Department of General Practice, The University of Melbourne, 200 Berkeley Street, Carlton, Victoria, 3058, Australia.
Centre for Family Violence Prevention, The Royal Women's Hospital, Parkville, Australia.
Curr Psychiatry Rep. 2019 Feb 8;21(2):12. doi: 10.1007/s11920-019-0991-6.
We discuss recent evidence around the identification and response to domestic and sexual violence in primary care for perpetrators and victims, in the context of feminist social media movements such as #MeToo.
There is no recent research on identification and response to perpetrators in health settings. There is some limited recent evidence for how health settings can address domestic and sexual violence for female victims and their children. Recent studies of mixed quality focus on advocacy and empowerment, integrated interventions (with alcohol and drug misuse) and couples counselling for domestic violence and cognitive behavioural or processing therapy for sexual violence. Further research on perpetrator interventions in primary care is urgent. Larger sample sizes and a focus on sexual violence are needed to develop the evidence base for female survivors. Clinicians need to ask about violence and provide a first-line response depending on the patient's needs.
我们将讨论最近的一些证据，这些证据涉及在以#MeToo 为代表的女权主义社交媒体运动背景下，在初级保健中对施害者和受害者的家庭暴力和性暴力的识别和应对。
目前没有关于卫生机构中识别和应对施害者的最新研究。有一些有限的最近的证据表明，卫生机构可以如何解决女性受害者及其子女的家庭暴力和性暴力问题。最近研究质量参差不齐，重点是宣传和赋权、综合干预（包括酒精和药物滥用）以及针对家庭暴力的夫妻咨询，以及针对性暴力的认知行为或处理疗法。迫切需要在初级保健中对施害者进行干预的进一步研究。需要更大的样本量和关注性暴力，以建立女性幸存者的证据基础。临床医生需要询问有关暴力的问题，并根据患者的需求提供一线应对。
