A Study of Subjective Validation: Childhood Sexual Abuse Survivors (NSU)

 
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1. INFORMED CONSENT

Resiliency From Childhood Sexual Abuse and Subjective Validation

Principal Investigator: Dr. Suzanne Morin. Co-Investigator: Tonne McCoy

Purpose

This study investigates the reliability of a newly developed subjective validation scale on a sample of adults. In this study you will be asked to complete a series of questions in one omnibus questionnaire on-line via www.surveymonkey.com.

Potential Risks

I understand that during my participation in this study I may be at risk of experiencing unpleasant thoughts, flashbacks, or intrusive thoughts.

Mental Health Resources

1.National Mental Health Information Center
http://healthfinder.gov/orgs/HR2480.htm, 1-800-789-2647
2.National Sexual Assault Hotline – 24 HOUR
1-800-656-HOPE (800-656-4673)
3. If severe, The National Hopeline Network - 24 HOUR
1.800.784.2433
4. Rape, Abuse, & Incest National Network – RAINN
https://ohl.rainn.org/online/ - 24 HOUR online hotline (chat messenger)

Participants’ Rights

I understand that I may skip any question I do not care to answer. I understand that I may withdraw my participation in this study at any time.

I understand that my responses will be kept confidential and anonymous, and only available to the researcher. None of my identifying information will be collected, and I will not be able to be identified when the results are reported. I understand that this consent form will be kept separate from the data obtained from me to ensure confidentiality. I further understand that I may choose to not participate or withdraw at any time from this study.

I understand that I will be given a full explanation of the study when it is complete. If I am uncomfortable with any part of this study or have any questions / concerns about my rights as a research participant, I may contact the co-chair of the Committee on Research with Human Subjects, Dr. Dorlisa Minnick, 717-477-1785.

Consent to Participate

I acknowledge that I am at least eighteen years old, and that I understand my rights as a research participant as outlined above. I acknowledge that I am fluent in the English language. I acknowledge that my participation is fully voluntary.


Please print this page for your records, as well as list of resources.
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