Asking the Hard Questions: Psychologists’ Discomfort With Inquiring About Sexual Abuse Histories

Nixon, Belinda; Quinlan, Elly

doi:10.1177/10778012211014558

Cited by 9 publications

(2 citation statements)

References 51 publications

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“…Previous studies have suggested that asking these types of questions might cause discomfort for healthcare providers and patients [39]. However, patients with missing data had higher morbidity, frailty, urgency, and mortality (table S2 in the appendix).…”

Section: Original Articlementioning

confidence: 99%

Screening for elder mistreatment in a Swiss emergency department: a prospective cohort study

Riedel,

Espejo,

Dreher-Hummel

et al. 2024

Swiss Med Wkly

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AIM OF THE STUDY: The mistreatment of older adults is a global and complex problem with varying prevalence. As there are no data on the prevalence of elder mistreatment in European emergency department populations, we aimed to translate and culturally adapt the Emergency Department Senior Abuse Identification (ED Senior AID) tool for German use, assess the positive screen rate for elder mistreatment with the German version, and compare characteristics of patients who screened positive and negative. METHODS: To assess the prevalence of elder mistreatment, we created a German version of the ED Senior AID tool. This tool identifies intentional or negligent actions by a caregiver or trusted person that cause harm or risk to an older adult. Then, the German ED Senior AID tool was applied to all consecutively presenting patients aged ≥65 years at our academic emergency department in the Northwest of Switzerland from 25 April to 30 May 2022. Usability was defined as the percentage of patients with completed assessments using the German ED Senior AID tool. RESULTS: We included 1010 patients aged ≥65 years, of whom 29 (2.9%) screened positive with the ED Senior AID tool. The patients who screened positive were older, more severely cognitively impaired, hospitalised more frequently, and presented with higher frailty scores than those who screened negative. Mortality up to 100 days after presentation was comparable in all patients (p = 0.861), regardless of their screening result. The tool showed good usability, with 73% of assessments completed. CONCLUSION: This is the first prospective investigation on the prevalence of elder mistreatment in a European emergency department setting. Overall, 2.9% of patients screened positive using a validated screening tool translated into German. TRIAL REGISTRATION: This study was registered with the National Institute of Health on ClinicalTrials.gov with the registration number NCT05400707.

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Section: Original Articlementioning

confidence: 99%

Screening for elder mistreatment in a Swiss emergency department: a prospective cohort study

Riedel,

Espejo,

Dreher-Hummel

et al. 2024

Swiss Med Wkly

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“…Yet, these services' enquiry about sexual violence (historic or current) is often limited (Neill & Read, 2022). Barriers include a belief among healthcare professionals (HCPs) that asking about abuse experiences is not appropriate and not part of their role, fears of re‐traumatising service users, competing workload priorities and feeling under‐skilled to respond to disclosure of sexual violence (Nixon & Quinlan, 2022; O'Dwyer et al., 2019). Inadequate responses to disclosures of sexual violence, including a lack of empathy and insufficient care, have also been identified in statutory services (Bond et al., 2018).…”

Section: Introductionmentioning

confidence: 99%

The mental health and substance use treatment experiences of racially and ethnically minoritised women who have experienced sexual violence

Spaducci,

Oram,

Thiara

et al. 2023

Int J Mental Health Nurs

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The mental health and substance use treatment experiences of racially and ethnically minoritised women who have experienced sexual violence is not well understood. To address this we conducted a systematic review and meta‐synthesis of qualitative studies. Our search strategy included electronic searches of 18 databases and grey literature, citation tracking and reference list screening. Studies were eligible if they presented qualitative data from racially and/or ethnically minoritised women or girls, who had experienced sexual violence at any age and described their experiences of receiving treatment from statutory mental health and/or substance use services. Studies were analysed using meta‐ethnography. Fourteen papers based on 12 individual studies were included. Analysis developed three main themes: (1) understanding minoritised women holistically, (2) processing the trauma and beginning the healing and (3) the need for social connectedness and empowering relationships. For minoritised women to benefit from treatment, mental health and substance use services need to challenge the dynamics of the multiple traumas minoritised women experience. Knowledge and understanding of the racial trauma minoritised women experience is limited and many are subjected to further harm from racist practices occurring in some treatment services. Offering culturally safe, trauma‐informed care which promotes anti‐racist practices may help improve mental health and substance use service responses to minoritised women who have experienced sexual violence.

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Adequacy of Inquiry About, Documentation of, and Treatment of Trauma and Adversities: A Study of Mental Health Professionals in England

Neill

Read

2022

Community Ment Health J

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Asking the Hard Questions: Psychologists’ Discomfort With Inquiring About Sexual Abuse Histories

Cited by 9 publications

References 51 publications

Screening for elder mistreatment in a Swiss emergency department: a prospective cohort study

Screening for elder mistreatment in a Swiss emergency department: a prospective cohort study

The mental health and substance use treatment experiences of racially and ethnically minoritised women who have experienced sexual violence

Adequacy of Inquiry About, Documentation of, and Treatment of Trauma and Adversities: A Study of Mental Health Professionals in England

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