Identifying and Responding to Male Partner Violence

描述(由调查人员提供)：卡琳·罗兹医生，急诊医学 医生，寻求从NIMH到NIMH的指导临床科学家发展奖 创建急诊科对男性反应的系统调查 与亲密伴侣暴力有关。医疗保健中的大多数干预措施 设定针对受害者(通常是女性)的行为。这不需要 考虑到肇事者(通常为男性)的行为。当前 关于男性卷入暴力关系的假设和假设是 基于法院授权的施暴者治疗计划的数据，而不是社区 可能出现更广泛暴力行为的医疗保健环境 而肇事者可能更容易受到干预。罗兹博士 建议扩展卫生署署长的电脑筛选和数据收集方法 目前正在用来识别高危女性以评估是否有可能 确定男性肇事者和/或男性受害者。(罗兹博士的初步报告 数据表明，对男性进行受害者筛查也可能会发现 肇事者)。 拟议的研究计划包括一项随机对照试验，以评估 包括屏幕的自我管理的计算机程序的效果 合作伙伴对急诊科沟通结果的暴力。次要的 项目寻求验证筛查并进行结构化的精神病学 DSM Axis I和II诊断的面谈，比较筛查阳性的男性 对那些人格特征筛查阴性的男性来说， 和虐待史。勘探工作的目标是评估 对伴侣施暴者进行分类的任何框架都适用于男性 在两个社会经济不同的ED环境中进行了筛选。此信息是 如果要在这方面设计和测试有效的干预措施， 很难研究人口。作为前RWJ临床学者，罗兹博士 能够将严格的卫生服务研究技能运用到 异常复杂的问题。通过这样做，她将获得以下技能 作为一名临床科学家开始职业生涯，他的临床和研究兴趣 相互通报。

DESCRIPTION (provided by investigator): Dr. Karin Rhodes, an Emergency Medicine physician, seeks a Mentored Clinical Scientist Development Award from NIMH to create a systematic investigation of emergency department response to men involved in intimate partner violence. Most interventions in a health care setting address the victim's (generally women) behavior. This does not take into account the behavior of the perpetrators (generally men). Current assumptions and hypotheses about men involved in violent relationships are based on data from court-mandated batterers' treatment programs, not community health care settings where a broader range of violent behaviors might present and where perpetrators might be more amenable to interventions. Dr. Rhodes proposes to extend the computer screening and data collection methodologies she is currently using to identify at-risk women to assess if it is possible to identify the male perpetrators and/or male victims. (Dr. Rhodes' preliminary data suggests that screening men for victimization may also identify perpetrators). The proposed research plan includes a randomized controlled trial to assess the effect of a self-administered computer program that includes a screen for partner violence on emergency department communication outcomes. Secondary projects seek to validate the screen and conduct structured psychiatric interviews for DSM Axis I and II diagnoses, comparing men who screen positive to men who screen negative for personality traits, psychiatric co-morbidities, and abuse histories. The goal of the exploratory work is to evaluate whether any of the frameworks classifying perpetrators of partner violence apply to men screened in two socio-economically diverse ED settings. This information is crucial if effective interventions are to be designed and tested in this difficult to study population. As a former RWJ Clinical Scholar, Dr. Rhodes is in the position to bring to bear rigorous health services research skills on an extraordinarily complex problem. In so doing, she will gain the skills to commence a career as a clinical scientist whose clinical and research interests mutually inform one another.