Assuntos
Humanos , Papel do Médico , Violência/prevenção & controle , Aconselhamento , Armas de Fogo/legislação & jurisprudência , Educação em Saúde , Planejamento em Saúde , Jamaica , Defesa do Paciente , Relações Médico-Paciente , Vigilância da População , Prevenção Primária , Ferimentos por Arma de Fogo/prevenção & controleRESUMO
A random prospective study of 640 victims (76.6 percent) in the 15-39-year-old age group) of interpersonal violence (IPV) at the Kingston Public Hospital was conducted over three months. About 87.5 percent of the aggression on males and 74.5 percent on females was committed by males. However, there was more female/female than female/male violence. Weapons used ranged from guns to a variety of cooking wares, though knives were used most frequently (34.8 percent) for stabbing 48 percent of the victims. Head, neck and upper limb were the main sites of injury; only 13.4 percent of all the injured had complications, and 63 percent of these required hospitalization. Family members and acquaintances contributed to about 84 percent of the violence. Instinctive spontaneous aggression aimed at maiming the victim characterizes IPV in Jamaica. The Jamaican taxpayer bears 90-94 percent of the cost of managing trauma injuries. These costs should be recovered from the assailants, even in the form of blood donations and community service. (AU)