Prevalence of strangulation in survivors of sexual assault and domestic violence
Prevalence of strangulation in survivors of sexual assault and domestic violence
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DOI：
10.1016/j.ajem.2016.04.029
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发表时间：
2016-07-01
影响因子：
3.6
通讯作者：
Prulhiere, Valorie
中科院分区：
文献类型：
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作者：
Mcquown, Colleen;Frey, Jennifer;Prulhiere, Valorie
目标：性侵犯（SA）幸存者和家庭暴力（DV）幸存者都是有勒颈伤害风险的人群。我们的目标是确定 SA 和 DV 幸存者患者中勒颈的发生率，确定亲密伴侣暴力中是否存在致命风险因素，并评估 SA 和 DV 人群之间勒颈的差异。方法：我们回顾了 2004 年至 2008 年我们卫生系统 SA/DV 法医护士检查员计划中遇到的所有患者。回顾了医疗记录，以了解勒颈的身体迹象或勒颈的记录。致命的危险因素包括枪支的存在、犯罪者自杀/杀人的威胁、严重的身体伤害、意识丧失、膀胱或肠道失控、声音变化或吞咽困难。使用 Pearson chi(2) 和 95% 置信区间 (CI) 分析数据。结果：总共回顾了 1542 次遭遇。患者平均年龄为 30 岁（范围 13-98），其中 97% 为女性。 649 次遭遇是 DV 袭击，893 次是 SA 袭击。 46% 的情况下，攻击者是亲密伴侣； 84% DV 与 16% SA (P < .001)。患者报告称，23% (351/1542；95% CI，21%-25%) 的攻击中发生了勒颈事件。 DV 中绞杀发生率为 38%，SA 中绞杀发生率为 12% (P < .001)。大多数遭遇勒颈的亲密伴侣都有显着的致死风险（97%，261/269；95% CI，94%-99%）。结论：就诊于我们法医护士检查计划的 DV 幸存者患者比 SA 患者更有可能遭受勒颈。致死风险因素很常见。 (C) 2016 Elsevier Inc. 保留所有权利。
Objectives: Both sexual assault (SA) survivors and domestic violence (DV) survivors are populations at risk of strangulation injury. Our goal was to identify the prevalence of strangulation in patients who are survivors of SA and DV, identify presence of lethality risk factors in intimate partner violence, and assess differences in strangulation between SA and DV populations.Methods: We reviewed all patient encounters from our health system's SA/DV forensic nurse examiner program from 2004 to 2008. Medical records were reviewed for documented physical signs of strangulation or documentation of strangulation. Risk factors for lethality included presence of firearm, threats of suicide/homicide by the perpetrator, significant bodily injury, loss of consciousness, loss of bladder or bowel control, voice changes, or difficulty swallowing. Data were analyzed with Pearson chi(2) and 95% confidence intervals (CIs).Results: A total of 1542 encounters were reviewed. The mean patient age was 30 (range, 13-98) years and 97% were female. Six hundred forty-nine encounters were for DV assaults and 893 were SA. An intimate partner was the assailant 46% of the time; 84% DV vs 16% SA (P < .001). Patients reported strangulation in 23% (351/1542; 95% CI, 21%-25%) of their assaults. The prevalence of strangulation was 38% with DV and 12% with SA (P < .001). Most of the intimate partner encounters with strangulation had significant risk for lethality (97%, 261/269; 95% CI, 94%-99%).Conclusions: Patients presenting to our forensic nurse examiner program who were survivors of DV were more likely than SA patients to sustain strangulation. Lethality risk factors were common. (C) 2016 Elsevier Inc. All rights reserved.