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1.
BMC Med ; 19(1): 20, 2021 02 05.
Artículo en Inglés | MEDLINE | ID: mdl-33541357

RESUMEN

BACKGROUND: There is little information on care-seeking patterns for sexual assault and domestic violence during the COVID-19 pandemic. The objective of this study was to examine the changes in emergency department (ED) admissions for sexual assault and domestic violence since the COVID-19 pandemic was declared. METHODS: Observational ED admissions data from The Ottawa Hospital were analyzed from March 4 to May 5 (62 days) in 2020 (COVID-19 period) and compared to the same period in 2018 (pre-COVID-19). Total and mean weekly admissions were calculated for all-cause ED admissions and for sexual and domestic violence cases. A Poisson regression (without offset term) was used to calculate the weekly case count ratio and 95% confidence intervals (CI) between the two time periods. Case characteristics were compared using chi-square tests, and percent differences were calculated. RESULTS: Compared to pre-COVID-19, total ED admissions dropped by 1111.22 cases per week (32.9% reduction), and the Sexual Assault and Domestic Violence Program cases dropped 4.66 cases per week. The weekly case count ratio for sexual assault cases was 0.47 (95% CI 0.79-0.27), equivalent of 53.49% reduction in cases, and 0.52 (95% CI 0.93-0.29), equivalent to a 48.45% reduction in physical assault cases. The characteristics of presenting cases were similar by age (median 25 years), sex (88.57% female), assault type (57.14% sexual assault, 48.57% physical assault), and location (31.43% patient's home, 40.00% assailant's home). There was a significant increase in psychological abuse (11.69% vs 28.57%) and assaults occurring outdoors (5.19% vs 22.86%). CONCLUSION: This study found a decrease in ED admissions for sexual assault and domestic violence during COVID-19, despite societal conditions that elevate risk of violence. Trends in care-seeking and assault patterns will require ongoing monitoring to inform the provision of optimal support for individuals experiencing violence, particularly as countries begin to re-open or lock-down again.


Asunto(s)
/epidemiología , Violencia Doméstica/tendencias , Servicio de Urgencia en Hospital/tendencias , Pandemias , Aceptación de la Atención de Salud , Delitos Sexuales/tendencias , Adulto , Control de Enfermedades Transmisibles/tendencias , Violencia Doméstica/psicología , Femenino , Humanos , Masculino , Ontario/epidemiología , Aceptación de la Atención de Salud/psicología , Delitos Sexuales/psicología , Adulto Joven
2.
Rev Bras Enferm ; 74Suppl 1(Suppl 1): e20200631, 2021.
Artículo en Inglés, Portugués | MEDLINE | ID: mdl-33533806

RESUMEN

OBJECTIVE: to know the strategies to cope with domestic violence against women disseminated by digital media at the beginning of the COVID-19 pandemic. METHODS: a documentary study with a qualitative approach. The search took place from March 11 to April 30, 2020, from four sources: newspapers and online portals, social network, official government pages and third sector portals. Thematic content analysis of the findings was performed. RESULTS: seventy-seven strategies were identified in the journalistic press, 93 in the social network, 45 in government portals and 40 in third sector organizations. From analysis, three empirical categories emerged: Strategies for communication with women; Strategies adopted by customer service; Strategies to inform the population. FINAL CONSIDERATIONS: most of strategies were adaptations of existing services, centered on the reporting of violence by women.


Asunto(s)
Adaptación Psicológica , Comunicación , Violencia Doméstica/psicología , Difusión de la Información/métodos , Internet/estadística & datos numéricos , Medios de Comunicación Sociales/estadística & datos numéricos , Adulto , Anciano , Anciano de 80 o más Años , Brasil/epidemiología , Femenino , Humanos , Masculino , Persona de Mediana Edad , Pandemias
3.
BMC Pregnancy Childbirth ; 21(1): 88, 2021 Jan 28.
Artículo en Inglés | MEDLINE | ID: mdl-33509103

