RESUMEN
Lessons Learned - Observational Study After One Year of 'Domestic Violence Consultation' at the University Emergency Department Bern Abstract. The number of violent crimes in domestic violence has been steadily increasing in Switzerland since 2011. In November 2018, the University Emergency Department Bern established standardized care for victims of domestic violence with an integrated follow-up. In this retrospective study, the results one year after the establishment of the special consultation hour as well as the challenges are presented. Of the 53 individuals primarily treated at the emergency department for domestic violence, 69.8 % (n = 37) were offered a follow-up appointment. Specific subgroups were less likely to be offered follow-up appointments. It became apparent that despite instructions for action and training, not all affected groups were perceived in the same way.
Asunto(s)
Violencia Doméstica , Universidades , Servicio de Urgencia en Hospital , Humanos , Derivación y Consulta , Estudios RetrospectivosRESUMEN
Domestic Violence at the University Emergency Department Bern: A Retrospective Analysis from 2006 to 2016 Abstract. Domestic Violence (DV) is considered as one of the largest medical risks worldwide. In Switzerland, DV is defined as offence requiring public prosecution since 2004. The present retrospective cohort study aims to investigate cases of DV in one of the largest Swiss emergency departments. The aggressors are predominantly male and either (ex-)partner or (ex-)husband of the victim. The head and the extremities are most often injured. Strangulation was documented in 16 % of the cases. Prevalence in our ED is very low with 0.07 % in 2016 (overall 0.09 % 2006-2016) and much lower compared with international data. We assume that we face many unreported cases and that victims are reluctant to seek medical help. Healthcare professionals should receive regular education in domestic violence, standards of care must be defined, and a sensitive and open-minded communication style is essential.