Pretorius Deidré, Ruch Aviva
Division of Family Medicine, School of Clinical Medicine, Faculty of Health, University of the Witwatersrand, Johannesburg.
S Afr Fam Pract (2004). 2025 Jan 6;67(1):e1-e5. doi: 10.4102/safp.v67i1.6000.
Violence manifests in various ways in healthcare, including trauma from an undifferentiated patient, psychosomatic illness, substance abuse or dependency and mental health challenges. Different forms of violence exist, such as intimate partner violence, gender-based violence, domestic violence, child abuse, neglect, elder abuse, sexual violence, self-directed violence and collective violence. These may be included in domestic violence or exist as standalone forms. Health practitioners play a pivotal role in managing incidents of domestic violence. This article highlights the definitions in the Amended Domestic Violence Act of 2021 and suggests screening options for domestic violence. The authors also suggest screening tools, a management flow diagram and contact numbers for resources. Domestic violence can be a generational curse that compromises biopsychosocial wellbeing. To break the perceived culture of violence, healthcare workers play a pivotal role in screening and management, as well as the mandatory reporting of domestic violence when children and the elderly are sharing such a household.
暴力在医疗保健领域以多种方式表现出来,包括来自身份不明患者的创伤、身心疾病、药物滥用或依赖以及心理健康挑战。存在不同形式的暴力,如亲密伴侣暴力、基于性别的暴力、家庭暴力、虐待儿童、忽视、虐待老人、性暴力、自我导向暴力和集体暴力。这些可能包含在家庭暴力中,也可能作为独立形式存在。医疗从业者在处理家庭暴力事件中起着关键作用。本文重点介绍了2021年《家庭暴力修正法案》中的定义,并提出了家庭暴力的筛查选项。作者还建议了筛查工具、管理流程图以及资源联系电话。家庭暴力可能是一种代代相传的祸根,会损害生物心理社会福祉。为了打破这种被感知到的暴力文化,医护人员在筛查、管理以及在儿童和老人共同生活的家庭中强制报告家庭暴力方面发挥着关键作用。