Post-Traumatic Stress Disorder

One of the recognized disorders associated with a patterned response to trauma, such as victimization, is post-traumatic stress disorder (PTSD). Commonly associated with individuals returning from war and combat, PTSD is a psychiatric condition that recently has been recognized as a possible consequence of other traumatic events, such as criminal victimization. Currently classified by the American Psychiatric Association in the DSM-V as an anxiety disorder, PTSD is diagnosed based on several criteria outlined in detail in Table 3.1. A person must have experienced or witnessed a traumatic event that involved actual or threatened death or serious injury to oneself or others, or threat to the physical integrity of oneself or others. The person must have experienced fear, helplessness, or horror in response to the event and then reexperienced the trauma over time via flashbacks, nightmares, images, and/or reliving the event. The person must avoid stimuli associated with the traumatic event and may experience numbness of response, such as lack of affect and reduced interest in activities. Finally, PTSD is characterized by hyperarousal.

Focus on Research

Research on the physical and mental health consequences of victimization has established that victimization can have short- and long-term effects. Leana Bouffard and Maria Koeppel (2014) recently discovered that experiencing repeated bullying in childhood before the age of 12 is linked to poor outcomes in early adulthood. They found that when respondents were between the ages of 18 and 23, those who experienced this specific type of victimization experienced worse negative mental health, were more likely to be homeless during the previous 5 years, and to have poor or fair physical health. What do these findings mean for policy? Given these findings, what should teachers, health care professionals, or others who interact with children do for those who experience bullying?

Source: Bouffard, L. A., & Koeppel, M. D. H. (2014). Understanding the potential longterm physical and mental health consequences of early experiences of victimization. Justice Quarterly, 31, 568–587.

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Source: Reprinted with permission from The Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition, Text Revision. Copyright © 2013. American Psychiatric Association. All rights reserved.

In order for PTSD to be diagnosed, symptoms must be experienced for more than 1 month and must cause clinically significant distress or impairment in social, occupational, or other functional areas (American Psychiatric Association, 2000). As you may imagine, PTSD can be debilitating and can impact a victim’s ability to heal, move on, and thrive after being victimized. About 8% of Americans will experience PTSD, although women are more likely than men to experience this disorder (Kessler, Sonnega, Bromet, Hughes, & Nelson, 1995). The traumatic events most likely to lead to PTSD for men are military combat and witnessing a serious injury or violent death. Women, on the other hand, are most likely to be diagnosed with PTSD related to incidents of rape and sexual molestation (Kessler et al., 1995).

Although it is difficult to know how common PTSD is among crime victims, some studies suggest that PTSD is a real problem for this group. The estimate for PTSD in persons who have been victimized is around 25%. Lifetime incidence of PTSD for persons who have not experienced a victimization is 9%. Depression also commonly co-occurs in victims who suffer PTSD (Kilpatrick & Acierno, 2003). Research has shown that victims of sexual assault, aggravated assault, and persons whose family members were homicide victims are more likely than other crime victims to develop PTSD (Kilpatrick & Tidwell, 1989). In support of this link, the occurrence of PTSD in rape victims has been estimated to be almost 1 in 3 (Kilpatrick, Edmunds, & Seymour, 1992).

Self-Blame, Learned Helplessness, and the Brain

Victims of crime may blame themselves for their victimization. One type of self-blame is characterological self-blame, which occurs when a person ascribes blame to a nonmodifiable source, such as one’s character (Janoff-Bulman, 1979). In this way, characterological self-blame involves believing that victimization is deserved. Another type of self-blame is behavioral self-blame, which occurs when a person ascribes blame to a modifiable source—behavior (Janoff-Bulman, 1979). When a person turns to behavioral self-blame, a future victimization can be avoided as long as behavior is changed.

In addition to self-blame, others may experience learned helplessness following victimization. Learned helplessness is a response to victimization in which victims learn that responding is futile and become passive and numb (Seligman, 1975). In this way, victims may not activate to protect themselves in the face of danger and, instead, stay in risky situations that result in subsequent victimization experiences. Although learned helplessness as originally proposed by Seligman is not alone sufficient in explaining victimization, research on animals shows that exposure to inescapable aversive stimuli (such as shocks to rats’ tails) is related to behavioral changes that are likely related to fear—changes in eating and drinking, changes in sleep patterns, and not escaping future aversive stimuli when possible. These behavioral changes are linked to changes in brain chemistry, and researchers have hypothesized that these are similar to the neurochemical and behavioral changes seen in humans who suffer from major depressive disorders (Hammack, Cooper, & Lezak, 2012). In this way, then, it is possible that people who have been exposed to serious trauma and who interpret this trauma as being unavoidable may become depressed and experience behavioral changes that are then linked to future risk of victimization.

