在司法背景下评估袭击受害者的功能损伤:法国七个法医部门的多中心回顾性研究。

IF 2.6 3区 心理学 Q1 CRIMINOLOGY & PENOLOGY
Journal of Interpersonal Violence Pub Date : 2025-08-01 Epub Date: 2024-08-04 DOI:10.1177/08862605241268764
Arthur Chambre, Sophie Outh-Gauer, Lucile Tuchtan, Yann Delannoy, Vincent Laugier, Nacer Bourokba, Laurent Martrille, Cyrus Macaigne, Frédéric Savall, Thomas Lefevre
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引用次数: 0

摘要

功能障碍是评估袭击受害者的重要依据。法国法律根据受害者的功能障碍来评估暴力的严重程度,其量化标准是受害者无法完成日常活动的持续时间,以 "完全丧失工作能力"(TIW)的天数来衡量。据报道,由于检查中心或医生的不同,TIW 的持续时间也有很大差异。迄今为止,很少有研究关注这种差异的决定因素,而且都是单一中心的研究。我们旨在通过寻找 TIW 的决定因素来研究袭击受害者的功能障碍。我们进行了一项回顾性多中心研究,包括来自七个法医部门的袭击受害者。数据自动从开具的医疗证明中提取,并收集到 ORFéAD 数据库中。研究共涉及 38 个变量,涉及受害者的特征、检查和袭击的情况、生理和心理症状以及 TIW 的持续时间。共纳入了 5663 名受害者,其中包括 2438 名女性(占 43%)。年龄中位数为32岁(最小;最大[10;98])。TIW持续时间的中位数为2天(最短;最长[0;182])。男性性别、年龄、检查时间、检查中心、外伤(瘀斑、血肿、伤口、骨折)、使用武器和功能限制与 TIW 持续时间有关(p
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Evaluating the Functional Impairment of Assault Victims in a Judicial Context: A Multicentered Retrospective Study in Seven French Forensics Units.

Functional impairment is of major importance in the evaluation of assault victims. French law assesses the seriousness of the violence in terms of the functional impairment experienced by the victims, quantified by the duration of the victims' inability to fulfill their usual daily activities, measured in days of "total incapacity to work" (TIW). Significant variations in the duration of TIW have been reported depending on the examination centers or physician. To date, few studies, all monocentric, have focused on the determinants of this variability. We aimed to study the functional impairment of assault victims by searching for determinants of TIW. We conducted a retrospective multicenter study, including assault victims from seven forensic medicine units. The data were automatically extracted from the medical certificates drawn up and gathered within the ORFéAD database. Thirty-eight variables were studied, relating to the victim's characteristics, the circumstances of the examination and the assault, the physical and psychological symptoms, and the duration of TIW. A total of 5,663 victims were included, including 2,438 (43%) women. The median age was 32 years (min; max [10; 98]). The median duration of TIW was 2 days (min; max [0; 182]). Male gender, age, time to examination, examination center, traumatic injuries (ecchymosis, hematoma, wound, bone fracture), use of a weapon, and functional limitation were associated with the duration of TIW (p < .05). The associations formerly identified in a monocentric setting were confirmed and new determinants were identified. This study has allowed a better understanding of the factors influencing the evaluation of functional impairment and determination of the TIW of assault victims. This first study using ORféAD is intended to be supplemented by the participation of other forensic units, and the inclusion of other variables, such as violence type, victim categories, or the examining physician.

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来源期刊
CiteScore
6.20
自引率
12.00%
发文量
375
期刊介绍: The Journal of Interpersonal Violence is devoted to the study and treatment of victims and perpetrators of interpersonal violence. It provides a forum of discussion of the concerns and activities of professionals and researchers working in domestic violence, child sexual abuse, rape and sexual assault, physical child abuse, and violent crime. With its dual focus on victims and victimizers, the journal will publish material that addresses the causes, effects, treatment, and prevention of all types of violence. JIV only publishes reports on individual studies in which the scientific method is applied to the study of some aspect of interpersonal violence. Research may use qualitative or quantitative methods. JIV does not publish reviews of research, individual case studies, or the conceptual analysis of some aspect of interpersonal violence. Outcome data for program or intervention evaluations must include a comparison or control group.
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