Disclosure of child sexual abuse

A study which asked children aged 10-18 whether – and whom – they would tell about hypothetical unsafe scenarios involving an adult or a peer, found that participants were most likely to say they would approach their mother (69% for the unsafe adult scenario; 63% for the unsafe peer scenario), followed by a friend (64% for the unsafe adult scenario; 58% for the unsafe peer scenario) in these situations. Those most likely to say they would tell a friend were girls and older children (Russell & Higgins, 2023).

A study of third-year Swedish high school students revealed that of those who had experienced sexual abuse, just under two thirds (62%) had told someone about the abuse. The person disclosed to was most often someone in their own age group, including partners, peers, or siblings (54%). Just under one quarter (24%) had told an adult family member or friend, while 14% had told a professional. It was more common for girls to disclose than boys (Landberg, Svedin & Jonsson, 2022).

A systematic review of 37 studies examining pathways and recipients of child sexual abuse disclosures showed that children and youth follow a gradual pattern of disclosure, first disclosing to peers before disclosing to a parent or trusted adult, who can then assist in formal reporting to authorities. Older children and adolescents are significantly more likely to disclose to peers, keeping sexual abuse largely hidden from adults. Girls are also more likely to disclose to peers for emotional support, while boys are less likely to disclose altogether and when they do so, it is more likely for practical reasons (Manay & Collin-Vezina, 2021).

As with disclosure, access to support services following experiences of child sexual abuse is frequently delayed or does not occur at all. Research with adults in England and Wales who self-identified as victims and survivors of child sexual abuse found that most (73%) victims and survivors had not accessed support services. Those who had accessed support services also took a long time to do so: the average time between first child sexual abuse victimisation and contact with a support service was 19 years and there was substantial variation in time between sexual abuse and access to support services, ranging from 0 – 58 years (Gekoski, McSweeney, Broome, Adler, Jenkins & Georgiou, 2020).

There is a significant relationship between age at time of abuse and age at time of disclosure: children are more likely to tell within the developmental period during which they were abused than within any other period. This pattern has also been found to increase across each age category (McElvaney et al., 2020).

Results of an online survey with male child sexual abuse survivors showed that the length of time until first disclosure ranged from 0 to 63 years with a mean of more than two decades (21.45 years). Only 8.2% of participants told someone within one year of when the sexual abuse started (Easton, 2019).

A study of sexual abuse and assault among a US nationally representative sample of over 13,000 youth found that among those aged 10-17 years who had been sexually abused or assaulted, 66.3% did not disclose to a parent or any other adult. Among all youth aged 0-17 years who had been sexually abused or assaulted, 19.1% was reported to the police (Gewirtz-Meydan & Finkelhor, 2019).

A population-based survey study with a representative sample of Finnish youth showed that among those who reported experiencing child sexual abuse, 80% had disclosed to someone, usually a friend (48%). Only 26% had disclosed to adults, and just 12% had reported the experiences to authorities (Lahtinen et al., 2018).

Among survivors participating in private sessions for the Royal Commission into Institutional Responses to Child Sexual Abuse, 57% said they did not disclose about the abuse until they were an adult. Further, survivors took, on average, 23.9 years to disclose the abuse, with men taking longer to disclose than women (25.7 years for men and 20.6 years for women). Some survivors (10%), most of them male, reported that they were disclosing for the first time to the Royal Commission (Royal Commission, 2017).

Barriers to disclosure

A systematic review of quantitative studies published from 2000 to 2022 revealed 17 significant predictors of sexual abuse disclosure. Facilitators to disclosure included older age, being female, higher IQ, recent abuse, resistance during abuse, clergy perpetrator, non-offending caregiver support, and acculturation. Barriers to disclosure included intellectual disability, avoidant coping, romantic relationships with the perpetrator, family criminality, domestic violence, adherance to traditional values, and ethnic minority identity (Latiff, Fang, Goh, & Tan, 2024).