Economic Costs

Not only are victimologists concerned with the impact that being a crime victim has on an individual in terms of health, but they are also concerned with the economic costs incurred by both the victim and the public. In this sense, victimization is a public health issue. Economic costs can result from property losses; monies associated with medical care; time lost from work, school, and housework; pain, suffering, and reduced quality of life; and legal costs. In 2008, the NCVS estimated the total economic loss from crimes at $17.4 trillion. The NCVS also shows that the median dollar amount of loss attributed to crime was $125 (BJS, 2011). Although this number may appear to be low, it largely represents the fact that the typical property crime is a simple larceny-theft. Other research estimating the costs of specific types of victimization has estimated that the total costs of victimizations range from an average of $9,540 for a motor vehicle theft to $157,500 for a rape (in 2010 dollars) (Chalfin, 2016).

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Direct Property Losses

Crime victims often experience tangible losses in terms of having their property damaged or taken. Generally, when determining direct property losses, the value of property that is damaged, taken, and not recovered, and insurance claims and administration costs are considered. According to the NCVS, in 2008, 94% of property crimes resulted in economic losses (BJS, 2011). In one of the most comprehensive reports on the costs of victimization—sponsored by the National Institute of Justice—Ted Miller, Mark Cohen, and Brian Wiersema (1996) estimated the property loss or damage experienced per crime victimization event. These estimates were used by Brandon Welsh and colleagues (2008) in their article on the costs of juvenile crime in urban areas. They found that arson victimizations resulted in an estimated $15,500 per episode. Motor vehicle theft costs about $3,300 per incident. Results from the NCVS show that personal crime victimizations typically did not result in as much direct property loss. For example, only 18% of personal crime victimizations resulted in economic loss. Rape and sexual assaults typically resulted in $100 of property loss or property damage. It is rare for a victim of a violent or property offense to recover any losses. Only about 29% of victims of personal crime and 16% of victims of property crime recover all or some property (BJS, 2011).

Medical Care

To be sure, many victims would gladly suffer property loss if it meant they would not experience any physical injury. After all, items can be replaced and damage repaired. Physical injury may lead to victims needing medical attention, which for some may be the first step in accumulating costs associated with their victimization. Medical care costs encompass such expenses as transporting victims to the hospital, doctor care, prescription drugs, allied health services, medical devices, coroner payments, insurance claims processing fees, and premature funeral expenses (T. R. Miller, Cohen, & Wiersema, 1996).

Results from the NCVS indicate that in 2008, 542,280 violent crime victims received some type of medical care. Of those victims who received medical care, slightly more than one-third received care in the hospital emergency room or at an emergency clinic and 9% went to the hospital. Receiving medical care often results in victims incurring medical expenses. Almost 6% of victims of violence reported having medical expenses as a result of being victimized. About 63% of injured victims had health insurance or were eligible for public medical services (BJS, 2011).

Costs vary across types of victimization. For example, the annual cost of hospitalizations for victims of child abuse is estimated to be $6.2 billion (Prevent Child Abuse America, 2000). Medical treatment for battered women is estimated to cost $1.8 billion annually (Wisner, Gilmer, Saltman, & Zink, 1999). Per-criminal-victimization medical care costs also have been estimated. Assaults in which there were injuries cost $1,470 per incident. Drunk-driving victims who were injured incurred $6,400 in medical care costs per incident (T. R. Miller et al., 1996).

Gun violence is associated with substantial medical costs for victims. Although most crime victims do not require hospitalization, even if they are treated in the emergency room, a report on gun violence published by the Office for Victims of Crime showed that gunshot victims make up one-third of those who require hospitalization (as cited in Bonderman, 2001). Persons who are shot and admitted to the hospital are likely to face numerous rehospitalizations and incur medical costs throughout their lifetimes. In this same report, it was shown that in 1994, the lifetime medical costs for all victims of firearm injuries totaled $1.7 billion. Spinal cord injuries are particularly expensive, with average expenses for first-year medical costs alone totaling more than $217,000. The average cost per victim of violence-related spinal cord injury is more than $600,000 (as cited in Bonderman, 2001).

