Severe intimate partner violence affecting both young and elderly patients of both sexes

Hackenberg, Elisa A M; Sallinen, Ville; Koljonen, Virve; Handolin, Lauri

doi:10.1007/s00068-016-0646-9

Cited by 18 publications

(20 citation statements)

References 21 publications

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“…Our results expand previous studies. IPV-inflicted injuries in our research were multiple, mainly located on the head, face, neck and upper limbs, as in previous research results [4,8,12,16,17]. Women with IPV-related injuries usually rank low on a severity index and less than 10% had serious lesions [17]; our results confirm the low severity of injuries.…”

Section: Discussionsupporting

confidence: 90%

“…Women subjected to IPV have been shown to experience repeated violent episodes [12] and use the Emergency Department (ED) more frequently, compared to women subjected to non-partner violence [13–15]. Recent results from a sample study of ED visits in New York and from a self-report study in Helsinki revealed that patients visiting the ED as a result of IPV usually had multiple injuries [11,16]. The most common types of IPV-inflicted injuries were superficial injuries and contusions, wounds, sprains and strains.…”

Section: Introductionmentioning

confidence: 99%

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Women and intimate partner violence: Prevalence of hospital visits and nature of injuries in the Icelandic population

Jónasdóttir

Thorsteinsdottir

Ásgeirsdóttir

et al. 2020

Scand J Public Health

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Aims: The purpose of this study was to analyse the prevalence of hospital visits and nature of injuries caused by intimate partner violence (IPV) against women and associated costs. Methods: All visits to Landspitali National University Hospital by women 18 years or older subjected to IPV, inflicted by a current or former male partner during 2005–2014, were observed and analysed. Information was obtained on number, date and time of visits and admissions, place of occurrence, patients’ and perpetrators’ age and relationship, number of perpetrators, medical diagnosis, aetiology, injury severity and cost. Results: The number of new hospital visits due to IPV was 1454, of which 92.6% were to the Emergency Department. The average age of the women was 34 years and 3.2% were admitted. According to the Injury Severity Score, physical injuries were mostly minor (92.4%) and mainly located on the upper body (64.3%) – namely, face, head and neck (37.1%) and upper limbs (27.2%). The majority of injuries were superficial (76.2%) and punching (29.7%), shoving (17.8%), kicking (10.5%) and attempted strangulation (9.8%) were the most common types of aetiology. Repeated new visits were 37.8%. The total cost for the hospital relating to IPV was €783,330. Conclusions: The total number of new visits resulting from IPV was 1454, and prevalence was 1.69 per 1000 women in the capital area over the research period. The majority of women were shown to have minor physical injuries of a superficial nature, located on the upper body. Although a low percentage of women were admitted, the associated cost for visits and admissions was substantial.

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Section: Discussionsupporting

confidence: 90%

Section: Introductionmentioning

confidence: 99%

Women and intimate partner violence: Prevalence of hospital visits and nature of injuries in the Icelandic population

Jónasdóttir

Thorsteinsdottir

Ásgeirsdóttir

et al. 2020

Scand J Public Health

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“…Although both sexes are involved in IPV and experience IPV-related health outcomes, 31,32 researchers have traditionally focused on physical and nonphysical forms of violence perpetrated by a male partner against a female victim. 1,33 In the general population, lifetime prevalence of IPV against women has been estimated at 22%, 3,[34][35][36] with physical violence affecting 17%-34% and nonphysical violence affecting 12%-35% of women.…”

mentioning

confidence: 99%

Relationship of Physical Intimate Partner Violence with Mental Health Diagnoses in the Nationwide Emergency Department Sample

Beydoun

Williams

Beydoun

et al. 2017

Journal of Women's Health

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Objectives: We examined associations of physical intimate partner violence (PIPV) with selected mental health disorders using a nationally representative sample of emergency department (ED) discharges corresponding to men and women (18-64 years) from the 2010 Nationwide Emergency Department Sample. Methods: PIPV was determined using International Classification of Disease, 9th Revision, Clinical Modification (ICD-9-CM) external cause of injury code E967.3 (battering by spouse or partner). ICD-9-CM clinical classification of discharge diagnoses was used to identify mental health disorders. Multivariable logistic regression models were constructed to estimate adjusted odds ratios (OR adj ) and their 95% confidence intervals (CIs). Results: PIPV prevalence was estimated at 0.36 per 1000 ED discharges. The strongest correlates of PIPV were alcohol-related (OR adj = 3.02, 95% CI: 2.62-3.50), adjustment (OR adj = 2.37, 95% CI: 1.56-3.58), intentional selfharm (OR adj = 1.41, 95% CI: 1.05-1.89), anxiety (OR adj = 1.23, 95% CI: 1.07-1.40), drug-related (OR adj = 1.22, 95% CI: 1.01-1.47), and mood (OR adj = 1.16, 95% CI: 1.04-1.31) disorders. PIPV's association with alcoholrelated disorders was stronger among women (OR adj = 3.22, 95% CI: 2.79-3.72) versus men (OR adj = 1.98, 95% CI: 1.42-2.77). Similarly, drug-related disorders were stronger correlates of PIPV among women (OR adj = 1.32, 95% CI: 1.09-1.60) versus men (OR adj = 0.59, 95% CI: 0.31-1.16). Conclusions: In EDs, PIPV was linked to several mental health disorders, with women experiencing comorbid PIPV and substance use more frequently than men.

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“…The occurrence of limb injuries in the presentation of IPV differs in the literature with some studies indicating that limb injuries are not common [38] while others confirm the presence of limb injuries [39,40]. The deceased in our case study had upper and lower limb fractures including a possible defense (parry) type of fracture of the right forearm [3].…”

Section: Discussionmentioning

confidence: 84%

Patterning of fractures in a case of intimate partner homicide (IPH)

Steyn

Bacci

Holland

2020

Journal of Forensic Sciences

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South Africa is a country overwhelmed by crime and violence, with very high incidences of abuse against women and children. It is not often that a case of intimate partner homicide is seen in a forensic anthropological context. Here, we report on such a case where the remains of the victim had been buried for some time. The victim was a middle‐aged female, while the suspect was a younger adult male. The deceased had suffered massive, repeated trauma during her lifetime with healed fractures and evidence of soft tissue trauma to virtually all parts of her body. A partly healed rib fracture indicates that the abuse continued until shortly before her death. She ultimately succumbed after suffering trauma to her head and face after reportedly being hit by a brick, evidence of which can be seen as perimortem fractures of the face. It is important for forensic anthropologists to identify specific patterns and report on the presence of healed fractures, as they can raise suspicion as to the possibility of chronic abuse. In this case, the evidence suggests a very long period of extreme and repeated trauma, which were apparently not reported or noticed by family members or the medical fraternity.

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Severe intimate partner violence affecting both young and elderly patients of both sexes

Abstract: IPV leads to severe injury across all age groups among both male and female patients. The injury mechanism should be clearly defined for all trauma patients, keeping IPV in mind as a potential cause despite patient age or gender.

Cited by 18 publications

References 21 publications

Women and intimate partner violence: Prevalence of hospital visits and nature of injuries in the Icelandic population

Women and intimate partner violence: Prevalence of hospital visits and nature of injuries in the Icelandic population

Relationship of Physical Intimate Partner Violence with Mental Health Diagnoses in the Nationwide Emergency Department Sample

Patterning of fractures in a case of intimate partner homicide (IPH)

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