and depression. The psychological impacts of sexual violence disrupt survivor’s daily lives.  

Real-World Aftereffects of Trauma

Take a moment to remember the last time you went grocery shopping. You probably got in your car, turned on the radio, drove to the store, picked up the items you needed, checked out, drove home, and unloaded the groceries.  

A survivor with PTSD symptoms may have a very different experience. A survivor may choose to go to a grocery store across town to avoid the possibility of running into their abuser at the local store. They may find themselves constantly looking in the review mirror for any indication that danger is nearby. If a vehicle matching that of their perpetrator pulls near them, they may experience a surge of anxiety and panic that lasts long after they realize it is just a similar vehicle not the abuser. As they browse the aisles in the store, they may find themselves frozen for an unknown amount of time when they see the type of chips they ate prior to being assaulted. When they finally return home, they barely have the energy to unload the groceries. This was a single shopping trip. While completing the shopping trip is a success for that survivor, they may also feel defeated because the previously simple tasks now require more than they feel they can sustain.

The Troubling Links Between Sexual Violence, PTSD, and Suicide Risk 

Research illustrates the significant link between sexual assault and PTSD. One study found that 94% of women who were raped experienced PTSD symptoms during the two weeks immediately following the rape. About 30% of the women reported continued symptoms nine months later. The National Women’s Study reported that almost one-third of all rape victims develop PTSD sometime during their lives and 11% of rape victims currently suffer from the disorder (1). 

The effects of PTSD can be unrelenting.  

Psychological distress, difficulty with activities of daily living, and disrupted sleep patterns often result in an increased risk of suicidal ideation and suicidal attempts. 

Left untreated, the symptoms of PTSD will often result in feelings of hopelessness which places someone at a significant risk of suicide. Eapen and Cifu (2020) found that among people who have been diagnosed with PTSD at some point in their lifetime, approximately 27% have attempted suicide. A body of research (2) provides evidence that traumatic events such as childhood abuse may increase a person’s suicide risk.  

When a client discloses in session one of the phrases above, the first response as clinicians often involves normalizing their feelings. It makes sense in the aftermath of sexual trauma that a person would not want to endure the pain that seems like it will last forever. It makes sense that they would experience feelings of hopelessness when their entire world has been changed. Clinicians strive to instill hope for their clients that with consistent therapy, the establishment of safety and a support system, and the regular use of coping skills, the symptoms that currently wreak havoc in their lives will decrease.  

Healing can and does happen following sexual violence. 

What to Do If You or a Friend are Experiencing Suicidal Thoughts

If you are experiencing suicidal ideation and are thinking about ending your life, know that you are not alone and there is help available. There are likely people you know, love, and trust who have also experienced suicidal thoughts. This moment of pain, despair, and feeling like there is no other way will not last forever. If you feel like your life is in immediate danger, please call 911 right away. If you are in Georgia, you can call the Georgia Crisis Access Line 1-800-715-4225. If there is a person in your life that you love and trust, reach out to them and let them know you are having these thoughts. If possible, avoid being alone. You can also call or text the Suicide and Crisis Line at 988. Reach out and let someone support you in this time of need. It does not have to be the end. 

If someone you know is experiencing suicidal ideation or is talking about ending their life, the same resources listed above are available. If they have shared their thoughts and pain with you, acknowledge the courage it took for them to voice their need. Remind them how important they are and how much you care for them. If they are unwilling to call the resources listed above, you can take the step and call for them. Trained crisis counselors can guide you in supporting your friend. If they are in immediate danger, call 911 right away. 

References

1. U.S. Department of Veterans Affairs and National Center for PTSD
   https://www.ptsd.va.gov/professional/treat/type/sexual_assault_female.asp

     2. U.S. Department of Veterans Affairs and National Center for PTSD https://www.ptsd.va.gov/professional/treat/cooccurring/suicide_ptsd.asp