Photo 3.1 The victim of a gunshot receives CPR in the emergency room.

© iStockphoto.com/vm

Mental Health Care Costs

When victims seek mental health care, this also adds to their total cost. It is estimated that between 10% and 20% of total mental health care costs in the United States are related to crime (T. R. Miller et al., 1996). Most of this cost is a result of crime victims seeking treatment to deal with the effects of their victimization. Between one-quarter and one-half of rape and child sexual abuse victims receive mental health care. As a result, sexual victimizations, of both adults and children, result in some of the largest mental health care costs for victims. The average mental health care cost per rape and sexual assault is $2,200, and the average for child abuse is $5,800. Victims of arson who are injured incur about $10,000 of mental health care expenditures per victimization. Secondary victimization, which is discussed in detail in a later section, is also associated with mental health care costs. The average murder results in between 1.5 and 2.5 people receiving mental health counseling (T. R. Miller et al., 1996).

Losses in Productivity

Persons who are victimized may experience an inability to work at their place of employment, complete housework, or attend school. Not being able to do these things contributes to the total lost productivity that crime victims experience. In 2008, about 7% of persons in the NCVS who said they were violently victimized lost some time from work. About the same percentage of victims of property offenses lost time from work. Some victims are more prone to miss work than others. For example, almost one-tenth of burglary victimizations cause victims to miss at least one day of work. Data from the NCVS show that 9% of robbery victimizations resulted in victims missing more than 10 days of work (BJS, 2011), whereas victims of intimate partner violence lost almost 8 million paid days of work annually (Centers for Disease Control and Prevention, 2003). Employers also bear some costs when their employees are victimized; victimized employees may be less productive, their employers may incur costs associated with hiring replacements, and employers may experience costs dealing with the emotional responses of their employees. Parents also may suffer costs when their children are victimized and they are unable to meet all their job responsibilities as a result of doing things such as taking the child to the doctor or staying home with the child (T. R. Miller et al., 1996).

Pain, Suffering, and Lost Quality of Life

The most difficult cost to quantify is the pain, suffering, and loss of quality of life that crime victims experience. When these elements are added to the costs associated with medical care, lost earnings, and programs associated with victim assistance, the cost to crime victims increases 4 times. In other words, this is the largest cost that crime victims sustain. For example, one study estimated the cost of out-of-pocket expenses to victims of rape to be slightly less than $5,100. The crime of rape, however, on average, costs $87,000 when its impact on quality of life is considered (T. R. Miller et al., 1996).

Another cost that crime victims may experience is a change in their routines and lifestyles. Many victims report that after being victimized, they changed their behavior. For example, victims of stalking may change their phone numbers, move, or change their normal routines. Others may stop going out alone or start carrying a weapon when they do so. Although these changes may reduce risk of being victimized again, for victims to bear the cost of crime seems somewhat unfair. Did Polly sustain any of these costs?

System Costs

The victim is not the only entity impacted economically by crime. The United States spends an incredible amount of money on criminal justice. When including system costs for law enforcement, the courts, and corrections, the direct expenditures of the criminal justice system are more than $214 billion annually (BJS, 2006b). The criminal justice system employs more than 2.4 million persons, whose collective pay tops $9 billion. Obviously, crime is big business in the United States!

Insurance companies pay about $45 billion annually due to crime. The federal government also pays $8 billion annually for restorative and emergency services for crime victims. There are other costs society must absorb as a result of crime. For example, it costs Americans when individuals who are not insured or are on public assistance are victimized and receive medical care. The U.S. government covers about one-fourth of health insurance payouts to crime victims. Gunshot victims alone cost taxpayers more than $4.5 billion dollars annually (Headden, 1996). These costs are not distributed equally across society. Some communities have been hit especially hard by violence—gun violence in particular. Some 96% of hospital expenses associated with gun violence at King/Drew Medical Center in Los Angeles are paid with public funds (as cited in Bonderman, 2001). We discuss in Chapter 5 just how these costs are paid and who pays them.

Vicarious Victimization

It is not only the victim and the system that are saddled with costs. The effects that victimization has on those close to the victim are also critical in understanding the total impact of crime. So far, we have discussed how a victim may need medical care, may seek mental health counseling, may lose time from work, and may have a less full life after being victimized. But what happens to those who love and care about these victims? Does witnessing a loved one go through victimization also exact a price?

