Palm Anna, Danielsson Ingela, Högberg Ulf, Norbergh Karl-Gustav
Department of Women's and Children's Health, Uppsala University, SE-751 85 Uppsala, Sweden.
Department of Clinical Sciences, Obstetrics and Gynaecology, Umeå University, SE-901 87 Umeå, Sweden.
Sex Reprod Healthc. 2017 Oct;13:51-57. doi: 10.1016/j.srhc.2017.06.004. Epub 2017 Jun 19.
To explore perceptions and experiences among youth who underwent structured questions about violence victimization and alcohol consumption when visiting Swedish youth clinics.
This study is part of a larger research project examining the effect of including routine inquiry about violence victimization and alcohol consumption for youth visiting youth clinics. Fifteen youth with experiences of victimization and/or risk drinking (AUDIT-C≥5) were interviewed. Content analysis was used.
The findings were grouped into three main categories: The first; "Disclosure - talking about violence" reflected the participants' experiences of being asked about victimization. Participants were in favor of routine inquiry about violence victimization, even when questions caused distress. The questions helped participants reflect on prior victimization and process what had happened to them. The second; "Influence on the life situation" demonstrated that many of the participants still were effected by prior victimization, but also how talking about violence sometimes led to the possibility of initiating change such as leaving a destructive relationship or starting therapy. In the third; "One's own alcohol consumption in black and white" participants considered it natural to be asked about alcohol consumption. However, most participants did not consider their drinking problematic, even when told they exceeded guidelines. They viewed risk drinking in terms of immediate consequences rather than in quantity or frequency of alcohol intake.
Routine inquiry about violence victimization and risk drinking at youth clinics was well received. Questions about violence helped participants to interpret and process prior victimization and sometimes initiated change.
探讨在瑞典青少年诊所就诊时，接受过关于暴力受害和饮酒情况结构化询问的青少年的看法和经历。
本研究是一个更大研究项目的一部分，该项目旨在研究对青少年诊所就诊的青少年进行暴力受害和饮酒情况的常规询问的效果。对15名有受害经历和/或有饮酒风险（酒精使用障碍筛查测试-C≥5）的青少年进行了访谈。采用了内容分析法。
研究结果分为三大类：第一类，“披露——谈论暴力”反映了参与者被问及受害情况的经历。参与者赞成对暴力受害情况进行常规询问，即使这些问题会引起困扰。这些问题帮助参与者反思以前的受害经历，并梳理所发生在他们身上的事情。第二类，“对生活状况的影响”表明，许多参与者仍然受到以前受害经历的影响，同时也表明谈论暴力有时如何导致开启改变的可能性，比如离开一段有害的关系或开始接受治疗。第三类，“自己饮酒情况的黑白分明”，参与者认为被问及饮酒情况很正常。然而，即使被告知他们饮酒超标，大多数参与者也不认为自己的饮酒有问题。他们从直接后果的角度看待有饮酒风险，而不是从饮酒量或饮酒频率的角度。
青少年诊所对暴力受害和饮酒风险的常规询问受到了好评。关于暴力的问题帮助参与者解读和梳理以前的受害经历，有时还引发了改变。
