Surgical Unit I, Department of Surgery, Holy Family Hospital, Rawalpindi, Pakistan.
PLoS One. 2010 Feb 23;5(2):e9373. doi: 10.1371/journal.pone.0009373.
The aim of study was to assess differences in reporting of violence and deliberate self harm (DSH) related injuries to police and emergency department (ED) in an urban town of Pakistan.
METHODS/PRINCIPAL FINDINGS: Study setting was Rawalpindi city of 1.6 million inhabitants. Incidences of violence and DSH related injuries and deaths were estimated from record linkage of police and ED data. These were then compared to reported figures in both datasets. All persons reporting violence and DSH related injury to the police station, the public hospital's ED, or both in Rawalpindi city from July 1, 2007 to June 30, 2008 were included. In Rawalpindi city, 1016 intentional injury victims reported to police whereas 3012 reported to ED. Comparing violence related fatality estimates (N = 56, 95% CI: 46-64), police reported 75.0% and ED reported 42.8% of them. Comparing violence related injury estimates (N = 7990, 95% CI: 7322-8565), police reported 12.1% and ED reported 33.2% of them. Comparing DSH related fatality estimates (N = 17, 95% CI: 4-30), police reported 17.7% and ED reported 47.1% of them. Comparing DSH related injury estimates (N = 809, 95% CI: 101-1516), police reported 0.5% and ED reported 39.9% of them.
In Rawalpindi city, police records were more likely to be complete for violence related deaths as compared to injuries due to same mechanism. As compared to ED, police reported DSH related injuries and deaths far less than those due to other types of violence.
本研究旨在评估巴基斯坦一个城市城镇向警方和急诊部（ED）报告暴力和故意自伤（DSH）相关伤害的差异。
方法/主要发现：研究地点为拥有 160 万居民的拉瓦尔品第市。通过警方和 ED 数据的记录链接来估计暴力和 DSH 相关伤害和死亡的发生率，并将其与两个数据集的报告数字进行比较。所有在拉瓦尔品第市 2007 年 7 月 1 日至 2008 年 6 月 30 日期间向警察局、公立医院急诊室或两者都报告暴力和 DSH 相关伤害的人都包括在内。在拉瓦尔品第市，有 1016 名故意受伤者向警方报案，而 3012 名向 ED 报案。比较暴力相关死亡率估计值（N = 56，95%CI：46-64），警方报告了其中的 75.0%，而 ED 报告了其中的 42.8%。比较暴力相关伤害估计值（N = 7990，95%CI：7322-8565），警方报告了其中的 12.1%，而 ED 报告了其中的 33.2%。比较 DSH 相关死亡率估计值（N = 17，95%CI：4-30），警方报告了其中的 17.7%，而 ED 报告了其中的 47.1%。比较 DSH 相关伤害估计值（N = 809，95%CI：101-1516），警方报告了其中的 0.5%，而 ED 报告了其中的 39.9%。
在拉瓦尔品第市，与同一机制导致的暴力相关伤害相比，警方记录更有可能完整记录暴力相关死亡事件。与 ED 相比，警方报告的 DSH 相关伤害和死亡事件远少于其他类型的暴力事件。