RESUMEN

BACKGROUND: During the COVID-19 pandemic, pregnant women bear considerable physical and psychological stress because of their special conditions, which combined with other stress factors such as violence, makes their situation even more critical. This study aimed to investigate the prevalence of domestic violence and its relationship with quality of life in pregnant women during the COVID-19 pandemic. METHODS: This cross-sectional study was performed with the participation of 250 pregnant women in the obstetrics clinic of 29-Bahman Hospital, Tabriz city. Using a three-part questionnaire consisting of the socio-demographic and obstetrics information, the domestic violence questionnaire developed by WHO, and the SF-12 quality of life questionnaire, the required information was collected. A general linear model was then used to determine the relationship between domestic violence and quality of life, while adjusting the socio-demographic and obstetrics information. RESULTS: According to the data, more than one-third of pregnant women (35.2 %) had experienced domestic violence. The most common type of violence experienced was emotional violence (32.8 %), followed by sexual violence (12.4 %), and physical violence (4.8 %). The mean score of the physical health department of quality of life in the group of women exposed to violence (50.21) was lower compared to the unexposed group (53.45), though there was no significant difference between them (P = 0.25). However, the mean score of the mental health department of quality of life in women exposed to violence (46.27) was significantly lower compared to unexposed women (61.17) (P < 0.001). Based on the general linear model, the mean score for quality of life in the mental health dimension was significantly higher among unexposed women compared to those exposed to violence (ß = 9.3, 95 %CI: 3.5 to 15.0, P = 0.002). CONCLUSIONS: The findings of this study indicate a high prevalence of domestic violence and its relationship with a low quality of life during the COVID-19 pandemic. Therefore, the findings signify the importance of screening pregnant women in terms of domestic violence in respective centers as well as the necessity of conducting proper interventions to address domestic violence to improve the quality of life in women.


Asunto(s)
/psicología , Violencia Doméstica/psicología , Mujeres Embarazadas/psicología , Calidad de Vida , Adulto , Estudios Transversales , Femenino , Humanos , Irán , Salud Mental , Abuso Físico/psicología , Embarazo , Complicaciones del Embarazo/psicología , Prevalencia , Delitos Sexuales/psicología , Encuestas y Cuestionarios , Adulto Joven
5.
J Elder Abuse Negl ; 32(5): 471-488, 2020.
Artículo en Inglés | MEDLINE | ID: mdl-33308081

RESUMEN

Domestic violence (DV) is a worldwide societal problem affecting victims of all ages. While a sizable body of DV literature primarily surrounding young adults exists, research on DV among older individuals has received less attention. Yet, older non-victims and DV victims alike face unique challenges not experienced by younger age groups, such as socialization favoring traditional values, and loved ones who become unable to care for themselves. Less is known, however, about factors that influence older women's attitudes toward traditional values. Using a sample of women age 50 and older, including both victims and non-victims, the current study addressed this gap in research by examining whether age or the women's loved one's ability to care for themselves have an effect on attitudes toward traditional values. A discussion of the findings is provided, as well as policy implications and suggestions for future research.


Asunto(s)
Actitud , Cuidadores/psicología , Víctimas de Crimen/psicología , Violencia Doméstica/psicología , Valores Sociales , Mujeres/psicología , Anciano , Familia , Femenino , Humanos , Matrimonio , Persona de Mediana Edad , Privacidad , Estados Unidos/epidemiología
6.
J Med Internet Res ; 22(12): e23725, 2020 12 24.
Artículo en Inglés | MEDLINE | ID: mdl-33361056

RESUMEN

BACKGROUND: The New South Wales Police Force (NSWPF) records details of significant numbers of domestic violence (DV) events they attend each year as both structured quantitative data and unstructured free text. Accessing information contained in the free text such as the victim's and persons of interest (POI's) mental health status could be useful in the better management of DV events attended by the police and thus improve health, justice, and social outcomes. OBJECTIVE: The aim of this study is to present the prevalence of extracted mental illness mentions for POIs and victims in police-recorded DV events. METHODS: We applied a knowledge-driven text mining method to recognize mental illness mentions for victims and POIs from police-recorded DV events. RESULTS: In 416,441 police-recorded DV events with single POIs and single victims, we identified 64,587 events (15.51%) with at least one mental illness mention versus 4295 (1.03%) recorded in the structured fixed fields. Two-thirds (67,582/85,880, 78.69%) of mental illnesses were associated with POIs versus 21.30% (18,298/85,880) with victims; depression was the most common condition in both victims (2822/12,589, 22.42%) and POIs (7496/39,269, 19.01%). Mental illnesses were most common among POIs aged 0-14 years (623/1612, 38.65%) and in victims aged over 65 years (1227/22,873, 5.36%). CONCLUSIONS: A wealth of mental illness information exists within police-recorded DV events that can be extracted using text mining. The results showed mood-related illnesses were the most common in both victims and POIs. Further investigation is required to determine the reliability of the mental illness mentions against sources of diagnostic information.


