Date of Award


Degree Type


Degree Name

Master of Arts (MA)



First Advisor

Amanda Gilmore

Second Advisor

Sierra Carter

Third Advisor

Cynthia Stappenbeck


The current study evaluated the associations between pre-assault factors, assault characteristics, and multiple sexual assault medical forensic exams (SAMFEs) on emergency department visits one-year post-SAMFE. Characteristics associated with individuals who frequent the emergency department at higher rates have been well established; however, factors associated with greater emergency department visits following a recent sexual assault (SA) are largely unknown. The current study included a medical record review of 123 individuals who received a SAMFE at a hospital in the southeastern United States. Demographic variables, characteristics of the SA, pre-SA diagnoses, frequency of SAMFEs, and post-SAMFE emergency department visits were examined. Results indicated that alcohol or drug use during an assault was associated with fewer emergency department visits post-SAMFE. Substance use and injury disorders pre-SAMFE were positively associated with post-SAMFE emergency department visits. Findings provide important insight for prevention strategies to target mental and physical health concerns after recent SA to mitigate risk trajectories.


File Upload Confirmation