In-depth research involving 20 interviews with German and Israeli adult survivors of child sexual abuse by religious authority figures found specific barriers to disclosure in these cases where the perpetrators were a symbol of a parent or God and faith. The survivors in this research reported various familial, cultural, and community inhibitors, such as fear of social stigmatisation, inability to recognise the abuse, and the taboo of sexuality discourse within the religious community (Lusky-Weisrose, Kowalski, Tener & Katz, 2022).

A qualitative meta-analysis of studies conducted between 1998-2018 exploring facilitators of disclosure suggests that six key themes are important: access to someone you can trust; realising it’s not normal; inability to cope with emotional distress; wanting something to be done about it; expecting to be believed; and being asked (Brennan & McElvaney, 2020).

A review of classified RCMP case files on child sexual abuse from British Columbia, Canada, found that delayed disclosure was related to both the age and gender of the child (disclosure delay was increased for boys and for younger children). Additionally, disclosure delay increased when abuse was more severe, occurred at a higher frequency, and when perpetrators were more closely related to the child victim (Wallis & Woodworth, 2020). A recent systematic review of qualitative research with children exploring barriers to disclosure of sexual abuse revealed six primary barriers. These included a fear of the consequences of disclosure; a fear of others’ reactions including disbelief; emotions including shame, embarrassment, guilt and responsibility; not having had an opportunity to tell; concern for their own or others’ safety; and personal feelings toward the abuser (Morrison, Bruce & Wilson, 2018).

In a population-based survey study with a representative sample of Finnish youth, the most common reason for non-disclosure of child sexual abuse (defined as having sexual experiences with a person at least five years older) was that the experience was not considered serious enough for reporting (41%). Just 14% indicated that they did not have the courage to tell anyone. Half of the youth who reported child sexual abuse did not self-label their experiences as abuse (Lahtinen et al., 2018).

Recent research reviewing studies relating to disclosure of child sexual abuse has shown that barriers to disclosure continue to outweigh facilitators. Barriers identified in this review included younger age, male gender and associated perceived stigma, familial relationship with the perpetrator, internal factors including shame, self-blame and fear, family dynamics including dysfunction and abuse, and environmental and cultural context factors including lack of involvement from neighbours and school, and stigma perpetuated by societal perceptions (Alaggia, Collin-Vézina & Lateef, 2017).

A further systematic review of the barriers and facilitators relating to child and adolescent disclosures of sexual abuse showed that barriers included limited support, perceived negative consequences, and feelings of self-blame, shame and guilt. A primary facilitator of disclosure was directly asking a child about their experiences while providing active listening and support, in order to minimise feelings of guilt and shame, and to reduce fear of negative consequences (Lemaigre, Taylor & Gittoes, 2017).

A study of the perceptions of therapists specialising in treatment of men with histories of child sexual abuse showed that barriers to men’s disclosure of child sexual abuse fell into three categories: intrapersonal experience (difficult feelings such as fear, shame, embarrassment, guilt and self-blame; and lack of language to articulate the abuse and their feelings, and/or lack of self-engagement), social milieu (internalised social stigma including myths, misinformation and stereotypes; negative responses to previous disclosures; fear of social loss or judgement; and masculine identity dissonance) and the health care environment (structural barriers limiting successful therapeutic disclosure; relational challenges with therapists; and unhelpful therapeutic strategies) (Gruenfeld, Willis & Easton, 2017).

Disclosure outcomes

Analysis of archival data from the US-based National Sexual Assault Online Hotline, using a sample of 224 intrafamilial child sexual abuse victims who had previously disclosed, showed that nearly three quarters (73%) reported receiving a negative reaction to their disclosure. Victims were more likely to discuss negative reactions from non-offending family members than from friends and intimate partners, and negative reactions included distracting or distressing the victim (33%), not believing the victim (29%), and retaliating or responding violently following the disclosure (10%) (Elliott, Goodman, Bardwell & Mullin, 2022).

Adolescents attending a children’s advocacy center in the United States were more likely to report non-supportive responses from caregivers than from friends. Non-supportive responses from caregivers were associated with self-blame, while non-supportive responses from both caregivers and friends were associated with increased trauma symptomology (Jouriles, Sitton, Adams, Jackson, & McDonald, 2022).

