The association between domestic violence and self harm in emergency medicine patients
The association between domestic violence and self harm in emergency medicine patients
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DOI：
10.1136/emj.2005.031260
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发表时间：
2006-08-01
影响因子：
3.1
通讯作者：
Lloyd, S.
中科院分区：
文献类型：
--
作者：
Boyle, A.;Jones, P.;Lloyd, S.
目的：本研究比较了急诊科（艾德）的家庭暴力受害者与其他艾德患者的自伤率。它还探讨了时间和数字之间的关系家庭攻击和self-hurt.Methods：一个回顾性的匹配队列研究进行了使用的医疗记录的一个单一的ED。的情况下，病人谁提出了艾德作为家庭攻击的结果。从艾德患者列表中随机产生年龄、性别和剑桥邮政编码匹配的两个对照组。第二个对照组病例也匹配了邮政编码区，作为除年龄和性别外的社会经济地位的近似替代。1996年11月和2004年10月1日记录的数量和时间的自我伤害事件报告在研究period.Results：共294例和558对照进行了随访。遭受家庭暴力的患者更容易出现自我伤害比对照组（RR 3.6 95%CI 2.1 - 6.5）。这种影响似乎是独立的剥夺。遭受家庭暴力的患者比对照组有更多的艾德接触。自残次数与攻击次数之间存在中度相关性（斯皮尔曼rho 0.3 p< 0.001）。社会经济地位是自我伤害的不良预测因素。急诊医生应该考虑询问家庭暴力受害者的自杀意念。
Aims: This study compared rates of self harm among victims of domestic assault presenting to an emergency department (ED) with those rates among other ED patients. It also explored the temporal and numeric relation between domestic assaults and self harm.Methods: A retrospective matched cohort study was conducted using the medical records of a single ED. The cases were patients who had presented to the ED as a consequence of domestic assault. Two control groups matched for age, sex, and Cambridge postcode were randomly generated from the ED patient list. The second control group cases were also matched for postcode sector as a surrogate approximate for socioeconomic status in addition to age and sex. Cases and controls were followed up between November 1996 and 1 October 2004 documenting the number and timing of episodes of self harm reported in the study period.Results: Altogether, 294 cases and 558 controls were followed up. Patients suffering domestic assault were more likely to present with self harm than controls (RR 3.6 95% CI 2.1 - 6.5). This effect appeared to be independent of deprivation. Patients suffering domestic assault had more ED contacts than controls. There was a moderate correlation between the number of episodes of self harm and number of assaults ( Spearman's rho 0.3 p< 0.001). Socioeconomic status was a poor predictor of self harm. Emergency physicians should consider asking about suicidal ideation in victims of domestic assault.