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This guide was created by University of Victoria nursing students to guide people who have experienced sexual assault through accessing local and relevant resources. This content is not intended as medical or legal advice
Sexual Assault is any form of sexual contact without voluntary, informed, and ongoing consent. It can include unwanted touching, kissing, penetration, or coercion. Assault can occur between strangers, acquaintances, partners, or family members—and it is never the survivor's fault.
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What to do after experiencing sexual assault
After a sexual assault, it's important to take care of your health and safety. It is highly recommended to get a physical exam done, even without doing a forensic exam or reporting, from either your primary care provider or at the Emergency Department to ensure that there are no underlying or immediate physical injuries that need to be addressed.
Follow-up care after a sexual assault may include:
A physical exam to check for internal or hidden injuries (such as bleeding, concussion, or strangulation)
Testing and treatment for sexually transmitted infections (STIs)
Emergency contraception to prevent pregnancy
Referrals to counselling and ongoing mental health support
Support in creating a personal safety plan
If you choose to, seek a forensic exam at the hospital and undergo evidence collection:
If you have not eaten since the assault, avoid food and drink
If you have to pee when you arrive, inform a nurse who can support urine collection
Do not shower or bathe
If you have changed since the assault, bring the clothes you were wearing at the time
It is OK if you have done any or all of the above. The examination can still take place.
If you can't go to the hospital right now, you still have options. You can get STI testing through Interior Health labs, visit a sexual health or walk-in clinic, connect with counselling and crisis services listed below and attend the hospital for a full forensic exam for up to 7 days after the incident.
You are in control of what care you receive and when. Support is available whenever you're ready.
Sexual Health and Post-Sexual Assault Services
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As outlined in the Criminal Code, sexual assault is any form of non-consensual contact.
Consent must be given freely. It is not consent if there are threats, fraud, manipulation, or coercion.
Consent must be continuous and can be withdrawn anytime. This can be with words or by actions, including body language.
Consent to one form of sexual contact does not mean consent to all forms of sexual contact.
Consent cannot be legally given if the person is intoxicated, drugged, unconscious, or asleep. This is also true even if the perpetrator is also intoxicated or under the influence.
Consent cannot be given where the perpetrator induces the victim to engage in sexual activity by abusing a position of trust, power, or authority.
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It is highly recommended to get a physical exam done (even without doing a forensic exam or reporting) from either your primary care provider or at the Emergency Department to ensure that there are no underlying or immediate physical injuries that need to be addressed.
For example:
Bleeding/internal injuries
Concussion/head trauma
Strangulation
Other injuries (cuts, broken bones, etc).
Other components of follow-up care include:
STI testing
Emergency contraception
Counselling and long-term mental health support
Creating a safety plan
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ALL responses to sexual assault are adaptive attempts to survive this traumatic experience, both physically and emotionally.
Some of these responses can include:
Shock, numbness, dissociation, or calmness
Confusion or memory gaps
Guilt and shame
All of these, even if not included in this list, are ways of coping.
Impacts on memory:
Trauma can change how memories are stored and recalled. Survivors may:
Remember everything vividly
Recall only fragments or certain moments
Remember events out of order
Experience flashbacks triggered by sounds, scents, or sensations
Anxiety or disbelief
Anger, fear, or emotional withdrawal
Physical symptoms such as pain, nausea, sleep disturbances
These variations are normal trauma responses, not signs of inaccuracy. Survivors may also experience nightmares, intrusive memories, sleep or appetite changes, depression, withdrawal, or difficulty trusting others.
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During sexual assault, it is common for the body to respond in ways that feel confusing or distressing. Our bodies are wired with automatic physiological reflexes that can occur with certain forms of stimulation, even when the experience is unwanted or frightening. These reflexes are controlled by the autonomic nervous system, not conscious choice.
For example, the body may experience:
Increased heart rate or breathing
Genital lubrication or erection;
Muscular tension or reflexive movements
These responses do not mean a person wanted, enjoyed, or consented to what happened. They are automatic bodily reactions, similar to a knee-jerk reflex or a startle response, and are the body's way of protecting itself from harm or processing intense stimulation.
Many survivors feel confused, ashamed, or guilty about these responses, but it is important to understand: the body's automatic reaction does not reflect your choice, consent, or feelings.
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Third-Party Reporting
Allows survivors 19+ to report anonymously through a community-based agency
Still connects survivors with supports and resources
Provides police with information about people who are committing acts of sexual violence in communities
No direct contact with the police
(EVA BC, n.d.)
Reporting Directly to Police/RCMP
There is no time limit to reporting an assault; provides more time for choice
Contact your local police or RCMP station
You may choose to make a report primarily for information purposes only
Option to be connected with community-based victim services for further supports
What can you expect:
You will be asked to share what happened (either written or recorded statement)
Other details including who was involved, where it happened, if there were witnesses
You don't need to remember everything perfectly—trauma can affect memory; you may remember details after the initial report, which you can share later
They may collect evidence, such as clothing or injury photos, speak with witnesses, and conduct an investigation if you choose to proceed
They will offer a Sexual Assault Evidence Kit to be done at a hospital or health centre (within 7 days of the assault for evidence to be obtained) * optional
If you choose to proceed with pressing charges, and charges are laid, the case may go to court, in which additional supports are available through this process
(RCMP, 2025)
Not Reporting
Recommended to seek supports without police involvement, including seeking medical attention and/or mental health supports
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Talking is an important part of the recovery process — it can start with disclosure.