The effects that victimization has on others are collectively known as vicarious victimization. Vicarious victimization has been most widely studied in regard to homicide survivors—people whose loved ones have been murdered—given the profound effect that homicide has on family members, even when compared with nonhomicide deaths. Homicide deaths are almost exclusively sudden and violent. Surviving family members often experience guilt about not being able to prevent the death. The involvement of the criminal justice system also adds an element to the response family members have, and there is often a feeling that others view the death as at least partly the victim’s fault.

The studies on homicide survivors have largely found that they experience many of the same post-trauma symptoms that crime victims themselves experience. One study found that almost one-quarter of homicide-surviving family members developed PTSD after the murder of their family member (as cited in Kilpatrick, Amick, & Resnick, 1990). The disorder and PTSD symptomology are often not transient, with homicide survivors exhibiting PTSD symptoms for up to 5 years

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following the murder (Redmond, 1989). Being a homicide survivor also may be related to greater PTSD symptoms than being a victim of a crime such as rape (Amick-McMullan, Kilpatrick, & Veronen, 1989). Also interesting, homicide survivors experience higher levels of PTSD than do family members who lose a loved one through means other than homicide, such as accidentally (Applebaum & Burns, 1991). PTSD is not the only psychological response that homicide survivors show. They also have higher levels of distress, depression, anxiety, and hostility than persons who have not experienced trauma (Thompson, Kaslow, Price, Williams, & Kingree, 1998).

Photo 3.2 Support groups for family members of murdered people can help with the trauma.

© iStockphoto.com/Alina555.

In addition to psychological responses, homicide survivors may exhibit behavioral consequences. Parents whose children die via homicide are more likely to exhibit suicidal ideation than parents whose children commit suicide or die accidentally (Murphy, Tapper, Johnson, & Lohan, 2003). Other homicide survivors may exhibit lifestyle changes by avoiding places and activities—either because they are fearful or anxious or because they no longer feel able to participate in activities that are reminiscent of times spent with their now-deceased loved one. Homicide survivors also evince feelings of vulnerability, loss of control, loss of meaning, and self-blame. As you can now be certain, criminal victimization has wide-reaching effects on the victim, the system, and others.

Another form of vicarious victimization occurs when a person is traumatized by the coverage violent acts receive through media or other outlets that provide information. This type of vicarious victimization is likely to occur when seven factors are present: (1) realistic threat of death to all members of the community, (2) extraordinary carnage, (3) strong community affiliation, (4) witnessing of event by community members, (5) symbolic significance of victims to community, (6) need for rescue workers, and (7) significant media attention (M. A. Young, 1989). Given these factors, traumatic events that do not directly affect a person or a person’s loved ones may also cause harm such as PTSD. Events such as the terrorist attacks on September 11, 2001, are prime examples of traumas that can produce lasting, harmful consequences to people exposed to them. Other events, such as a serial killer operating in a community, may also be a form of vicarious victimization that can produce PTSD in community members (Herkov & Biernat, 1997). You will read more about homicide victims in Chapter 6.

Reporting

All the consequences and outcomes we have discussed thus far are impacted by the victim reporting the offense to the police. Reporting may intensify some of these consequences, may moderate some of the impact, or may be somewhat unrelated to the victim’s experiences after the incident occurs. Reporting is important for several reasons. One important factor about reporting to the police is that it is the first essential step in activating the formal criminal justice system. Without a report to the police, the victim is left to deal with the aftermath through other channels, and the police will never begin an investigative process. Without this first critical step, it is extremely unlikely that an offender will ever be caught. When an offender “gets away” with crime, it can have important consequences. When this occurs, the offender is learning that he or she can continue to freely offend—perhaps even against the same person or household. Conversely, an arrest or real threat of arrest may deter potential offenders.

Victims may also be negatively impacted if they do not report. Many victims’ services, as discussed in Chapter 5, are available only for victims who notify the police about their incident. For example, many district attorneys’ offices have victim advocates, whose job it is to help victims navigate the criminal justice system and assist them with other programs such as receiving victim compensation. The ability to use these services is typically conditioned on reporting because the district attorney’s office would not even know about a crime victim who did not first come forward.

With all these benefits to reporting, it is easy to forget that slightly less than half of all violent crime victims and just more than one-third of property crime victims notify the police (Truman & Morgan, 2016). In 2016, more than 60% of all robbery and aggravated assault victims and slightly less than one-third of all rape and sexual assault victims reported their incidents to the police.

