[Physicians' responses to suspected elder abuse within the family: A qualitative study]

Elder abuse affects approximately 15% of adults aged 60 years and older worldwide each year, most often within the family setting. This study aimed to explore physicians' responses to suspected cases of intrafamilial elder abuse. A qualitative study informed by grounded theory was conducted, based on ten semi-structured interviews with physicians from various specialties. Physicians evaluated suspected abuse situations and implemented medico-social interventions while preserving the therapeutic alliance. Legal authorities were involved when there was an immediate risk to the older person or when alternative measures had failed. Physicians sought collegial discussion, although the relevant stakeholders were not always clearly identified. The reported situations frequently involved cognitive impairment and concerns that caregiver burden could contribute to abusive behaviours. Intrafamilial elder abuse is a complex clinical situation. Recent French guidelines (2024) emphasize geriatric vulnerabilities and identify the key professionals and resources that should be mobilized.