Brockstedt Matthias, Uğur Baysal Serpil, Daştan Kadir
Director Emeritus, Kinder-und Jugendgesundheitsdienst Berlin-Mitte, Berlin, Germany.
Department of Pediatrics, İstanbul Health and Technology University Faculty of Medicine, İstanbul, Türkiye.
Turk Arch Pediatr. 2025 Jan 2;60(1):5-12. doi: 10.5152/TurkArchPediatr.2025.24169.
This review synthesizes current research on domestic violence and sexual assault, focusing on their short-term and long-term effects on family dynamics, particularly on the development and well-being of children and adolescents. The article employs a curated body of literature, including surveys, reviews, program evaluations, and international health reports, to elucidate the direct and collateral damage caused by such trauma within families. The review critically examines the intersecting consequences of abuse, including immediate psychological distress and long-term socio-economic and educational disruptions for affected youths. Additionally, the review examines structural impediments and cultural intricacies that shape reporting practices and access to support services. The role of civil legal aid and victim advocacy in promoting survivor safety and justice is discussed, supported by findings from service evaluation studies. The review also addresses the exacerbating effects of the Coronavirus pandemic on domestic violence rates and service provision, noting increased occurrences of domestic abuse and decreased pursuit of urgent care and support, highlighting research conducted from the pandemic's start through 2023. Emergent studies reveal a rise in domestic abuse occurrences and a decline in urgent care and support pursuit, emphasizing the need for adapted intervention strategies. The review offers evidence-based recommendations for policymakers, healthcare providers, and community organizations, stressing the necessity of persistent and collaborative efforts to address and prevent domestic violence. The ultimate goal is to advocate for a stronger international response to repair harm and prevent future occurrences, ensuring a safer environment for all family members, particularly children and adolescents.
本综述综合了当前关于家庭暴力和性侵犯的研究,重点关注其对家庭动态的短期和长期影响,特别是对儿童和青少年发展与福祉的影响。本文采用了一系列精心挑选的文献,包括调查、综述、项目评估和国际健康报告,以阐明此类创伤在家庭中造成的直接和间接损害。该综述批判性地审视了虐待行为的交叉后果,包括受影响青少年立即出现的心理困扰以及长期的社会经济和教育干扰。此外,该综述还研究了影响举报行为和获得支持服务的结构性障碍和文化复杂性。讨论了民事法律援助和受害者维权在促进幸存者安全和正义方面的作用,并得到了服务评估研究结果的支持。该综述还探讨了冠状病毒大流行对家庭暴力发生率和服务提供的加剧影响,指出家庭暴力事件增加,而寻求紧急护理和支持的情况减少,并强调了从大流行开始到2023年期间进行的研究。新兴研究表明家庭暴力事件增加,而寻求紧急护理和支持的情况减少,强调需要调整干预策略。该综述为政策制定者、医疗保健提供者和社区组织提供了基于证据的建议,强调持续和协作努力应对和预防家庭暴力的必要性。最终目标是倡导国际社会做出更有力的回应,修复伤害并防止未来事件发生,确保为所有家庭成员,特别是儿童和青少年提供更安全的环境。