Asunto(s)
Minería de Datos/métodos , Violencia Doméstica/psicología , Trastornos Mentales/epidemiología , Policia/ética , Adolescente , Adulto , Femenino , Humanos , Masculino , Prevalencia , Reproducibilidad de los Resultados , Adulto Joven
7.
PLoS One ; 15(11): e0241658, 2020.
Artículo en Inglés | MEDLINE | ID: mdl-33147259

RESUMEN

New Zealand's early response to the novel coronavirus pandemic included a strict lockdown which eliminated community transmission of COVID-19. However, this success was not without cost, both economic and social. In our study, we examined the psychological wellbeing of New Zealanders during the COVID-19 lockdown when restrictions reduced social contact, limited recreation opportunities, and resulted in job losses and financial insecurity. We conducted an online panel survey of a demographically representative sample of 2010 adult New Zealanders in April 2020. The survey contained three standardised measures-the Kessler Psychological Distress Scale (K10), the GAD-7, and the Well-Being Index (WHO-5)-as well as questions designed specifically to measure family violence, suicidal ideation, and alcohol consumption. It also included items assessing positive aspects of the lockdown. Thirty percent of respondents reported moderate to severe psychological distress (K10), 16% moderate to high levels of anxiety, and 39% low wellbeing; well above baseline measures. Poorer outcomes were seen among young people and those who had lost jobs or had less work, those with poor health status, and who had past diagnoses of mental illness. Suicidal ideation was reported by 6%, with 2% reporting making plans for suicide and 2% reporting suicide attempts. Suicidality was highest in those aged 18-34. Just under 10% of participants had directly experienced some form of family harm over the lockdown period. However, not all consequences of the lockdown were negative, with 62% reporting 'silver linings', which included enjoying working from home, spending more time with family, and a quieter, less polluted environment. New Zealand's lockdown successfully eliminated COVID-19 from the community, but our results show this achievement brought a significant psychological toll. Although much of the debate about lockdown measures has focused on their economic effects, our findings emphasise the need to pay equal attention to their effects on psychological wellbeing.


Asunto(s)
Ansiedad/psicología , Infecciones por Coronavirus/epidemiología , Infecciones por Coronavirus/psicología , Violencia Doméstica/psicología , Pandemias , Neumonía Viral/epidemiología , Neumonía Viral/psicología , Cuarentena/psicología , Estrés Psicológico/psicología , Suicidio/psicología , Adolescente , Adulto , Anciano , Ansiedad/epidemiología , Ansiedad/virología , Estudios Transversales , Depresión/epidemiología , Depresión/psicología , Depresión/virología , Femenino , Humanos , Masculino , Salud Mental , Persona de Mediana Edad , Nueva Zelanda/epidemiología , Distrés Psicológico , Estrés Psicológico/epidemiología , Estrés Psicológico/virología , Adulto Joven
9.
Psychiatr Danub ; 32(Suppl 3): 367-370, 2020 Oct.
Artículo en Inglés | MEDLINE | ID: mdl-33030455

RESUMEN

Although family should be the basis for the development and formation of a child's personality, violence is mostly done in the family, and remains undiscovered for a long time. The real number of abused children is much more than that displayed in the registered cases. The secrecy of the problem is an important feature of this phenomenon. Families in which abuse takes place are mostly isolated. Social isolation does not come about by chance; secrecy is usually encouraged by an abuser to control over famoly members. In most cases, social reaction to violence is late, inadequate and focused on the consequences, but not on the causes. "Abuse implies an act of execution that directly inflicts damage, while neglect implies an act of non-fulfillment of something that is necessary for the well-being of a child". The most common forms of domestic violence are physical, emotional abuse in the presence of violence against the mother, and in a lesser extent sexual abuse. In addition, there is physical, emotional, educational and medical neglect. The presence of violence against the mother and the feeling of impotence leave the same consequences as the endured violence. It is considered that children living in violent families are likely to live under cumulative stress. Traumatic responses include a wide range of conditions from acute stress reactions through post-traumatic stress disorder to complex long-lasting, repeated trauma syndrome. All children will not react to this kind of experience in the same way, with the protective and risk factors in developmental psychopathology having a significant role to play. Because of their developmental vulnerability and dependency, children are at greater risk of violence than adults. Researches point to the need for a multidisciplinary approach to treatment and prevention of child abuse, with greater interaction between health institutions, relevant centers for social work, police, court, government and non-governmental sector, and the existence of adequate family and criminal laws.