A study of 146 police-reported child sexual abuse cases in Canada showed that higher levels of non-offending caregiver support (following informal disclosure to that caregiver) were found to lead to shorter delays of formal disclosure to police. Non-offending caregivers were found to be significantly less supportive, however, when the abuser was more closely related (e.g. when the abuser was a partner or family member) (Wallis & Woodworth, 2021).

Easton and Parchment (2021) found in their study with 487 adult male survivors of CSA that for most men (59 %), their most helpful discussant was not a mental health professional but rather a family member, spouse or partner, friend, or fellow survivor. Overall, more than seven in ten men (71.7 %) mentioned that actions taken by discussants were beneficial, especially listening and believing the survivors’ CSA narrative, validating men’s feelings, demonstrating empathy, and encouraging help seeking (Easton & Parchment, 2021).

Results of an online survey with male survivors of child sexual abuse showed that early disclosure (i.e., within one year of the sexual abuse) was a protective factor against mental distress, accounting for approximately a three-unit decrease in adverse psychological symptoms (Easton, 2019). Easton discussed that while early disclosure may introduce short-term problems (e.g., family disruption and conflict) or fail to end the abuse, the evidence suggests that early disclosure is associated with improved long-term mental health for male survivors.

False allegations

In a 1995 study, Faller and colleagues found 14.4% of 215 allegations of child sexual abuse in the context of divorce had the appearance of falsehood, with an additional 6.5% possibly false. Of the total 45 probable or possible false allegations, the majority – 76% – were based on misinterpretation by the adult, while 22% were “knowingly false allegations”. In the majority of cases (60%), the false allegation appeared to be unrelated to the divorce (cited in Petherick, 2019).

There are very few false allegations of sexual abuse – in 2014 there were 3,940,920 cases of child abuse/neglect that were investigated by Child Protective Services in the United States. Of these, just 2,242 (0.06%) were found to be intentionally false (Administration for Children and Families, 2014). Further, a review of all child sexual abuse reports to the Denver Department of Social Services over 12 months was conducted, showing that of 551 cases, just 2.5% were found to be erroneous (including several cases where innocent events were misinterpreted as sexual abuse, and just 1.5% of cases involving false allegations) (Oates, Jones, Denson, Sirotnak, Gary & Krugman, 2000). O’Donohue and colleagues’ (2018) critical review of false allegations of child sexual abuse found that across multiple studies, rates of false allegations usually fell in the range of 2-5%.

References

Alaggia, R., Collin-Vézina, D., & Lateef, R. (2017). Facilitators and barriers to child sexual abuse (CSA) disclosures: A research update (2000-2016). Trauma, Violence & Abuse, 1-24.

Brennan, E., & McElvaney, R. (2020). What helps children tell? A qualitative meta-analysis of child sexual abuse disclosure. Child Abuse Review, 29, 97-113.

Easton, S. (2019). Childhood disclosure of sexual abuse and mental health outcomes in adulthood: Assessing merits of early disclosure and discussion. Child Abuse and Neglect, 93, 208-214.

Easton, S., & Parchment, T. (2021). “The whole fell apart, and I felt free for the first time”: Men’s perceptions of helpful responses during discussion of child sexual abuse. Child Abuse & Neglect, 112, doi: 10.1016/j.chiabu.2020.104922.

Elliott, S.A., Goodman, K.L., Bardwell, E.S., & Mullin, T.M. (2022). Reactions to the disclosure of intrafamilial childhood sexual abuse: Findings from the National Sexual Assault Online Hotline. Child Abuse & Neglect, doi: 10.1016/j.chiabu.2022.105567.

Gekoski, A., McSweeney, T., Broome, S., Adler, J.R., Jenkins, S., & Georgiou, D. (2020). Support services for victims and survivors of child sexual abuse. University of Hertfordshire, UK. Retrieved from: https://uhra.herts.ac.uk/bitstream/handle/2299/23054/support_services_august_2020_.pdf?sequence=1

Gewirtz-Meydan, A., & Finkelhor, D. (2019). Sexual abuse and assault in a large national sample of children and adolescents. Child Maltreatment, DOI: 10.1177/1077559519873975.