Reporting varies by crime type, but it also varies according to other characteristics (Langton, Berzofsky, Krebs, & Smiley-McDonald, 2012). Generally, violence against women and violence against older persons is more likely to come to the attention of the police than violence against men and younger persons. Victimizations that result in the victim suffering an injury are more likely to be reported than those that do not result in injury. When an offender is armed and/or a stranger, the victim is more likely to call the police (Langton et al., 2012).

Besides these incident characteristics, victims also give tangible reasons for not reporting their incidents to the police. Overall, the most common reasons given by victims of violence for why they do not report include that the victimization was a private or personal matter, that it was dealt with in another way such as reporting it to another official, that the victimization was not important enough to report to the police, that the police would not or could not do anything to help, or for fear of reprisal or getting the offender in trouble (Langton et al., 2012). Table 3.2 shows the reasons victims give for not reporting to the police for different victimization types. But some victims do in fact bring their incidents to the attention of the police. Most commonly, victims of violence report their incidents to prevent future violence, to stop the offender, because it was a crime, and to protect others (BJS, 2006a). Table 3.3 shows the common reasons that victims do report for different victimization types.

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Source: Langton, L., Merzofsky, M., Krebs, C., & Smiley-McDonald, H. (2012). Victimizations not reported to the police, 2006-2010. Washington, DC: Bureau of Justice Statistics, U.S. Department of Justice.

Source: Bureau of Justice Statistics (2006a).

For victims of property crime, the most common reasons given for not bringing the incident to the attention of the police are that the object was recovered/the offender was unsuccessful, feeling the police would not want to be bothered, or lack

of proof. Property crime victims were motivated to report because they wanted to recover stolen property, because it was a crime, and to prevent further crimes against them by the offender (BJS, 2006a).

Fear of Crime

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Another cost associated with victimization is fear. Fear is an emotional response to a perceived threat (Ferraro & LaGrange, 1987). Physiologically, when people experience fear, their body activates to alert them to danger. These bodily responses are associated with the autonomic nervous system being activated—heart rate increases, pupils dilate, digestion slows, blood supply to muscles increases, breathing rate increases, and sweating increases (Fishbein, 2001). These physiological changes occur so that in the face of danger, a person can fight or flee. Fear of crime is different than perceived risk of being a victim. Perceived risk is the perceived likelihood that a person feels that he or she will become a crime victim. Perceptions of risk are related to fear in that those people who perceive their risk to be high generally have higher levels of fear of crime than those who do not perceive their risk of victimization to be high (May, Rader, & Goodrum, 2010; Warr, 1984).

As you may imagine, fear is difficult to measure. How do you know whether someone is more fearful of crime than another person? Would you simply ask someone, or do you think looking for other indications of fear would be better? One of the most common ways to measure fear of crime is by asking individuals on surveys, “How safe do you feel or would you feel being out alone in your neighborhood?” (Ferraro & LaGrange, 1987). One problem with this question is that the respondent is not asked specifically about fear or being afraid. In addition, asking about how safe someone feels being alone in his or her neighborhood at night may not capture the types of criminal behavior of which a person is fearful. Another common question asked of survey participants is “Is there any area around here—that is, within a mile—where you would be afraid to walk alone at night?” Although this question does ask specifically about being afraid, it does not ask the respondent to consider being afraid of crime. Also, the question vaguely references “around here … within a mile,” which covers a wide range. Finally, many people may be unlikely to walk alone at night, therefore the question may fail to capture events that an individual is likely to face. A better question that has been commonly used in more frequent research is “How afraid are you of becoming the victim of [separate offenses] in your everyday life?” (Warr & Stafford, 1983). This question asks about how afraid the respondent is, makes a specific reference to crime, and uses the phrase “in your everyday life” so that respondents will reference their daily routines and realities.

Now that you know how fear is measured, let’s consider who is fearful of being a victim of crime. One thing to consider is that persons do not have to be victims of crime to be fearful. In fact, research shows that some groups who are actually less likely to be victimized than others have higher levels of fear of crime than those with higher risks of victimization. For example, females generally report higher levels of fear of crime than do males (Ferraro, 1995, 1996; Haynie, 1998; May et al., 2010; Rountree, 1998). Older people also have greater fear levels, but this depends on question wording. When asked about specific worry about specific crime types, younger persons tend to express greater fear levels (Jackson, 2009).

