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Family violence. A neglected epidemic.

R E McAfee1

  • 1rmcafee1@maine.rr.com

Archives of Facial Plastic Surgery
|August 11, 2000
PubMed
Summary

Physicians should routinely screen older adults for domestic violence. Asking about safety at home can uncover hidden abuse, even in seemingly well-off patients.

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Area of Science:

  • Geriatrics
  • Public Health
  • Domestic Violence Research

Background:

  • Domestic violence (DV) affects individuals across all socioeconomic statuses.
  • Older adults are a vulnerable population often overlooked in DV screening.
  • Routine medical examinations present an opportunity to identify DV.

Purpose of the Study:

  • To highlight the importance of direct inquiry regarding domestic harm during routine physical examinations of older adults.
  • To underscore the potential for hidden domestic violence in seemingly secure patient populations.

Main Methods:

  • A case vignette illustrating a physician's routine history taking.
  • Inclusion of direct questions about safety and harm during a physical examination.

Main Results:

  • An older, affluent woman revealed she had been hiding abuse.
  • The patient expressed surprise that the question was asked, indicating a lack of prior disclosure.
  • The physician's inquiry unexpectedly uncovered a previously concealed issue of domestic harm.

Conclusions:

  • Direct questioning about domestic violence is crucial for older patients, regardless of perceived socioeconomic status.
  • Healthcare providers should incorporate safety assessments into routine care for all adult patients.
  • Asking "Has anyone harmed you?" and "Do you feel safe at home?" can be effective screening questions for domestic violence.

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