Making the ‘invisible’ visible: transforming the detection of intimate partner violence

Khurana, Bharti; Seltzer, Steven E.; Kohane, Isaac S.; Boland, Giles W.

doi:10.1136/bmjqs-2019-009905

Cited by 23 publications

(33 citation statements)

References 14 publications

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“…By recognizing high imaging utilization, location and imaging patterns specific to IPV, old injuries of different body parts, and injuries inconsistent to provided history, radiologists can identify victims of IPV even when the victims are not forthcoming (22,23). As radiologists are more becoming familiar and comfortable with various artificial intelligence algorithms, a clinical decision support rule-based on imaging and clinical risk factors can be established to proactively detect victims with more business and school closings expected in the future (7,24).…”

Section: Discussionmentioning

confidence: 99%

Exacerbation of Physical Intimate Partner Violence during COVID-19 Pandemic

Gosangi¹,

Park²,

Thomas³

et al. 2021

Radiology

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During the COVID-19 pandemic, there was a higher rate of physical intimate partner violence (IPV) with more severe injuries on radiology images-despite fewer patients reporting IPV. Key Results • Compared with 2017-2019, the incidence of physical intimate partner violence (IPV) in 2020 during the COVID-19 pandemic was 1.8-fold (p=0.01) higher. • The number of deep injuries during the pandemic period of observation was 28 compared to a total of 16 deep injuries during the prior 3 years. • The reported ethnicity of victims of IPV was white in 17 (65%) individuals in 2020 versus 11 (26%) white individuals in the prior three years, p=0.007).

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Section: Discussionmentioning

confidence: 99%

Exacerbation of Physical Intimate Partner Violence during COVID-19 Pandemic

Gosangi¹,

Park²,

Thomas³

et al. 2021

Radiology

Self Cite

217

237

View full text Add to dashboard Cite

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“…However, the fractures most indicative for IPV are related to injuries of the upper and lower extremity, upper trunk, and head/neck [9]. The patient records may also give important clues as IPV victims generally visit the ED more often and undergo more imaging studies, and may contain terms like "contusion of soft tissue" and "superficial bruising" [10,14,15]. Many IPV injuries could easily be overlooked or misinterpreted as routine trauma in a busy emergency or radiology department.…”

mentioning

confidence: 99%

Intimate partner violence crisis in the COVID-19 pandemic: how can radiologists make a difference?

et al. 2020

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The COVID-19 crisis resulted in a variety of physical and mental health issues beyond the viral infection itself, as indicated by an increase in domestic violence. • Radiologists should be aware of typical intimate partner violence (IPV) injury patterns, actively ask potential IPV victims about the cause of injury, and be familiar with support systems for IPV victims of their institutions. • Emergency and radiology departments should review their protocols for identifying and supporting IPV victims, and train their staff to work together to implement these measures during and beyond the COVID-19 crisis. Our heads are round so our thoughts can change direction.

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“…We propose three principles for how to proceed in a case where there is a strong suspicion or a confirmed case (Fig. 3) [10,24].…”

Section: Procedures For Radiologists When Intimate Partner Violence Ismentioning

confidence: 99%

“…Of note, the fractures most indicative of IPV are found in the upper and lower extremities, upper trunk, and head/neck [ 17 ]. Ulnar fractures, for instance, may point to a self-defense injury [ 22 ]. The IPV victim may self-report that this fracture is related to a fall even though a radial fracture is the more likely outcome of such an accident [ 22 ].…”

Section: Intimate Partner Violence In the Radiology Departmentmentioning

confidence: 99%

Addressing intimate partner violence during the COVID-19 pandemic and beyond: how radiologists can make a difference

et al. 2020

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Faced with the COVID-19 pandemic, many countries both in Europe and across the world implemented strict stay-at-home orders. These measures helped to slow the spread of the coronavirus but also led to increased mental and physical health issues for the domestically confined population, including an increase in the occurrence of intimate partner violence (IPV) in many countries. IPV is defined as behavior that inflicts physical, psychological, or sexual harm within an intimate relationship. We believe that as radiologists, we can make a difference by being cognizant of this condition, raising an alert when appropriate and treating suspected victims with care and empathy. The aim of this Special Report is to raise awareness of IPV among radiologists and to suggest strategies by which to identify and support IPV victims. Key Points • The COVID-19 pandemic led to a marked increase in the number of intimate partner violence (IPV) cases, potentially leading to increased emergency department visits and radiological examinations. • Most IPV-related fractures affect the face, fingers, and upper trunk, and may easily be misinterpreted as routine trauma. • Radiologists should carefully review the medical history of suspicious cases, discuss the suspicion with the referring physician, and proactively engage in a private conversation with the patient, pointing to actionable resources for IPV victims. Keywords Intimate partner violence. Domestic violence. Radiology. Wounds and injuries. Coronavirus Abbreviations CT Computed tomography ED Emergency department IPV Intimate partner violence LGBT Lesbian, gay, bisexual, and transgender COVID-19: a catalyst for intimate partner violence In response to the COVID-19 pandemic, most governments of Asian, European, Australian, and American countries enacted nationwide lockdowns ordering the closure

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Making the ‘invisible’ visible: transforming the detection of intimate partner violence

Cited by 23 publications

References 14 publications

Exacerbation of Physical Intimate Partner Violence during COVID-19 Pandemic

Exacerbation of Physical Intimate Partner Violence during COVID-19 Pandemic

Intimate partner violence crisis in the COVID-19 pandemic: how can radiologists make a difference?

Addressing intimate partner violence during the COVID-19 pandemic and beyond: how radiologists can make a difference

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