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Emerging research suggests unique barriers to disclosure and help-seeking in the aftermath of sexual assault, but relatively little work has examined LGBTQIA+ identity-related concerns discussed in a help-seeking context. This study examined anonymous, archival data, from a sample of 292 visitors to the National Sexual Assault Online Hotline. Analyses were limited to visitors who identified as the victim of a sexual violence event, disclosed they identified as LGTBQIA+, and discussed concerns related to their gender identity and\/or sexual orientation. Open-ended responses from hotline staff revealed four overarching themes: (1) Identity-related blame and discrimination, (2) barriers to disclosure and\/or help-seeking, (3) discussion of identity and\/or behavior, and (4) When perpetrators are LGBTQIA+. Practitioners should be aware of the unique barriers LGBTQIA+ survivors face in disclosure and help-seeking and how their experiences may differ from heterosexual, cisgender survivors. Findings underscore the need for more affirming and accessible care for LGBTQIA+ survivors.<\/jats:p>","DOI":"10.1177\/08862605241291913","type":"journal-article","created":{"date-parts":[[2024,11,21]],"date-time":"2024-11-21T04:05:56Z","timestamp":1732161956000},"page":"4455-4478","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["LGBTQIA+ Identity-Related Concerns of Sexual Assault Survivors Who Access an Anonymous Online Hotline"],"prefix":"10.1177","volume":"40","author":[{"given":"Emma S.","family":"Bardwell","sequence":"first","affiliation":[{"name":"Rape, Abuse &amp; Incest National Network (RAINN), Washington, DC, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7118-7947","authenticated-orcid":false,"given":"Shannon A.","family":"Elliott","sequence":"additional","affiliation":[{"name":"Rape, Abuse &amp; Incest National Network (RAINN), Washington, DC, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9872-2989","authenticated-orcid":false,"given":"Ethan C.","family":"Levine","sequence":"additional","affiliation":[{"name":"Stockton University, Galloway, NJ, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8372-7210","authenticated-orcid":false,"given":"Kimberly L.","family":"Goodman","sequence":"additional","affiliation":[{"name":"Rape, Abuse &amp; Incest National Network (RAINN), Washington, DC, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2024,11,21]]},"reference":[{"key":"e_1_3_3_2_1","unstructured":"ACLU. 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