For females, this elevated fear of crime has been attributed to their overarching fear of sexual assault. What is interesting is that, in general, women note that their real risk of being raped or sexually assaulted is actually low compared to other crimes, but that they fear rape at greater levels. Known as the “shadow hypothesis,” this fear of sexual assault actually serves to increase females’ fears of other types of crimes (Ferraro, 1995, 1996; Warr, 1985; P. Wilcox, Jordan, & Pritchard, 2006). Not all women are fearful, of course. Those women who feel as though they are unable to defend themselves from rape and sexual violence, who believe that sexual violence comes with serious negative consequences, and who think that becoming a victim of sexual violence is likely (Custers & Van den Bulck, 2013) are more fearful than others.

Other factors have been tied to experiencing fear of crime. One element that has been linked to fear is the level of incivilities in an area. Incivilities are low-level breaches of community standards that indicate erosion of conventionally accepted norms and values (LaGrange, Ferraro, & Supancic, 1992). These can be physical incivilities, which are disordered physical surroundings such as litter, trash, and untended property. They can also be social incivilities, which are untended people or behavior such as rowdy youth, loiterers, and people drinking. Research on incivilities shows that incivility is related to people’s perceived risk of crime, and risk of crime is related to fear (LaGrange et al., 1992). Other research on incivilities shows that incivilities predict fear of burglary, vandalism, and panhandling (Ferraro, 1996). It may be crime itself that influences fear of crime. Research shows that burglary rates within a neighborhood influence fear of crime in the United States (R. B. Taylor, 2001) as do crime rates in a person’s own neighborhood among New Zealanders (Breetzke & Pearson, 2014), and crime rates among those in the United Kingdom (Brunton-Smith & Sturgis, 2011). Incivilities also may play a role in how people perceive their risk of victimization. In research examining both crime and disorganization, burglary rates and neighborhood incivilities had direct effects on perceived risk of crime (Rountree & Land, 1996).

Being fearful may be good if it leads people to protect themselves while still enjoying their life. Research on fear of crime shows that people, in response to fear, may engage in avoidance behaviors. Avoidance behaviors (also called constrained behaviors) are restrictions that people place on their behavior to protect themselves from harm, such as staying home at night. Others may engage in defensive behaviors or protective behaviors to guard themselves from victimization, such as purchasing a gun or installing security lights (Ferraro & LaGrange, 1987). Indeed, research shows that over half of all gun owners report that they own their gun for self-protection (see Hauser & Kleck, 2013). Interestingly, research by Will Hauser and Gary Kleck (2013) shows that buying a gun does not reduce levels of fear. Although having some level of fear is likely good, for it serves to properly activate people in the face of danger and to caution people to engage in protective behaviors, exaggerated levels of fear can be problematic. People may effectively sever themselves from the outside world and not engage in activities they find enjoyable—in short, fear may paralyze some people. What also may happen is that engaging in avoidance behaviors may increase a person’s fear levels (Ferraro, 1996). What this means is that the behaviors that people engage in to protect themselves from harm may actually serve to make them feel less safe.

Summary

The potential consequences and costs to crime victims are plenty and occur over the short and long term. These costs include economic costs as well as costs to their functioning and health.

A small proportion of crime victims experience physical injury, and most do not receive medical care. Victims of violence, particularly gun violence, are likely to need medical assistance. Female victims, Black victims, and those victimized by a nonstranger are more likely than other victims to experience an injury.

Beyond physical injury, victims may need mental health care. Victims often experience mental health issues such as depression, anxiety, and post-traumatic stress disorder following their victimization. Victims of sexual assault, rape, and child abuse are the most likely to seek mental health care as a direct result of being victimized. Treatment for mental health issues is yet another cost that victims face.

There are direct economic costs to victims as well. National Crime Victimization Survey data show that more than 90% of property crimes involve some economic loss to the victim. These economic costs include direct property losses in which a victim’s property is stolen or damaged. They also include expenses related to medical care. Slightly less than 1 in 10 victims of violence incur medical expenses. Victims also lose money and productivity when they are unable to work, go to school, or complete housework. Almost 20% of victims of rape and sexual assault miss 10 or more days of work. Finally, victims may experience pain, suffering, and a reduced quality of life, all of which are difficult to quantify.

