Content warning: This piece discusses sexual assault on college campuses and its effects on survivors’ health. Support is available 24/7 through RAINN’s National Sexual Assault Hotline at 800-656-HOPE (4673).

Silhouette of a young woman on an autumn campus with a stone clock tower
Silhouette of a young woman on a southern campus with a bell tower

This fall, two young women did something that should never take so much courage. They told the truth about what happened to them, out loud. One is known only as Jane Doe, a former Cornell University student. The other is Kendall Francis, a first-generation student at Louisiana State University. Their stories, told within days of each other in September, opened a door. Women stood up at a Cornell student hearing to describe their own assaults, women across the country posted their stories online, and more than 1,000 Cornell alumni signed a letter describing “decades of Jane Does.”

At IAWH Health, we believe women’s health includes the right to be safe in body and mind, and to be believed. This month, we honor these two young women who refused to be silent.

Jane Doe, Cornell University

We cannot tell you Jane Doe’s name. We can tell you what she did.

In October 2024, when she was 20, she went to the Chi Phi fraternity house to see a friend. According to the lawsuit she filed this September, she was given alcohol and drugs until she could not consent, and then sexually assaulted by several fraternity members. The seven men named deny wrongdoing.

She did what survivors are told to do. She reported to campus police and the campus health clinic. Cornell suspended the fraternity and disciplined students, but the local district attorney declined to file charges. Nearly two years later, her lawsuit changed everything: the criminal case was reopened, New York’s Attorney General was named special prosecutor, and about 1,000 students and faculty rallied on campus. Cornell has since named Sally Yates to lead an independent review and suspended fraternity social events for the year. As of late October, no charges have been filed, and the facts remain in dispute.

What is not in dispute is the cost of speaking. Her attorney says she, and women mistaken for her, have received threats. She has chosen to remain anonymous, and that choice deserves protection.

Kendall Francis, Louisiana State University

Kendall Francis chose to tell her story under her own name. In a September TikTok video, the first-generation LSU student described what she says happened in October 2025, when she visited a football player she had met on social media at his dorm. She has chosen not to name him, and we honor that.

She, too, did what survivors are told to do. She went to the hospital for a sexual assault exam and filed a Title IX complaint. LSU found the player responsible for sexual assault and forcible rape and suspended him for a year. Then, on appeal, LSU kept its finding but replaced the suspension with probation without restrictions. He stayed on the team. He maintains his innocence through his attorneys.

She learned the outcome by email. She says she has been in treatment for anxiety, and she now takes her classes online. Eight days after her video, the local district attorney opened a criminal investigation, which is ongoing.

What Connects Them

Two campuses, two different cases, one pattern. Both women reported. Both went through campus processes that produced findings but not lasting accountability. Neither saw prosecutors act until she went public. And both carried the cost, while the institutions around the accused, a fraternity system and a football program, stayed largely intact.

35%They are not exceptions. Cornell’s own 2025 survey found that 35% of undergraduate women reported nonconsensual sexual contact involving force or incapacitation since arriving on campus.

The Health Toll

Sexual assault is a public health crisis, and its effects reach far beyond the moment of harm. Survivors face higher rates of post-traumatic stress, depression, and anxiety, along with lost sleep, falling grades, and interrupted degrees. Reporting can add its own harm: retelling trauma again and again, waiting months, and sometimes watching a sanction reversed.

The body keeps the record. The harm does not stay in the mind. In a 2018 University of Pittsburgh study of 304 midlife women, published in JAMA Internal Medicine, women with a history of sexual assault had nearly three times the odds of clinically elevated depressive symptoms, and more than twice the odds of anxiety and poor sleep. Workplace sexual harassment was linked to more than twice the odds of high blood pressure. Chronic stress, broken sleep, and depression are all risk factors for heart disease, diabetes, and other chronic conditions that shape women’s health for decades.

Often, it is not the first trauma. Adverse childhood experiences (ACEs), such as abuse, neglect, and growing up with violence in the home, are common. The CDC reports that more than half of U.S. adults have had at least one, and about one in six have had four or more. Women and Black Americans are more likely to report four or more. ACEs are linked to at least five of the 10 leading causes of death, including heart disease, cancer, and diabetes. The CDC estimates that preventing ACEs could avoid up to 1.9 million cases of heart disease and 21 million cases of depression.

And race and class shape who is believed. Kendall Francis is a Black, first-generation student, and Black women are too often seen as less credible and less in need of protection. These are equity issues, and IAWH’s mission compels us to name them.

What trauma-informed care looks like

Not “What’s wrong with you?” but “What happened to you?”