It is never easy to tell someone you have been sexually assaulted. Many survivors struggle to disclose what happened for a variety of reasons — all of which are completely valid.
Survivors may:
Feel embarrassed, ashamed, or humiliated—especially if the assault involved someone they trusted or if drugs or alcohol were present
Fear not being believed or being blamed, particularly if this has happened before or if they've seen similar reactions in media
Feel confused about whether what happened "counts" as sexual assault
Worry for their safety or the safety of others if threats were made
Feel conflicted about reporting if the perpetrator is someone they know or part of a small or close community
Fear judgment or inaction from police, healthcare providers, or the justice systemWant to move on quickly by avoiding discussion or reminders
Feel unsure where to go, who to trust, or how to process what happened
These feelings are deeply vulnerable, but they are not uncommon. Sexual assault can make survivors feel powerless or disconnected from control over their lives.
Our society often avoids open conversations about sex and consent, which can create shame and isolation after an assault.
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When someone you know experiences sexual assault, it's natural to feel unsure of what to say or how to help.
Just by showing up, you're already making a difference. The most important thing you can do is believe them, listen without judgment, and remind them they have options.
Remember that the survivor is telling you because they see you as a safe and trustworthy person. You have an opportunity to empower the survivor and assist them in their path forward and in accessing additional supports.
Some common things to avoid when receiving a disclosure:
A judgemental, shocked, or overreactive initial response
Disbelief, minimizing, or questioning the "truth" of a survivor's story or reactions—especially if they appear to be very calm, or don't want to report to the RCMP
Asking unnecessary details, focusing on the behaviour, appearance, and/or location of the survivor at the time of the assault
Focusing on your own emotional reaction (e.g., horror, sadness, anger, recalling a similar experience you may have had)
Questioning why a survivor did not act in the ways society expects an SA survivor to react (e.g., fighting back, reporting to the police, discontinuing contact with the perpetrator after the assault)
Most importantly, it's about:
Listening
Believing
Empowering
(blueknot, n.d.)
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What to expect:
If it has been seven days or less since the assault, a forensic exam may be completed. This is an examination that is completed in the emergency department by a specially trained SAFE examiner, or with support of an expert examiner by telehealth. The examiner will explain every step of the exam and you decide which parts of the exam to have completed.
Reporting to the police is up to you. The examiner can support you to report to the police.
If you are not ready to report to police, an examiner can explain your options to you, which may involve transfer to a site that can collect and store evidence in case you change your mind about reporting, or providing medical care in the ED.
Support people of your choosing are welcome to stay with you during your hospital visit. This may include Indigenous Patient Navigators, community support services, or a person of your choosing. It is up to you if they are in the room for part or all of your hospital visit. Hospital staff can offer options and contact support people for you.
You will be asked for consent at each step of the exam, meaning you are able to stop at any time. If you change your mind, or if it becomes overwhelming to you, your choice will be supported and validated.
Important points:
A forensic examination is completely your choice; even if you present to receive only medical care, you do not have to do an evidence collection kit. Evidence collection can only be done within 7 days of the assault; this is to ensure the evidence that is collected has not been lost through showering, eating, etc.
Medical Care
Your examiner may have given you a piece of paper to remind you what treatments, including medications, you were given during your examination. This will include any recommended follow-up care or testing.
We advise testing for syphilis and HIV one month and three months after your exam. Testing is free and available at any Interior Health laboratory without seeing a doctor or providing a lab requisition. More information about getting tested is available on the Interior Health webpage.
If you report to the police
This process can be lengthy and you may not receive many updates while the investigation is underway. You will have access to a victim service worker through the RCMP who can support you with this process.
You can apply to the Crime Victim Assistance Program (CVAP) for support with the costs associated with your recovery.
If you store evidence
You can report to police at any time
Your evidence will remain secured at the hospital for 365 days
After one year, it will be destroyed and you will not be contacted
The written report of your examination is stored indefinitely.
How to report to police after storing evidence:
Report to your local police or police in the area where the assault happened
The police will ask you to sign a consent that allows them to pick up the evidence from the hospital
You do not need to return to the hospital to release the evidence
If you remember your case number from the hospital, you can share that with police, but this is not required
(Interior Health, n.d.)
FAQs
This project was completed by University of Victoria nursing students Michaela Anderson and Sara Cuthbert as their fourth year leadership project.
This leadership project addresses the ongoing need for accessible, trauma-informed, and survivor-centered care for individuals who have experienced sexual assault in our rural local communities.
Grounded in our longstanding passion for advocacy and health equity, this project originated from a presentation by Chloe Hunt, founder of Fourwords Solutions. Her presentation emphasized the inequitable gaps in sexual health services and the need for alternative approaches to improve survivors' access to evidence collection in rural communities.
Our interest was further inspired by personal relationships with survivors and the observed lack of follow-up and trauma-informed coordinated care within existing systems.

