"(e.g., rape, sexual assault, sexual harassment) • Suicide (e.g., fatal and nonfatal suicide behavior) • Youth V iolence (e.g., bullying, gang violence, peer violence) Section 4.7 Sexual Violence Sexual Violence (SV) refers to sexual activity where consent is not obtained or freely given. Anyone can experience SV, but most victims are female. The person responsible for the violence is typically male and is usually someone known to the victim. The person can be, but is not limited to, a friend, coworker, neighbor, or family member. There are many types of SV. Not all include physical contact between the victim and th e perpetrator (person who harms someone else) – for example, sexual harassment, threats, and peeping. Other SV, including unwanted touching and rape, includes physical contact. SV can impact health in many ways. Some ways are serious and can lead to long - term health problems. These include chronic pain, headaches, stomach problems, and sexually transmitted diseases. SV can have an emotional impact as well. Victims often are fearful and anxious. They may replay the attack over and over in their minds. They may have problems with trust and be wary of becoming involved with others. The anger and stress that victims feel may lead to eating disorders and depression. Some even think about or attempt suicide. SV is also linked to negative health behaviors. For exa mple, victims are more likely to smoke, abuse alcohol, use drugs, and engage in risky sexual activity. Why is sexual violence a public health problem? SV is a significant problem in the United States: • Among high school students surveyed nationwide, about 8% reported having been forced to have sex. The percentage of those having been forced to ever have sex was higher among female (11%) than male (5%) students. • An estimated 20% to 25% of college women in the United States have experienced an attempted or c omplete rape during their college career"