Adverse mental health outcomes are the most recognised and researched effects of abuse. These can include post-traumatic stress disorder, depression, anxiety and feelings of guilt, shame, anger and low self-esteem. Re-victimisation, or the likelihood that child sexual abuse survivors will experience further sexual abuse later in life, is a particularly tragic consequence that is rarely mentioned or considered. To prevent this cycle of victimisation, we must understand the scope of the links between child sex abuse and re-victimisation later in life, why it exists and which survivors are most vulnerable. Our research aimed to answer some of these questions.