Fox Anthony W
Cameron Forensic Medical Sciences, William Harvey Research Institute, Barts and The London School of Medicine and Dentistry, Charterhouse Square, London EC1M 6BQ, UK.
Med Sci Law. 2012 Jul;52(3):128-36. doi: 10.1258/msl.2011.011124. Epub 2012 Feb 25.
Five types of elder abuse (physical, psychological, sexual, neglect and financial) are recognized. They are not new, occur worldwide and are associated with persistent morbidity and mortality. The forensic clinician has responsibilities to: (i) the patient, with competent history taking and examination, (ii) interpret findings and recognize patterns of harm and (iii) promulgate this issue in wider professional and public forums. Research into elder abuse is relatively recent; standardized terminology remains unsettled, and small-scale, local studies are hard to generalize. Cross-sectional, population-based studies of elder abuse should be possible, and standardized endpoints will require forensic science contributions.
人们已认识到五种虐待老年人的类型(身体虐待、心理虐待、性虐待、忽视和经济虐待)。这些类型并非新出现的,在全球范围内都有发生,并且与持续的发病率和死亡率相关。法医临床医生有责任:(i)为患者进行充分的病史采集和检查,(ii)解读检查结果并识别伤害模式,以及(iii)在更广泛的专业和公共论坛上宣传这一问题。对虐待老年人的研究相对较新;标准化术语仍未确定,而且小规模的局部研究难以进行概括。基于人群的虐待老年人横断面研究应该是可行的,并且标准化的终点将需要法医学做出贡献。