Sommers Marilyn S, Brown Kathleen M, Buschur Carole, Everett Janine S, Fargo Jamison D, Fisher Bonnie S, Hinkle Christina, Zink Therese M
School of Nursing, University of Pennsylvania, 418 Curie Boulevard, Fagin Hall, Philadelphia, PA 19104, USA.
J Forensic Leg Med. 2012 Jul;19(5):250-63. doi: 10.1016/j.jflm.2012.02.014. Epub 2012 Mar 6.
While intimate partner violence (IPV) and sexual violence (SV) are highly associated with injury, the healthcare and legal significance of these injuries is controversial.
Herein we propose to explore the significance of injury in IPV and SV and examine the current status of injury classification systems from the perspectives of the healthcare and criminal justice systems. We will review current injury classification systems and suggest a typology of injury that could be tested empirically.
Within the published literature, we found that no commonly accepted injury typology exists. While nuanced and controversial issues surround the role of injury detection in the sexual assault forensic examination, enough evidence exists to support the continued pursuance of a scientific approach to injury classification. We propose an injury typology that is measurable, is applicable to the healthcare setting and criminal justice system, and allows us to use uses a matrix approach that includes a severity score, anatomic location, and injury type. We suggest a typology that might be used for further empirical testing on the validity and reliability of IPV and SV injury data.
We recommend that the community of scientists concerned about IPV and SV develop a more rigorous injury classification system that will improve the quality of forensic evidence proffered and decisions made throughout the criminal justice process.
虽然亲密伴侣暴力（IPV）和性暴力（SV）与伤害高度相关，但这些伤害在医疗保健和法律方面的意义存在争议。
在此，我们建议探讨IPV和SV中伤害的意义，并从医疗保健和刑事司法系统的角度审视伤害分类系统的现状。我们将回顾当前的伤害分类系统，并提出一种可通过实证检验的伤害类型学。
在已发表的文献中，我们发现不存在普遍接受的伤害类型学。虽然伤害检测在性侵犯法医检查中的作用存在细微且有争议的问题，但有足够的证据支持继续采用科学方法进行伤害分类。我们提出一种可测量的伤害类型学，适用于医疗保健环境和刑事司法系统，并允许我们使用一种矩阵方法，该方法包括严重程度评分、解剖位置和伤害类型。我们建议一种可用于对IPV和SV伤害数据的有效性和可靠性进行进一步实证检验的类型学。
我们建议关注IPV和SV的科学界开发一个更严格的伤害分类系统，这将提高整个刑事司法过程中提供的法医证据的质量以及所做决策的质量。
