Abuse and harassment in sports can present in many forms1 2 and are dishearteningly common, having disproportionate effects on groups who experience structural and systemic inequities such as athletes living with a disability3, 2SLGBTQIA+athletes4 and children and youth.3 Despite consistently low rates of disclosure of abuse in sports, moving forward with disclosure can be an effective catalyst towards the healing process, at which point the survivor may feel more comfortable seeking formal or informal avenues of support. However, a variety of factors can impede disclosure, prevent responses and enable ongoing experiences of abuse. These barriers include conflicts of interest, fear of professional repercussions, lack of formal pathways to respond to athlete maltreatment, power differentials, personal loyalty and organisational protectionism. This editorial discusses trauma- and violence-informed approaches to assist athlete disclosures of abuse and harassment in sports. Because of the trusted and integral role sports medicine clinicians often play in the lives of athletes, particularly in collegiate and professional sports, disclosure of abuse to clinicians becomes more likely. As such, sports medicine clinicians are uniquely positioned to interrupt cycles of abuse in sport. This is catalysing a growing call to action to better equip sports medicine professionals with practical training and strategies to provide safe, non-threatening care for athletes disclosing experiences of abuse within and beyond the sporting context.1 …

中文翻译：

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站在他们身边的人：披露体育虐待行为的创伤和暴力知情方法


体育运动中的虐待和骚扰可以以多种形式出现1 2 并且非常普遍，令人沮丧，对经历结构和系统性不平等的群体产生不成比例的影响，例如残疾运动员3、2SLGBTQIA+运动员4 以及儿童和青少年3 尽管体育运动中虐待行为的披露率一直很低，但推进披露可以成为治愈过程的有效催化剂。 此时，幸存者可能会更愿意寻求正式或非正式的支持途径。但是，各种因素可能会阻碍披露、阻止回应并导致持续的虐待体验。这些障碍包括利益冲突、对职业影响的恐惧、缺乏应对运动员虐待的正式途径、权力差异、个人忠诚度和组织保护主义。本社论讨论了帮助运动员披露体育运动中虐待和骚扰的创伤和暴力知情方法。由于运动医学临床医生经常在运动员的生活中发挥值得信赖和不可或缺的作用，尤其是在大学和职业运动中，因此向临床医生披露虐待行为的可能性更大。因此，运动医学临床医生在中断运动中的虐待循环方面具有独特的优势。这促使人们越来越呼吁采取行动，以更好地为运动医学专业人员提供实践培训和策略，为披露运动内外虐待经历的运动员提供安全、无威胁的护理。