가정내 폭력 : 응급실 내원 환자를 중심으로 = Clinical Analysis of Domestic Violence in Emergency Department

다국어 초록 (Multilingual Abstract)

Background: Domestic violence once considered an infrequently occurring event existing only in deviant relationships, it has been more recently recognized as a widely distributed phenomenon resulting from multiple cultural social, psycological factors.
According to declining world economics, family violence rises with a simultaneous curtailment of agencies available to assist battered persons and there is increasing pressure on emergency departments to serve those who might otherwise have sought help from public agency.
In Korea, we don't have any clinical data about domestic violence, and authors analysed clinical pictures of domestic violence victims who came to the emergency department of Korea University medical center.
Method: We reviewed the victims of the domestic violence retrospectively, who visited in ED, Korea Univ. Hospital from Jan. 1996 to the Dec. 1996. We Analysed data to Age, Sex, Injury severity score, location of injury, mechanism, perpetrator.
Results: During the study period, total 134 domestic violence victims were identified. The young, females were predominantly victimized. And married women were more commonly violated.(about 70%). ISS was relatively mild (2.491), face and head were mainly injuried by punching and objects throwing. The Prevalence of domestic violence victims almost presented at Emergency department between 6:OO/P.M.and 8:00A.M..
Conclusion: Emergency physicians suspect domestic violence victims who injurd at face and head by punching or hitted wound. In these patients, we need more detail history and physical exam. And in case of repeated domestic violence, refer to neuropychatry dept and social workers with perpetratrs, and need mere concerte social programs for domestic violence.