# Exploring the Connection Between Substance Use and Mental Health in Brazilian Teens Who Have Experienced Sexual Violence

## TL;DR

This study shows that Brazilian teens who experienced sexual violence are more likely to use substances and face mental health issues.

## Contribution

The study highlights the link between sexual violence, substance use, and mental health in Brazilian adolescents using a large dataset.

## Key findings

- Victims of sexual violence reported higher rates of parental alcohol and cigarette use.
- Adolescents who experienced sexual violence were more likely to use alcohol and illicit drugs before age 14.
- These teens also showed higher levels of sadness, anger, and suicidal thoughts.

## Abstract

A large study involving 129,953 adolescents (aged 13–17) examined the connection between sexual violence, substance use, and mental health. Victims of sexual violence (VSV; n = 20,492; 14.8%) and rape (RV; n = 8133; 6.5%) reported higher rates of parental or caregiver alcohol and cigarette use. These adolescents were also more likely to engage in substance use themselves, especially alcohol and illicit drugs, often beginning before age 14. They also faced increased exposure to risky behaviours like drinking with classmates and using illegal drugs. Additionally, the VSV and RV groups reported significantly higher levels of sadness, anger, suicidal thoughts, and poorer overall health. This research, based on data from a large‐scale survey conducted in Brazil, underscores the urgent need for targeted interventions and support systems to address the complex challenges faced by adolescents who have experienced sexual violence.