Bazargan-Hejazi Shahrzad, Kim Eunjin, Lin Johnny, Ahmadi Alireza, Khamesi Mojdeh T, Teruya Stacey
Department of Psychiatry, Charles R. Drew University of Medicine and Science & David Geffen School of Medicine at University of California, Los Angeles, California.
Department of Psychology, University of California at Los Angeles, California.
J Emerg Med. 2014 Dec;47(6):710-20. doi: 10.1016/j.jemermed.2014.07.036. Epub 2014 Oct 1.
Domestic intimate partner violence (IPV) is a serious health care concern, which may be mitigated by early detection, screening, and intervention.
We examine posited predictors in IPV and non-IPV groups, and in four different IPV profiles. Possible factors include 1) alcohol use, 2) drug use, 3) depression, 4) impulsivity, 5) age, and 6) any childhood experience in observing parental violence. We also introduce a new "Five Steps in Screening for IPV" quick reference tool, which may assist emergency physicians in detection and treatment.
This was a cross-sectional study using survey data from 412 inner-city emergency department patients. Associations were explored using a chi-squared test of independence, independent-samples t-tests, and a one-way analysis of variance.
Nearly 16% had experienced IPV. As a group, they were younger, and more depressed and impulsive than the non-IPV group. They were more likely to engage in binge drinking, use drugs, and had more childhood exposure to violence. In the IPV group, 31% were perpetrators, 20% victims, and 49% both victims and perpetrators. The latter group was younger, more impulsive and depressed, used drugs, and was more likely to have observed parental violence as a child.
Correlates in groups affected by IPV indicate the same general risk factors, which seem to more acutely affect those who are both perpetrators and victims. Alcohol and drug use, depressive symptoms, and childhood exposure to violence may be factors and signs for which emergency physicians should screen in the context of IPV.
家庭亲密伴侣暴力（IPV）是一个严重的医疗保健问题，早期发现、筛查和干预可能会减轻这种情况。
我们研究了IPV组和非IPV组以及四种不同IPV模式中的假定预测因素。可能的因素包括：1）饮酒，2）吸毒，3）抑郁，4）冲动性，5）年龄，以及6）任何观察到父母暴力行为的童年经历。我们还介绍了一种新的“IPV筛查五步”快速参考工具，这可能有助于急诊医生进行检测和治疗。
这是一项横断面研究，使用了来自412名市中心急诊科患者的调查数据。使用独立性卡方检验、独立样本t检验和单因素方差分析来探索关联。
近16%的人经历过IPV。作为一个群体，他们比非IPV组更年轻，更抑郁，更冲动。他们更有可能酗酒、吸毒，童年时期遭受暴力的经历也更多。在IPV组中，31%是施暴者，20%是受害者，49%既是受害者又是施暴者。后一组更年轻，更冲动、抑郁，吸毒，并且更有可能在童年时目睹过父母暴力。
受IPV影响的群体中的相关因素表明了相同的一般风险因素，这些因素似乎对既是施暴者又是受害者的人影响更为严重。饮酒和吸毒、抑郁症状以及童年时期遭受暴力可能是急诊医生在IPV背景下应进行筛查的因素和迹象。
