The speaker discusses the uncomfortable fact that survivors of sexual abuse are at a higher risk of being abused again, and that some survivors may have experienced abuse from multiple perpetrators. The speaker emphasizes that this is not the fault of the survivor, and that access and opportunity are the key reasons why most sex offenders abuse. The risk factor may also be due to lack of supervision or being in a small community where the perpetrator has access to numerous children. The survivor should discuss this topic with their support group and professional clinicians to address this issue moving forward.