Shooting survivors may not seek the mental health services they need after experiencing gun violence due to stigma, fear, and a lack of trusted resources, new research finds.

For the study, published in JAMA Network Open, the researchers interviewed survivors of gun violence in the Indianapolis area, all of whom were between the ages of 13 and 34 at the time they were shot. The study did not include survivors of shootings that also involved fatalities.

Despite describing symptoms associated with post-traumatic stress and anxiety disorders, half of participants believed they were adequately coping without formal services. Thirty-nine percent said they did not seek professional help due to a fear of potential repercussions from peers for providing information to police or health providers; 56% said they did not seek mental health assistance because they did not trust providers.

Most survivors said that if they were to seek professional help, it was important the provider understood their lives and communities.

The researchers also found that survivors preferred receiving support from their existing networks instead of professionals. In fact, 83% of the survivors surveyed said they relied on their families and friends for physical and mental healing, whether serving as primary support or through connecting them to mental health care.

Responses from survivors also showcase the broad impact that nonfatal shootings have on their families—emotionally and in day-to-day life—highlighting a need for broader recovery support.

Read the full article about mental health support for gun violence survivors by Leslie Wells at Futurity.