Elder abuse and neglect: social problems revealed from 15 autopsy cases.
Elder abuse and neglect: social problems revealed from 15 autopsy cases.
复制标题
DOI：
10.1016/s1344-6223(02)00057-3
复制
发表时间：
2003-03-01
期刊：
影响因子：
--
通讯作者：
Ohya, Isao
中科院分区：
文献类型：
--
作者：
Akaza, Kayoko;Bunai, Yasuo;Ohya, Isao
本研究调查了1990年至2000年间发生在日本岐阜县的虐待老人案件。我们对所有在岐阜大学医学部法律的医学部进行尸检的65岁以上的受害者进行了回顾性研究。15名受害者被列为虐待老年人的受害者：5名男子和10名妇女。受害者的年龄从66岁到87岁不等（平均年龄为74.5岁）。虐待类型如下：身体虐待13起;精神虐待5起;忽视4起;经济虐待3起。在8起案件中，受害者受到两种或两种以上的虐待。受害者的死因因虐待类型而异。在身体虐待案件中，硬膜下出血是最常见的原因，其次是其他与暴力有关的死亡和体温过低。在忽视的情况下，受害者死于饥饿或食物吸入气道后窒息而死。在家庭虐待案件中，受害者的一个儿子是最常见的施暴者，很少或没有收入被认为是施暴者的一个风险因素。在被忽视的案件中，痴呆症和难以进行日常生活活动被认为是受害者除了生活在社会孤立之外的风险因素。
This study examined the elder abuse cases that occurred in Gifu Prefecture, Japan between 1990 and 2000. We conducted a retrospective study of all the cases in which the victim was 65 years or older and autopsied in the Department of Legal Medicine, Gifu University School of Medicine. Fifteen victims were classified as elder abuse victims: five men and ten women. The victims ranged in age from 66 to 87 years (mean age, 74.5 years). The types of abuse were as follows: physical abuse, 13 cases; emotional abuse, five cases; neglect, four cases; and financial abuse, three cases. In eight cases, the victims were subjected to two or more types of abuse. The cause of death of the victims varied with the type of abuse. In the physical abuse cases, subdural hemorrhage was the most common cause, followed by other violence-related deaths and hypothermia. In the neglect cases, the victims died of either starvation or suffocation after the aspiration of food into the airway. In the domestic abuse cases, one of the victim's sons was the most common perpetrator, and little or no income was considered to be a risk factor for perpetrators. In the neglect cases, dementia and difficulty in performing activities of daily living were considered to be risk factors for victims, in addition to living in social isolation.