Gruenfeld, E., Willis, D.G., & Easton, S.D. (2017). “A very steep climb”: Therapists’ perspectives on barriers to disclosure of child sexual abuse experiences for men. Journal of Child Sexual Abuse, 26(6), 731-751.

Jouriles, E.N., Sitton, M.J., Adams, A., Jackson, M., & McDonald, R. (2022). Non-supportive responses to adolescents who have experienced sexual abuse: Relations with self-blame and trauma symptoms. Child Abuse and Neglect, 134, DOI: 10.1016/j.chiabu.2022.105885

Lahtinen, H., Laitila, A., Korkman, J., & Ellonen, N. (2018). Children’s disclosures of sexual abuse in a population-based sample. Child Abuse and Neglect, 76, 84-94.

Landberg, A., Svedin, C.G., & Jonsson, L.S. (2022). Patterns of disclosure and perceived societal responses after child sexual abuse. Child Abuse & Neglect, 134, doi: 10.1016/j.chiabu.2022.105914

Latiff, M.A., Fang, L., Goh, D.A., & Tan, L.J. (2024). A systematic review of factors associated with disclosure of child sexual abuse. Child Abuse & Neglect, 147, doi: 10.1016/j.chiabu.2023.106564.

Lemaigre, C., Taylor, E.P., & Gittoes, C. (2017). Barriers and facilitators to disclosing sexual abuse in childhood and adolescence: A systematic review. Child Abuse & Neglect, 70, 39-52.

Lusky-Weisrose, E., Kowalski, M., Tener, D., & Katz, C. (2022). Child sexual abuse by religious authority figures in Germany and Israel. The experiences and perceptions of adult survivors. Journal of Interpersonal Violence, Doi: 10.1177/08862605211062997.

Manay, N., & Collin-Vezina, D. (2021). Recipients of children’s and adolescents’ disclosures of childhood sexual abuse: A systematic review. Child Abuse and Neglect, DOI: 10.1016/j.chiabu.2019.104192.

McElvaney, R., Moore, K., O’Reilly, K., Turner, R., Walsh, B., & Guerin, S. (2020). Child sexual abuse disclosures: Does age make a difference? Child Abuse & Neglect, 99, doi: 10.1016/j.chiabu.2019.104121

Morrison, S.E., Bruce, C., & Wilson, S. (2018). Children’s disclosure of sexual abuse: A systematic review of qualitative research exploring barriers and facilitators. Journal of Child Sexual Abuse, 27(2), 176-194.

O’Donohue, W., Cummings, C., & Willis, B. (2018). The frequency of false allegations of child sexual abuse: A critical review. Journal of Child Sexual Abuse, 27(5), 459-475.

Petherick, W. (2019). False reports in child abuse and neglect cases. In Bryce, I., Robinson, Y., & Petherick, W. (Eds): Child Abuse and Neglect: Forensic Issues in Evidence, Impact and Management. Academic Press: doi: 10.1016/B978-0-12-815344-4.00007-6

Russell, D.H., & Higgins, D.J. (2023). Friends and safeguarding: Young people’s views about safety and to whom they would share safety concerns. Child Abuse Review, doi: 10.1002/car.2825

Royal Commission into Institutional Responses to Child Sexual Abuse (2017). Final report, Volume 4: Identifying and disclosing child sexual abuse. Commonwealth of Australia.

Wallis, C.R.D., & Woodworth, M. (2021). Non-offending caregiver support in cases of child sexual abuse: An examination of the impact of support on formal disclosures. Child Abuse & Neglect, 113, doi: 10.1016/j.chiabu.2021.104929.

Wallis, C.R.D.. & Woodworth, M.D. (2020). Child sexual abuse: An examination of individual and abuse characteristics that may impact delays of disclosure. Child Abuse & Neglect, 107, doi: 10.1016/j.chiabu.2020.104604.