Asunto(s)
Maltrato a los Niños/psicología , Violencia Doméstica/psicología , Trauma Psicológico/psicología , Adulto , Niño , Maltrato a los Niños/legislación & jurisprudencia , Maltrato a los Niños/prevención & control , Maltrato a los Niños/terapia , Violencia Doméstica/legislación & jurisprudencia , Violencia Doméstica/prevención & control , Femenino , Humanos , Masculino , Madres/psicología , Trauma Psicológico/prevención & control , Trauma Psicológico/terapia , Factores de Riesgo , Instituciones Académicas , Trastornos por Estrés Postraumático/prevención & control , Trastornos por Estrés Postraumático/psicología , Trastornos por Estrés Postraumático/terapia
14.
Rev. esp. med. legal ; 46(3): 139-145, jul.-sept. 2020. tab
Artículo en Español | IBECS | ID: ibc-192315

RESUMEN

Las circunstancias del confinamiento potencian los factores de riesgo de violencia de género (VG) a nivel individual y social, al aumentar el aislamiento y las barreras que dificultan la solicitud de ayuda y la denuncia. Esta situación tiene como consecuencia directa el aumento de esta violencia. Sin embargo, una primera aproximación puede llevar al error al entender que la VG disminuye debido al descenso de las denuncias y del número de homicidios. El estudio médico-legal de la VG bajo el confinamiento debe tener un sentido evolutivo que contemple las consecuencias en sus dos fases: Durante el confinamiento, con el aumento en todas sus formas (física, psicológica y sexual), y tras el confinamiento, centrándose en la valoración del riesgo de letalidad, el cual se incrementa debido la percepción de pérdida de control por parte del agresor


Circumstances under lockdown increase the risk factors for gender-based violence (GBV) at the individual and social level due to isolation and barriers to victims in seeking help and reporting their situation. This has the direct consequence of an increase in this violence. Initially, due to the reduced number of reports and homicides, it could be mistakenly understood that there has been a decrease in GBV. The medico-legal study of GBV under lockdown must be an evolving process that contemplates its consequences in two phases: during lockdown, with the increase in all its forms (physical, psychological and sexual), and after lockdown, focusing on fatality risk assessment, which increases due to perceived loss of control on the part of the perpetrator


Asunto(s)
Humanos , Infecciones por Coronavirus/psicología , Violencia de Género/estadística & datos numéricos , Cuarentena/estadística & datos numéricos , Violencia Doméstica/psicología , Pandemias/estadística & datos numéricos , Aislamiento Social/psicología , Factores de Riesgo
15.
Int J Law Psychiatry ; 71: 101594, 2020.
Artículo en Inglés | MEDLINE | ID: mdl-32768101

RESUMEN

A heightened risk of domestic violence has been associated with infection-reducing measures undertaken by governments during the COVID-19 pandemic. Psychiatric services can play a key role in addressing this issue by (a) addressing certain risk factors for perpetration of domestic violence through, for example, assertive identification and management of substance misuse; (b) providing support, advocacy and treatment services for victims of domestic violence; and (c) multi-agency working to strengthen medical and social responses to domestic violence. At a time like this, it is important that multi-disciplinary mental health services are strengthened, rather than depleted, in order to address the pressing issues at hand.


Asunto(s)
Mujeres Maltratadas/psicología , Infecciones por Coronavirus/epidemiología , Violencia Doméstica/psicología , Servicios de Salud Mental , Rol del Médico , Neumonía Viral/epidemiología , Adulto , Betacoronavirus , Femenino , Humanos , Pandemias
16.
Womens Health (Lond) ; 16: 1745506520952285, 2020.
Artículo en Inglés | MEDLINE | ID: mdl-32840178

