Identifying and responding to domestic violence and abuse in healthcare settings

Keynejad, Roxanne; Baker, Natasha; Lindenberg, Ursula; Pitt, Katherine; Boyle, Adrian; Hawcroft, Claire

doi:10.1136/bmj.n1047

Cited by 11 publications

(13 citation statements)

References 35 publications

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“…During future waves of SARS-CoV-2, other pandemics and national emergencies, reduced contact with health care, support agencies and other services that may opportunistically detect DVA must be mitigated. 75 Much COVID-targeted guidance on safeguarding, 76 assessing and responding to DVA 71,77,78 during COVID-19 remains relevant, while the principles of safe inquiry and response continue to apply. 79 Health services play a crucial role in supporting DVA victim-survivors during pandemics and other national disasters.…”

Section: Recommendations For the 'New Normal' And Future Pandemicsmentioning

confidence: 99%

Domestic violence and mental health during COVID‐19

Keynejad

2023

Prog Neurol Psychiatry

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The United Nations described violence against women and girls during the global outbreak of COVID‐19 as a ‘shadow pandemic’; perpetrators were said to have ‘weaponised’ national measures and restrictions, exacerbating domestic abuse. However, evidence for the prevalence of domestic violence and abuse (DVA) during COVID‐19 and its impact on the mental health of victim‐survivors is limited by the extent to which it was measured by research studies and the quality of methods that could be feasibly implemented. This review reports what is currently known about global DVA prevalence during the pandemic and its impact on mental health. It summarises key guidance for clinicians assessing patients during periods of social distancing and proposes recommendations for the ‘new normal’ and future pandemics.

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Section: Recommendations For the 'New Normal' And Future Pandemicsmentioning

confidence: 99%

Domestic violence and mental health during COVID‐19

Keynejad

2023

Prog Neurol Psychiatry

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“…There are some risk factors that have been shown to increase the risk of domestic homicide, these include separation, escalating abuse, pregnancy, stalking, strangulation, cultural issues, sexual abuse as well as harm to pets, access to a weapon and the perpetrator having suicidal or homicidal thoughts (Keynejad et al., 2021).…”

Section: The Dva Consultationmentioning

confidence: 99%

Domestic violence and abuse in primary care

Standen

2022

InnovAiT: Education and inspiration for general practice

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Domestic violence and abuse (DVA) impacts individuals regardless of age, culture, gender, sexuality or socioeconomic background. Although DVA, by its nature, is often ‘hidden in society’, victims and survivors will often present to general practice with health concerns. Early identification in primary care with onward referral to specialist support can significantly improve outcomes for victims and their families. This article aims to help clinicians consider when and how to ask about DVA and how to safely support patients to access specialist support.

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“…Even if a woman chose not to disclose, having had the HCP raise the issue in a sensitive way demonstrated trustworthiness and could facilitate disclosure at a later date 10. In the 15 years, since this meta-synthesis was published, IPA has increasingly received public and academic attention 1 17 18. We, therefore, sought to undertake an updated systematic review and qualitative evidence synthesis to understand what, if anything, has changed in women’s experiences and expectations of disclosure in healthcare settings.…”

Section: Introductionmentioning

confidence: 99%

Women’s experiences and expectations of intimate partner abuse identification in healthcare settings: a qualitative evidence synthesis

et al. 2022

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ObjectivesTo explore women’s experiences and expectations of intimate partner abuse (IPA) disclosure and identification in healthcare settings, focusing on the process of disclosure/identification rather than the healthcare responses that come afterwards.DesignSystematic review and meta-synthesis of qualitative studiesData sourcesRelevant studies were sourced by using keywords to search the databases MEDLINE, EMBASE, CINAHL, PsychINFO, SocINDEX and ASSIA in September 2021.Eligibility criteriaStudies needed to focus on women’s views about IPA disclosure and identification in healthcare settings, use qualitative methods and have been published in the last 5 years.Data extraction and synthesisRelevant data were extracted into a customised template. The Critical Appraisal Skills Programme checklist for qualitative research was used to assess the methodological quality of included studies. A thematic synthesis approach was applied to the data, and confidence in the findings was appraised using The Confidence in the Evidence from Reviews of Qualitative research methods.ResultsThirty-four studies were included from a range of healthcare settings and countries. Three key themes were generated through analysing their data: (1) Provide universal education, (2) Create a safe and supportive environment for disclosure and (3) It is about how you ask. Included papers were rated overall as being of moderate quality, and moderate-high confidence was placed in the review findings.ConclusionsWomen in the included studies articulated a desire to routinely receive information about IPA, lending support to a universal education approach that equips all women with an understanding of IPA and options for assistance, regardless of disclosure. Women’s suggestions for how to promote an environment conducive to disclosure and how to enquire about IPA have clear implications for clinical practice.PROSPERO registration numberCRD42018091523.

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Identifying and responding to domestic violence and abuse in healthcare settings

Cited by 11 publications

References 35 publications

Domestic violence and mental health during COVID‐19

Domestic violence and mental health during COVID‐19

Domestic violence and abuse in primary care

Women’s experiences and expectations of intimate partner abuse identification in healthcare settings: a qualitative evidence synthesis

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