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Raising Sexual Assault Awareness to Strengthen Unity in Indian Country

by Nicole Stahlmann, MN, RN, SANE-A, AFN-BC, SANE-P, FNE-A/P, Forensic Nurse Consultant, Division of Nursing Services

Embracing culture, language, family, and community strengthens one's awareness. In its simplest form, awareness equates to knowledge or understanding of something. Awareness empowers and strengthens one's drive to unite and create change, to build a community, promote cultural norms and values, and enhance resources. Raising sexual assault awareness helps protect our agilvgi (sister, Cherokee), thunwin (aunt, Lakota), shimá (mother, Navajo), and ookomisan (grandmother, Ojibwe).

Every 68 seconds an individual experiences sexual assault. More than half of American Indian and Alaska Native  women (56.1 percent) and one in four Native men (27.5 percent) have experienced sexual violence, and four of five women (84.3 percent) have experienced violence in their lifetime. The 2015 U.S. Transgender Survey reported that nearly two of three Native transgender individuals (65 percent) have experienced sexual assault in their lifetime. Recognizing and understanding these statistics helps to raise awareness and support efforts to make necessary changes in our communities.

In March 2024, six forensic healthcare funding opportunity sites completed their first year of building or expanding forensic healthcare-related services. By providing trauma-informed, patient-centered medical forensic examinations, the IHS Great Plains and Billings Areas, Chinle and Whiteriver Service Units, Northern Navajo Medical Center, and Lawton Indian Hospital have all worked diligently to ensure examinations are available to their patients, families, and communities affected by violence, ultimately helping American Indian and Alaska Native patients lower their risk for potential adverse health outcomes. Over this past year, these sites have hosted a combined 72 training events, provided training for almost 7,000 individuals across their staff and multidisciplinary teams, and spent more than 2,000 hours on forensic healthcare-related training!  

Each of these locations and plenty of other communities across Indian Country are helping raise sexual assault awareness throughout the month of April. They are hosting walking events, forensic healthcare-related tabling, and educational events in their facilities, at their service units, and throughout their communities. Sites are collaborating with multidisciplinary teams and tribal councils to provide community education and raise awareness. Some programs are “Taking Back the Night” by offering martial arts classes, and some are “Painting the Town Teal.”

We work to enhance awareness and knowledge about sexual assault, not just in April, but throughout the year. What can you do to help promote and build safe communities? How will you support, unite, and contribute to raising sexual assault awareness to ensure ongoing safety and protection for every agilvgi, thunwin, shimá, and ookomisan in your communities? I encourage you to check out some of the resources below.

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Nicole Stahlmann, MN, RN, SANE-A, AFN-BC, SANE-P, FNE-A/P, Forensic Nurse Consultant, Division of Nursing Services
Nicole Stahlmann, MN, RN, SANE-A, AFN-BC, SANE-P, FNE-A/P, serves as the forensic nurse consultant with the IHS Division of Nursing Services. Prior to her work with IHS, she served as a forensic nursing specialist with the International Association of Forensic Nurses and was the clinical program manager for the District of Columbia Forensic Nurse Examiners. Stahlmann was an emergency department nurse and adjunct instructor, teaching both undergraduate and master prepared students at Georgetown University. She continues to practice clinically, providing care for patients who have experienced violence.