Reutens Sharon, Karystianis George, Withall Adrienne, Butler Tony
School of Population Health, Faculty of Medicine, University of New South Wales, Sydney, NSW, Australia.
School of Psychology, Faculty of Science, University of New South Wales, Sydney, NSW, Australia.
Front Psychiatry. 2024 May 14;15:1331915. doi: 10.3389/fpsyt.2024.1331915. eCollection 2024.
Few studies have examined the characteristics of domestic violence (DV) committed by people with dementia. We provide an overview of DV perpetrated by people with dementia in the community based on police reports of attendances at DV events.
A text mining method was used on 416,441 New South Wales (NSW) police narratives of DV events from January 2005 to December 2016 to extract information for Persons of Interest (POIs) with mentions of dementia.
Events involving those with dementia accounted for a relatively low proportion of total DV events (<1%). Of the 260 DV events with a dementia mention for the POI, the most common abuse types were assault (49.7%) and verbal abuse (31.6%). Spouses were the largest group of victims (50.8%) followed by children (8.8%). Physical abuse was common, occurring in 82.4% of events, but injuries were relatively mild. Although weapons were infrequently used, they were involved in 5% of events, mostly by POIs aged 75 years and older. Similarly, the POIs were mainly aged 75+ years (60%), however the proportion of those aged <65 was relatively high (20.8%) compared to the reported prevalence of dementia in that age group.
This study demonstrates that some cases of DV perpetrated by people with reported dementia are significant enough to warrant police involvement. This highlights the need to proactively discuss the potential for violence as part of the holistic management and support family members, particularly those caring for people with young-onset dementias.
很少有研究探讨痴呆症患者实施家庭暴力(DV)的特征。我们基于警方对家庭暴力事件出勤情况的报告,概述社区中痴呆症患者实施的家庭暴力。
对2005年1月至2016年12月新南威尔士州(NSW)警方关于416,441起家庭暴力事件的叙述采用文本挖掘方法,以提取提及痴呆症的相关人员(POI)的信息。
涉及痴呆症患者的事件在家庭暴力事件总数中所占比例相对较低(<1%)。在260起提到POI患有痴呆症的家庭暴力事件中,最常见的虐待类型是攻击(49.7%)和言语虐待(31.6%)。配偶是最大的受害人群体(50.8%),其次是儿童(8.8%)。身体虐待很常见,发生在82.4%的事件中,但伤害相对较轻。虽然很少使用武器,但在5%的事件中涉及武器,主要是75岁及以上的POI。同样,POI主要为75岁及以上(60%),然而,与该年龄组报告的痴呆症患病率相比,年龄<65岁的比例相对较高(20.8%)。
本研究表明,一些报告患有痴呆症的人实施的家庭暴力案件严重到足以引起警方的介入。这凸显了在整体管理中积极讨论暴力可能性的必要性,并支持家庭成员,特别是那些照顾早发性痴呆症患者的家庭成员。