RESUMEN

OBJECTIVES: Assisting patients who are experiencing family violence is an important issue for health services. Rates of screening for family violence in general hospital settings in Australia are unclear. This study was conducted to obtain data on hospital family violence screening rates and health service users' perceptions of the screening process, in a large metropolitan hospital in Australia. METHODS: Clients from the clinical caseloads of social work and psychology staff were invited to participate in a tablet administered, online survey of their family violence screening experiences, within the health service. RESULTS: A total of 59 surveys were completed by hospital users, who had been treated in areas including the emergency department, acute inpatient wards, sub-acute and rehabilitation units, and outpatient clinics. Less than half the sample reported being screened for family violence at the health service. One-quarter of the respondents reported disclosing family violence concerns, with one-fifth wanting to disclose, but not feeling comfortable to do so. The majority of respondents who disclosed family violence felt supported by the response of the staff member and were provided with information they found helpful. However, further work could be done to improve screening rates, environmental and organizational factors to promote users feeling comfortable to disclose, and staff responses to disclosures. CONCLUSION: The results of the survey will be used to inform the development of a hospital-wide family violence training initiative aimed to improve staff knowledge, confidence, rates of screening, and clinical responses to family violence.


Asunto(s)
Violencia Doméstica/estadística & datos numéricos , Hospitales Urbanos/estadística & datos numéricos , Tamizaje Masivo/estadística & datos numéricos , Adulto , Australia , Revelación , Violencia Doméstica/psicología , Femenino , Humanos , Encuestas y Cuestionarios
18.
Br J Psychiatry ; 217(4): 543-546, 2020 10.
Artículo en Inglés | MEDLINE | ID: mdl-32654678

RESUMEN

This study explored patterns of abuse, self-harm and thoughts of suicide/self-harm in the UK during the first month of the COVID-19 pandemic using data from the COVID-19 Social Study (n=44 775), a non-probability sample weighted to population proportions. The reported frequency of abuse, self-harm and thoughts of suicide/self-harm was higher among women, Black, Asian and minority ethnic (BAME) groups and people experiencing socioeconomic disadvantage, unemployment, disability, chronic physical illnesses, mental disorders and COVID-19 diagnosis. Psychiatric medications were the most common type of support being used, but fewer than half of those affected were accessing formal or informal support.


Asunto(s)
Infecciones por Coronavirus , Violencia Doméstica , Trastornos Mentales , Pandemias , Neumonía Viral , Conducta Autodestructiva , Suicidio , Adulto , Betacoronavirus , Infecciones por Coronavirus/epidemiología , Infecciones por Coronavirus/prevención & control , Infecciones por Coronavirus/psicología , Violencia Doméstica/prevención & control , Violencia Doméstica/psicología , Violencia Doméstica/estadística & datos numéricos , Femenino , Humanos , Estudios Longitudinales , Masculino , Trastornos Mentales/epidemiología , Trastornos Mentales/virología , Servicios de Salud Mental , Persona de Mediana Edad , Pandemias/prevención & control , Neumonía Viral/epidemiología , Neumonía Viral/prevención & control , Neumonía Viral/psicología , Prevalencia , Sistemas de Apoyo Psicosocial , Medición de Riesgo , Factores de Riesgo , Conducta Autodestructiva/epidemiología , Conducta Autodestructiva/prevención & control , Conducta Autodestructiva/psicología , Aislamiento Social/psicología , Ideación Suicida , Suicidio/prevención & control , Suicidio/psicología , Suicidio/estadística & datos numéricos , Reino Unido/epidemiología
20.
Psychol Trauma ; 12(5): 488-490, 2020 Jul.
Artículo en Inglés | MEDLINE | ID: mdl-32525377

RESUMEN

The purpose of this article is to provide a brief report on how the Indonesian population has experienced the COVID-19 pandemic in the first 2 months since the establishment of COVID-19 Rapid Response Task Force on March 13. The discussion will focus on the psychological trauma that the population has experienced due to the lack of preparedness, the poorly equipped health care system, and lockdown policies in dealing with the spread of the coronavirus. Four different types of psychological trauma were increasingly observed, based on digital communication with people affected and reports from the news and social media. These 4 types of psychological trauma were social withdrawal, hysteria, individual violence, and collective violence. On the basis of the described psychological consequences of the pandemic, it can be assumed that both the individual and collective reactions must be considered to reduce harm of the coronavirus pandemic. (PsycInfo Database Record (c) 2020 APA, all rights reserved).


Asunto(s)
Síntomas Conductuales , Infecciones por Coronavirus , Violencia Doméstica , Miedo , Control de Infecciones , Pandemias , Neumonía Viral , Trauma Psicológico , Aislamiento Social , Estigma Social , Desempleo , Adulto , Síntomas Conductuales/psicología , Violencia Doméstica/psicología , Miedo/psicología , Humanos , Indonesia , Trauma Psicológico/psicología , Desempleo/psicología , Adulto Joven
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