Background: Domestic violence (DV) is a significant problem in terms of both patient harm and cost. To better address this problem, the diagnosis and treatment of DV are considered within the emerging model of patient safety and medical error reduction. The case of a female patient who presents in the clinical setting following an incident of DV shows how medical errors can be analyzed as they are in medical cases not involving DV, such as when a person with abdominal pain is sent away from the emergency department with instructions to take an acid reducer and later suffers a burst appendix.
Root Cause Analysis: A number of factors inhibit the correct diagnosis and treatment of DV victims seeking additional treatment. Physicians often fail to screen for DV, misidentify symptoms, or deny the possibility of underlying DV, and patients often hide the symptoms and refuse to admit the problem. However, human factor errors related to knowledge, cultural norms, and individual biases; organizational factors, including lack of training and reimbursement; and technology factors related to information accessibility appear to play significant roles.
Conclusion: Failure to diagnose or adequately address DV can be interpreted as medical errors. Addressing DV requires a systemic response, which might begin with integrating education and training about DV into the clinical setting, ensuring the use of existing screening tools, and providing adequate and appropriate reimbursement levels.
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http://dx.doi.org/10.1016/s1549-3741(04)30075-4 | DOI Listing |
Trauma Violence Abuse
January 2025
Rollins School of Public Health, Emory University, Atlanta, GA, USA.
We present the first systematic review and meta-analysis of the literature on intimate partner violence (IPV) among LGBTQ+ adults in Latin America and the Caribbean (LAC). Of 1,234 articles, 22 met inclusion criteria, and data were extracted for 4 key research areas: prevalence, measurement, risk and protective factors, and interventions. LGBTQ+ adults in LAC experience IPV at similar or higher rates than those documented among cisgender heterosexuals, with estimates ranging from 0.
View Article and Find Full Text PDFBMC Med
January 2025
Med-X Center for Informatics, Sichuan University, Chengdu, China.
Background: Adverse life experiences have been associated with increased susceptibilities to psychopathology in later life. However, their impact on psychological responses following physical trauma remains largely unexplored.
Methods: Based on the China Severe Trauma Cohort, we conducted a cohort study of 2937 patients who were admitted to the Trauma Medical Center of West China Hospital between June 2020 and August 2023.
J Epidemiol Community Health
January 2025
Department of Public Health, Policy and Systems, University of Liverpool, Liverpool, UK.
Background: Childhood adversities, such as exposure to parental mental illness, domestic violence and abuse, substance use, and family poverty, have been linked to involvement in violence in early adulthood. However, evidence on the cumulative impact of multiple adversities throughout childhood on violence and crime in adolescence remains scarce. This study investigates the associations between trajectories of family adversity and poverty during childhood, and the risk of involvement in violence and contact with police in adolescence.
View Article and Find Full Text PDFBMC Psychol
January 2025
University Medical Center Göttingen, Clinic for Psychiatry and Psychotherapy - Forensic Psychiatry, Rosdorfer Weg 70, 37081, Göttingen, Germany.
Web-based interventions have been shown to be effective for various health and mental health problems. However, the effectiveness of interventions is often limited by the fact that individuals do not start or complete them. Using data from an intermediate analysis of the randomized placebo-controlled clinical trial to evaluate the effectiveness of @myTabu, the current study investigated engagement with a web-based intervention for 113 individuals convicted of child sexual abuse and/or for child sexual exploitation material.
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