Hegarty Kelsey, O'Doherty Lorna
Department of General Practice, University of Melbourne, Victoria, Australia.
Aust Fam Physician. 2011 Nov;40(11):852-6.
Intimate partner violence is a common problem among women attending general practice, with around one in 10 women currently experiencing physical, sexual or emotional abuse by a partner. Abused women frequently present with physical and psychosocial issues. Yet intimate partner violence often remains concealed and addressing it poses challenges for the clinician and patient alike.
Although some of the general recommendations in this review may also apply to same-sex relationships and to women who abuse men, this article discusses identifying intimate partner violence in women who present to general practice.
Identifying intimate partner violence is important in clinical practice as it underlies many common physical and mental health presentations. Facilitating disclosure and responding effectively requires good communication skills. Safety assessment of women and their families, pinpointing level of readiness to contemplate action, and providing appropriate referral options and ongoing nonjudgmental support are elements of an effective response. General practitioners have the potential to identify women and support them safely on a pathway to recovery, thereby avoiding the long term impacts of intimate partner violence.
亲密伴侣暴力是就诊于普通科的女性中的一个常见问题，目前约十分之一的女性正遭受伴侣的身体、性或情感虐待。受虐女性经常出现身体和心理社会问题。然而，亲密伴侣暴力往往仍然隐蔽，解决这一问题对临床医生和患者来说都具有挑战性。
尽管本综述中的一些一般性建议可能也适用于同性关系以及虐待男性的女性，但本文讨论的是在就诊于普通科的女性中识别亲密伴侣暴力。
在临床实践中识别亲密伴侣暴力很重要，因为它是许多常见身心健康问题的根源。促进披露并做出有效回应需要良好的沟通技巧。对女性及其家庭进行安全评估、确定考虑采取行动的准备程度、提供适当的转诊选择以及持续提供无偏见的支持，这些都是有效应对措施的要素。全科医生有潜力识别女性并安全地支持她们走上康复之路，从而避免亲密伴侣暴力的长期影响。
