Healthcare (Basel, Switzerland) · 2026
"It Was Traumatizing, Because It Makes You Feel Like You Are Not Right": 2S/LGBTQIA+ Survivors' Experiences Accessing Care for Intimate Partner Violence-Caused Brain Injury.
СтатьяНазвание и аннотация: Перевод в очереди
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Chisholm Emily, Stranges Tori N
Аннотация
UNLABELLED: 2S/LGBTQIA+ survivors of intimate partner violence (IPV) face multiple, intersecting barriers to accessing care, yet little is known about how these barriers are shaped by IPV-caused brain injury (IPV-BI).
BACKGROUND/OBJECTIVES: This study aimed to explore how stigma and institutional trust influence 2S/LGBTQIA+ survivors' experiences of help-seeking following IPV-BI. Guided by a Community Advisory Board, four semi-structured focus groups were conducted with 29 2S/LGBTQIA+ IPV-BI survivors.
METHODS: Reflexive thematic analysis was used to examine participants' help-seeking accounts, with attention to minority stress and intersecting stigmas related to IPV, BI, and 2S/LGBTQIA+ identity.
RESULTS: The findings indicate that survivors navigated compounded stigmas that limited access to safe, affirming services and heightened vulnerability during help-seeking. Institutional trust was central to participants' decisions to disclose sensitive information and engage in care, with confidentiality emerging as a critical determinant of perceived safety. Participants described negotiating disclosure, anticipating discrimination, and avoiding services when systems were perceived as unsafe or unresponsive.
CONCLUSIONS: These findings highlight the need for service systems to integrate IPV-BI into screening and support protocols, provide training on the intersections of IPV, BI, and 2S/LGBTQIA+ identities, and centre confidentiality as a condition for trust and access, ultimately fostering safer, more responsive systems of care.
BACKGROUND/OBJECTIVES: This study aimed to explore how stigma and institutional trust influence 2S/LGBTQIA+ survivors' experiences of help-seeking following IPV-BI. Guided by a Community Advisory Board, four semi-structured focus groups were conducted with 29 2S/LGBTQIA+ IPV-BI survivors.
METHODS: Reflexive thematic analysis was used to examine participants' help-seeking accounts, with attention to minority stress and intersecting stigmas related to IPV, BI, and 2S/LGBTQIA+ identity.
RESULTS: The findings indicate that survivors navigated compounded stigmas that limited access to safe, affirming services and heightened vulnerability during help-seeking. Institutional trust was central to participants' decisions to disclose sensitive information and engage in care, with confidentiality emerging as a critical determinant of perceived safety. Participants described negotiating disclosure, anticipating discrimination, and avoiding services when systems were perceived as unsafe or unresponsive.
CONCLUSIONS: These findings highlight the need for service systems to integrate IPV-BI into screening and support protocols, provide training on the intersections of IPV, BI, and 2S/LGBTQIA+ identities, and centre confidentiality as a condition for trust and access, ultimately fostering safer, more responsive systems of care.