Akaza Kayoko, Bunai Yasuo, Tsujinaka Masatake, Nakamura Isao, Nagai Atsushi, Tsukata Yukiyoshi, Ohya Isao
Department of Legal Medicine, Gifu University School of Medicine, Gifu 500-8705, Japan.
Leg Med (Tokyo). 2003 Mar;5(1):7-14. doi: 10.1016/s1344-6223(02)00057-3.
This study examined the elder abuse cases that occurred in Gifu Prefecture, Japan between 1990 and 2000. We conducted a retrospective study of all the cases in which the victim was 65 years or older and autopsied in the Department of Legal Medicine, Gifu University School of Medicine. Fifteen victims were classified as elder abuse victims: five men and ten women. The victims ranged in age from 66 to 87 years (mean age, 74.5 years). The types of abuse were as follows: physical abuse, 13 cases; emotional abuse, five cases; neglect, four cases; and financial abuse, three cases. In eight cases, the victims were subjected to two or more types of abuse. The cause of death of the victims varied with the type of abuse. In the physical abuse cases, subdural hemorrhage was the most common cause, followed by other violence-related deaths and hypothermia. In the neglect cases, the victims died of either starvation or suffocation after the aspiration of food into the airway. In the domestic abuse cases, one of the victim's sons was the most common perpetrator, and little or no income was considered to be a risk factor for perpetrators. In the neglect cases, dementia and difficulty in performing activities of daily living were considered to be risk factors for victims, in addition to living in social isolation.
本研究调查了1990年至2000年间发生在日本岐阜县的虐待老年人案件。我们对岐阜大学医学院法医学系解剖的所有65岁及以上受害者的案件进行了回顾性研究。15名受害者被归类为虐待老年人受害者：5名男性和10名女性。受害者年龄在66岁至87岁之间（平均年龄74.5岁）。虐待类型如下：身体虐待13例；情感虐待5例；忽视4例；经济虐待3例。在8起案件中，受害者遭受了两种或更多类型的虐待。受害者的死因因虐待类型而异。在身体虐待案件中，硬膜下出血是最常见的死因，其次是其他与暴力相关的死亡和体温过低。在忽视案件中，受害者死于饥饿或食物吸入气道后窒息。在家庭虐待案件中，受害者的儿子之一是最常见的施暴者，几乎没有收入被认为是施暴者的一个风险因素。在忽视案件中，除了社会孤立生活外，痴呆和日常生活活动困难被认为是受害者的风险因素。