Crime and victimization create costs to the system. The United States spends more than $214 billion annually on direct expenditures to operate the criminal justice system. Other elements of the economy are also hit by crime. Insurance companies make large payouts each year due to crime.

It is not just the victim himself or herself who is pained by the event. Friends and family members may also experience costs when their loved ones are harmed. This is known as secondary victimization or vicarious victimization. Homicide survivors are more likely than others to experience post-traumatic stress disorder, distress, depression, and anxiety. They may find themselves unable or unwilling to participate in ordinary activities.

Most criminal victimizations are not reported to the police, and crime reporting varies across crime type. Robbery and aggravated assault are the most common personal victimizations reported to the police. Females, older persons, and those injured are more likely than other victims to notify the police.

Incident characteristics such as use of a weapon, the offender being under the influence of alcohol and/or drugs, and the offender being a nongang member are related to reporting.

Common reasons given for reporting are to stop the incident, to prevent the offender from offending again, and because it was a crime. Nonreporting is linked to the event being considered a personal/private matter, feeling the police would not want to be bothered, and being worried about reprisal.

Another potential cost of victimization is being fearful of becoming a crime victim. Females and older people tend to have higher levels of fear than males and younger persons. Females tend to have higher levels of fear due to their fear of sexual assault, which shadows their fear of crime more generally. People who perceive their risk of victimization to be high also tend to have high levels of fear. Some level of fear is probably good in that it leads people to protect themselves by engaging in avoidance or defensive behaviors. Too much fear, however, can be bad if fear leads to anxiety or isolation.

Discussion Questions

1. We discuss in a later chapter who pays for the costs of victimization and how victims can be compensated. What do you think we should do for victims? Should their medical bills be paid? What about other costs? Who should be held accountable for paying those?

2. Why do people not report their victimizations to police? What barriers to reporting exist for crime victims? What are the implications of reporting or failure to report?

3. What costs did Polly experience as a result of her victimization? What long-term consequences do you think she may have to deal with?

4. Think about your own life and try to recall a time when you were victimized. Identify all the costs that came with your victimization. What short-term and long-term costs did you experience? Did you report the incident to the police?

5. How fearful of crime are you? Of what specific types of crimes do you fear becoming the victim? Do you think your fear is rational (e.g., tied to actual risk), or is it linked to something else? Why?

Key Terms

anxiety 33

avoidance behaviors 43

behavioral self-blame 36 characterological self-blame 36 defensive behaviors 43

depression 33

direct property losses 36

economic costs 36

fear of crime 41

homicide survivors 39

incivilities 43

learned helplessness 36

lost productivity 38

medical care costs 37

mental health care costs 37

perceived risk 41

physical incivilities 43

physical injury 32

post-traumatic stress disorder (PTSD) 34 protective behaviors 43

reporting 40

self-blame 36

self-esteem 33

self-worth 33

social incivilities 43

system costs 38

vicarious victimization 39

Internet Resources

“Addressing Predisposition Revictimization in Cases of Violence Against Women”: http://www.nij.gov/topics/crime/violence-against-women/workshops/pages/revictimization.aspx

This website includes summary information on a workshop hosted by the National Institute of Justice. This workshop was conducted to examine strategies, policies, and principles in place in 2005 and to focus research on victimization in the time period of predisposition (postarrest and prior to trial and/or sentencing).

Coping with Trauma and Grief: http://www.victimsofcrime.org/help-for-crime-victims/coping-with-trauma-and-grief

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https://jigsaw.vitalsource.com/api/v0/books/9781506388502/print?f…

This website is part of the National Center for Victims of Crime and includes recent information on coping with trauma and grief, particularly as they relate to victimization. It discusses issues such as how children cope with tragedies such as school shootings and losing loved ones and provides links to resources for victims, including information about resilience.

Help for Crime Victims: http://www.ovc.gov/pubs/helpseries/pdfs/HelpBrochure_Homicide.pdf

The Office for Victims of Crime has collected a list of websites that lend support and encouragement to homicide survivors and covictims. There is also information about homicide and what to expect if a loved one is murdered. National Center for PTSD: http://www.ptsd.va.gov/index

This website contains information on post-traumatic stress disorder (PTSD) in relation to the U.S. Department of Veterans Affairs. The center aims to help U.S. veterans and others through research, education, and training focused on trauma and PTSD. The website also has information for providers, researchers, and the general public on PTSD and its treatment.

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