RT Article T1 Relationship Between Violence Against Women, Social Support, Self-Esteem, and Mental Health in Riyadh, Saudi Arabia JF Journal of interpersonal violence VO 39 IS 1/2 SP 431 OP 457 A1 Alquaiz, Aljohara M. A1 Kazi, Ambreen A1 Almeneessier, Aljohara A1 Alhalal, Eman A1 Almuneef, Maha A1 AlHabib, Yara A2 Kazi, Ambreen A2 Almeneessier, Aljohara A2 Alhalal, Eman A2 Almuneef, Maha A2 AlHabib, Yara LA English YR 2024 UL https://krimdok.uni-tuebingen.de/Record/1876489448 AB The objectives of this study were to measure the prevalence of mental distress and to explore the relationship between violence against women (VAW), social support, self-esteem, and mental distress in women in Riyadh, Saudi Arabia. A questionnaire-guided, cross-sectional, interview-based study was conducted with 1,932 women, in primary healthcare centers. Around 29% reported moderate to severe distress levels, whereas 40% of women reported lifetime exposure to at least one type of violence. Linear regression analysis found that VAW was positively associated with mental distress with a unit increase associated with a 0.13 (0.58, 1.15) increase in distress level, whereas, for both social support and self-esteem, a unit increase in violence was associated with −0.23 (−0.47, −0.32) and −0.22 (−0.49, −0.33) unit decrease in the mental distress. Structural equation modeling found that violence had direct significant negative effects on social support (β = −.156, p < .001) and self-esteem (β = −.135, p < .001). Both social support (β = −.266, p < .001) and self-esteem (β = −.183, p < .001) had direct significant negative effects on distress. VAW exerted a direct significant positive effect on distress (β = .171, p < .001) as well as an indirect effect (β = .068, p < .001). Both social support (β = .044, p < .001) and self-esteem (β = .025, p < .001) were significant mediators of the effect of violence on mental distress. VAW can lead to mental distress and low self-esteem. Identification, counseling, and social support for women are important to improve their self-confidence and reduce the adverse effects of violence. K1 Saudi Arabia K1 mental distress K1 Self-esteem K1 Social Support K1 Violence against women DO 10.1177/08862605231197135