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Injury resulting from targeted violence: An emergency department perspective
Vaseekaran Sivarajasingam1, Simon Read1, Martina Svobodova1
1Violence Research Group, Cardiff University, School of Dentistry, Cardiff, CF14 4XY, UK.
Criminal Behaviour and Mental Health : CBMH
|December 22, 2017
Summary
Nearly a fifth of emergency department patients experienced targeted violence due to prejudice. Alcohol misuse was frequently reported in these hate crime incidents, highlighting a need for intervention.
Area of Science:
- Public Health
- Criminology
- Sociology
Background:
- Hate crimes, motivated by prejudice against perceived differences (disability, race, religion, sexual orientation, transgender status), lack study regarding emergency department (ED) utilization by victims.
- Understanding the scope of hate victimisation within healthcare settings is crucial for public health and safety initiatives.
Purpose of the Study:
- To determine the frequency, physical harm, and circumstances of targeted violence among individuals seeking treatment in UK hospital emergency departments.
- To analyze the motivations and contributing factors behind hate-motivated violence presenting in emergency care.
Main Methods:
- A multimethods study involving face-to-face semi-structured interviews with 124 adult emergency department patients presenting with violent injuries.
- Collection of victim and perpetrator socio-demographics, alongside patient narratives on perceived motives and circumstances.
- Thematic analysis of transcribed patient narratives using NVivo software.
Main Results:
- 18.5% of injured patients reported being victims of targeted violence, driven by prejudice related to appearance, race, territorial association, religion, or sexual orientation.
- Alcohol intoxication was significantly associated with targeted violence, reported in 90% of cases compared to 56% in non-targeted violence.
- Prejudices cited included appearance, racial tension, territorial association, and issues related to race, religion, or sexual orientation.
Conclusions:
- Emergency department violence surveys can serve as indicators of community tension and act as an early warning system for hate victimisation.
- Addressing alcohol misuse is identified as a critical factor in preventing both targeted violence and other forms of aggression.
- Findings support an expanded definition of hate victimisation, encompassing experiences within emergency healthcare settings.
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