The federal Substance Abuse and Mental Health Services Administration (SAMHSA) asks health systems, schools, and agencies to realize how widespread trauma is, recognize its signs, respond with that knowledge built into policy and practice, and resist retraumatizing the people they serve. SAMHSA’s six guiding principles look like this for a survivor:

  • Safety: a private space, and an exam or interview she can pause or stop at any time.
  • Trustworthiness and transparency: being told what will happen next, who will see her records, and what each choice means.
  • Peer support: access to advocates and other survivors who understand.
  • Collaboration and mutuality: health care, counseling, and campus offices that work together, so she does not have to retell her story again and again.
  • Empowerment, voice, and choice: deciding whether to report, to whom, and when, without pressure.
  • Cultural, historical, and gender issues: care that recognizes how race, gender, and history shape trust in institutions.

What We Can Do

Journal readers and the wider community

Churches and faith communities

For many women, a pastor, imam, rabbi, or trusted church mother is the first person they tell. Faith communities can be places of refuge, or places where survivors are told to stay quiet and forgive. They can choose to be a refuge.

FaithTrust Institute and the National Sexual Violence Resource Center offer free guides for faith leaders.

Silence has never protected women. These two young women understood that. Our job is to make sure the next woman who speaks is met with belief, care, and action.

Watch

The Hunting Ground

These stories are not new. In 2015, the documentary The Hunting Ground, directed by Kirby Dick and produced by Amy Ziering (the filmmakers behind The Invisible War), followed survivors at colleges across the country. They reported their assaults and then faced retaliation, while their schools protected reputations, athletic programs, and Greek life. More than a decade later, the pattern the film documented is still playing out. Its anthem, “Til It Happens to You,” by Diane Warren and Lady Gaga, earned an Oscar nomination.

Where to watch: free with ads on Plex; included with a Lionsgate+ add-on on Prime Video; or rent or buy on Amazon, Apple TV, and Fandango at Home. Rated PG-13. The film includes survivors’ first-person accounts of assault, so consider watching with someone you trust.

Trouble playing the video? Watch the trailer on YouTube.

If You Need Support

  • RAINN National Sexual Assault Hotline: 800-656-HOPE (4673), or chat at online.rainn.org. Free, confidential, 24/7.
  • Virginia Statewide Hotline (Virginia Sexual and Domestic Violence Action Alliance): call 1-800-838-8238 or text 804-793-9999, 24/7.
  • Love Is Respect (for teens and young adults): call 1-866-331-9474 or text LOVEIS to 22522.
  • 988 Suicide and Crisis Lifeline: call or text 988.
  • Know Your IX: student-focused guidance on Title IX rights at knowyourix.org.
  • End Rape on Campus: survivor support and advocacy at endrapeoncampus.org.

Sources

The cases

NPR: Cornell president calls allegations ‘deeply disturbing’

NPR: Cornell agrees to an independent probe into its handling of a fraternity rape case

CNN: What Cornell’s Jane Doe told investigators in 2024 prompts fresh questions

New York Times, via The Philadelphia Inquirer: A timeline of the Cornell University assault case

Reuters: At Cornell, rape allegations spark outrage, soul-searching

Bernama/Xinhua: Cornell taps Sally Yates for review

UnHerd: The Cornell Seven is fueling a campus media frenzy

The Cornell Daily Sun: Chi Phi Lawsuit coverage

Al Jazeera: Cornell names Sally Yates to review university’s response

WAFB: LSU student says university failed her after Title IX finding

WAFB: Criminal investigation opened into LSU case

Law Commentary: LSU Title IX suspension reduced on appeal

NBC News: LSU student says she was raped by a football player still on the team

NewsOne: LSU student shares rape ordeal on TikTok

EssentiallySports: LSU criminal investigation

theGrio: LSU student says university failed her as criminal investigation opens (Oct. 20)

WAFB: Accused LSU football player declares innocence

Health toll

Thurston et al., JAMA Internal Medicine, 2018 (via MDedge)

CDC: Preventing Adverse Childhood Experiences to improve U.S. health (2019)

youth.gov: SAMHSA’s Concept of Trauma and Guidance for a Trauma-Informed Approach

The Hunting Ground

Wikipedia: The Hunting Ground (2015)

University of Virginia archive: The Hunting Ground official trailer

Faith communities

FaithTrust Institute

NSVRC: Guide for faith communities

PCAR: Making Connections with Faith Communities

This article is for general education and is not medical or legal advice. If you or someone you love needs support, the resources above are free and confidential.

← Back to the IAWH Health Journal Archive