Objectives Bystander training is a promising form of sexual violence (SV) prevention that has proliferated in recent years. Though alcohol commonly accompanies SV, there has been little consideration of the potential impact of bystander alcohol intoxication on SV prevention. The aims of this commentary are to provide an integrative framework for understanding the proximal effect of alcohol on SV intervention, provide recommendations to spark novel research, and guide the application of research to bystander programming efforts. Method This commentary begins with a review of existing bystander training programs and the need to target alcohol use and misuse in these programming efforts. Next, pertinent alcohol and bystander theories and research are drawn from to develop a framework for the proximal effect of alcohol on SV intervention. Results The well-established decision-making model of bystander behavior (Latané & Darley, 1970) and Alcohol Myopia Theory (Josephs & Steele, 1990) are used to identify potential barriers to SV intervention that may be created or exacerbated by alcohol use. Additionally, the ways in which alcohol may facilitate intervention are discussed. Conclusions Specific recommendations are made for elucidating the relationship between alcohol and bystander behavior and testing the impact of alcohol at each level of the presented framework. Methodological and analytic concerns are discussed, including the need for more multi-method studies. Recommendations to guide the application of the present framework to SV prevention programming efforts are provided and consider how the proximal effects of alcohol impact intervention.

Sexual assault is associated with a range of poor mental health outcomes. To enhance access to care by this population, technology-based mental health interventions have been implemented in the emergency room; however, more accessible and easily disseminated interventions are needed. The aim of the present study was to test the usability of a mobile health intervention targeting alcohol and drug misuse, suicide prevention, posttraumatic stress symptoms, coping skills, and referral to formal assistance for individuals who have experienced sexual assault. Feedback on the usability of the intervention was collected from individuals who received a sexual assault medical forensic examination (n = 13), and feedback on the usability and likelihood of recommending the application was collected from community providers (n = 25). Thematic analysis was used to describe qualitative data. Content themes related to aesthetics, usability, barriers to resources, and likes/dislikes about the intervention arose from interviews following the intervention. Participants found the intervention to be user friendly and endorsed more likes than dislikes. Providers rated the intervention as being helpful and would recommend it to survivors of sexual assault. Findings suggest that the intervention is usable and fit for future effectiveness testing, filling an important gap in treatment for individuals who experience sexual assault.

Background: Bystander training programs aim to encourage third-party witnesses to intervene in high-risk sexual situations; however, these programs rarely focus on training bystanders to effectively intervene when intoxicated. This is not surprising due to the limited evidence on the proximal effects of alcohol on bystander intervention for sexual aggression. To this end, the aim of the present study was to test the effects of men's self-reported intent to help strangers and acute alcohol intoxication on the likelihood and speed of sexual aggression intervention.Methods: Participants were 74 men who completed a measure of intent to help (Session 1) and were randomly assigned to consume alcohol or a no-alcohol control beverage (Session 2). Next, they engaged in a novel laboratory paradigm in which they and 4 other confederates (2 men, 2 women) watched a female confederate, who reported a strong dislike of sexual content in the media, view a sexually explicit film which they could stop at any time. Bystander intervention was operationalized as whether and how quickly participants stopped the film.Results: Findings indicated that (i) intent to help strangers predicted faster sexual aggression intervention and (ii) intent to help strangers predicted a higher likelihood and faster rate of sexual aggression intervention among sober, but not intoxicated, men. This latter finding suggests that among men who endorsed a high willingness to intervene in sexual aggression, alcohol intoxication decreased intervention behavior.Conclusions: Results demonstrate that alcohol functions as a barrier to intervention for men who would otherwise intervene. Findings are interpreted using an integrative framework for intoxicated sexual aggression intervention and highlight the need for bystander training programs to incorporate alcohol interventions to reduce heavy drinking and psychoeducation to train bystanders how to intervene when intoxicated.

Objective The purpose of the current study was to examine the bystander decision-making process as a mechanism by which men’s adherence to various dimensions of traditional masculinity is associated with their confidence to intervene in sexually aggressive events. Further, this study examined the stress men experience from their attempts to adhere to traditional male gender roles as a moderator of this mediational path. Method Participants (n = 252) completed measures of traditional masculinity, decisional balance (i.e., weighing the pros and cons) for intervening, masculine gender roles stress, and bystander efficacy. Results The belief that men must attain social status was associated with more confidence in men’s ability to intervene. This effect was mediated by greater perceived positive consequences for intervention among men high, but not low, in masculine gender role stress. The belief that men should be tough and aggressive was associated with greater perceived negative consequences for intervention and less confidence to intervene. The belief that men should not act in stereotypically feminine ways was directly associated with less confidence for intervention. Conclusions Findings highlight the importance of examining masculinity from a multidimensional perspective to better understand how adherence to various norms differentially influences bystander behavior. These findings may help to inform bystander intervention programming.

Alcohol use and impulsivity are two known risk factors for intimate partner violence (IPV). The current study examined the independent and interactive effects of problematic drinking and five facets of impulsivity (i.e., negative urgency, positive urgency, sensation seeking, lack of premeditation, and lack of perseverance) on perpetration of physical IPV within a dyadic framework. Participants were 289 heavy drinking heterosexual couples (total N = 578) with a recent history of psychological and/or physical IPV recruited from two metropolitan U.S. cities. Parallel multilevel Actor Partner Interdependence Models were utilized and demonstrated Actor problematic drinking, negative urgency, and lack of perseverance were associated with physical IPV. Findings also revealed associations between Partner problematic drinking and physical IPV as well as significant Partner Problematic Drinking x Actor Impulsivity (Negative Urgency and Positive Urgency) interaction effects on physical IPV. Findings highlight the importance of examining IPV within a dyadic framework and are interpreted using the I3 meta-theoretical model.