Conway T
Department of Medicine, Cook County Hospital, Chicago, Ill, USA.
Arch Intern Med. 1996 May 13;156(9):951-6.
Approximately 25,000 people die in the United States each year as the result of intentional homicide, and many millions more suffer the physical and emotional consequences of nonfatal interpersonal violence. Violence affects everybody's quality of life. The cost to the health care system is in the billions of dollars annually. Over the past 2 decades epidemiologic studies have defined risk factors for violence, and a number of physicians and medical groups have made recommendations for preventive action. As the largest physician group in the United States, internists have a clear role to play in carrying out the medical responsibility to help prevent violence. Internists should be aware of the signs and symptoms of violence in patients and be prepared to assist victims. To facilitate action against violence, a model for intervention is proposed that involves screening, counseling, and treatment for patients at greatest risk.
在美国，每年约有2.5万人死于故意杀人，还有数百万人遭受非致命人际暴力带来的身体和情感后果。暴力影响着每个人的生活质量。医疗保健系统每年为此付出的成本高达数十亿美元。在过去20年里，流行病学研究明确了暴力的风险因素，许多医生和医学团体也提出了预防行动建议。作为美国最大的医生群体，内科医生在履行帮助预防暴力的医疗责任方面可发挥明确作用。内科医生应了解患者遭受暴力的体征和症状，并准备好协助受害者。为推动针对暴力采取行动，本文提出了一个干预模式，该模式包括对风险最高的患者进行筛查、咨询和治疗。
