Journal of Interpersonal Violence最新文献

In the emergency department, physicians evaluate patients who have experienced nonfatal strangulation resulting from sexual assault or intimate partner violence. Given the prevalence and potential consequences of nonfatal strangulation injuries, physicians need confidence in their decision-making for these patients. Previous educational interventions effectively improved physician knowledge of sexual assault and intimate partner violence patients; however, no studies have been conducted with the goal of improving physician knowledge about nonfatal strangulation injuries in this population. Pre- and post-intervention surveys were administered to physicians from four different south-central Indiana emergency departments. These surveys assessed comfort and knowledge regarding the treatment of survivors of sexual assault, intimate partner violence, and nonfatal strangulation. Additionally, six vignette-style questions designed to evaluate knowledge in clinical scenarios were also administered. A 15-min, interactive, educational presentation was delivered prior to the post-survey. Post-intervention participants tended to rate awareness of imaging recommendations and resources, decision-making, history taking, and use of trauma-informed care higher than pre-intervention participants. The post-intervention group (n = 12) answered more clinical vignette questions correctly with an average of 92% correct compared with the pre-intervention group (n = 22), which had an average of 76% correct. Based on these results a 15-min educational intervention was effective in improving physician knowledge, confidence, and comfort in treating patients who have experienced nonfatal strangulation in small community-based emergency department settings. In the future, similar interventions may be implemented in other emergency departments to increase awareness about the evaluation and treatment of nonfatal strangulation injuries.

This study presents a model of harsh parenting that has an indirect and direct effect on problematic Internet use (PIU) through the mediating process of basic need satisfaction and self-concept clarity. A sample of 490 Chinese middle-school adolescents completed anonymous questionnaires regarding harsh parenting, PIU, basic need satisfaction, and self-concept clarity during class sessions. After controlling the sex, grade, and history of Internet use, harsh parenting was positively related to PIU. Moreover, basic need satisfaction and self-concept clarity mediated the association between harsh parenting and PIU among adolescents. These findings indicate that basic need satisfaction and self-concept clarity are protective factors in reducing the negative effect of harsh parenting on PIU. Theoretical and practical implications are discussed.

Research documents alarmingly high suicidal behavior risk among adolescents and young adults in the United States. A related concern is similarly high rates of exposure to the self-directed violence (SDV) of others. The current study examined how components of the Theory of Planned Behavior explain factors related to helping social network members engaging in SDV. Baseline data (N = 4,982) from the longitudinal study, Project Lift Up, were analyzed cross-sectionally. Young people, ages 13 to 22, were recruited through social media platforms; sexual and gender minority youth were oversampled. Participants answered questions about exposure to other people's SDV and measures of key constructs related to the Theory of Planned Behavior for helping reduce SDV including perceptions of what others think about helping and behavioral control. Three outcomes were assessed: Intent to help someone, proactive behavior to promote the other person's mattering, and proactive behavior to prevent SDV. Measures showed adequate reliability and validity (Cronbach's alphas above .70). Overall, regression analyses across the three outcomes partially supported the Theory of Planned Behavior. Attitudes and confidence explained variance in intent to help and proactive behavior outcomes, whereas intent and social norms showed more mixed associations with the three outcomes. While the Theory of Planned Behavior is useful to explain gatekeeper outcomes for suicide prevention, specific significant factors within the model vary by the specific outcome being examined. Further research to unpack nuances in gatekeeper behaviors is needed and may help design prevention strategies.

Women in jail report significantly higher rates of interpersonal violence, posttraumatic stress disorder (PTSD) symptoms, and substance use disorders compared to the general population. Exposure to interpersonal violence is associated with PTSD and maladaptive behaviors such as substance use and engagement in risky behaviors. However, less is known about mechanisms, such as emotion regulation and trauma-coping self-efficacy, that might increase or decrease the likelihood of these maladaptive behavioral health outcomes in this population. The present study investigated the extent to which emotion regulation and trauma-coping self-efficacy exert indirect effects on the relations between cumulative interpersonal violence exposure and distress outcomes (i.e., PTSD, substance use, and risky behavior) among women in jail. Interviews were completed by 180 randomly selected women recruited from two county detention centers in the Mountain Northwest. Hypotheses were tested using structural equation modeling. Interpersonal violence significantly predicted PTSD, risky behaviors, difficulties in emotion regulation, and trauma-coping self-efficacy. Difficulties with emotion regulation predicted PTSD and trauma-coping self-efficacy predicted PTSD and substance use symptoms. In addition, there were significant indirect effects for both emotion regulation and trauma-coping self-efficacy on interpersonal violence and PTSD and interpersonal violence and substance use. These findings suggest potential targets for intervention in the underserved and highly trauma-exposed population of system-involved women.

There is a limited understanding of the pathways that lead to victim-perpetrator overlap in adolescent dating violence (ADV) particularly in developing countries such as China. Applying a latent class approach, the present study focuses on whether the overlap can be explained by theoretical constructs grounded in social learning, general strain, and social bonding theories, and whether these constructs relate to underexplored mediating mechanisms or are direct precursors. The study sample consisted of 1,787 dating adolescents (39.8% male; mean age = 17.82 ± 0.92 years) from a population of 5,820 adolescents in 32 high schools in Chinese cities and rural counties. We found a significant victim-perpetrator overlap in controlling, psychological, and physical ADV, with the proclivity increasing with the severity of ADV. Membership of groups engaged in general delinquency and those engaged in dating violence increased the odds of victim-perpetrator overlap. Peer bullying victimization was the most consistent direct predictor of victim-perpetrator overlap in family/peer/community settings; victimization resulting from interparental violence during childhood, peer bullying, and community violence was the most consistent indirect predictor. Neighborhood bonds had a greater impact than social bonds with family and school in terms of direct and indirect protective effects against victim-perpetrator overlap. Patterns of exposure to violent victimization in family/peer/community settings and patterns of social bonds cast new light on the nature of deviant peer (general delinquency vs. ADV) networks, which were found to operate as major mediating mechanisms in victim-perpetrator overlap.

Technology-facilitated abuse (TFA) can result in long-term financial and mental health impacts on survivors. However, little research has been published to date about the types of costs and the economic burden that survivors of TFA experience. This study presents results from a U.S. nationally representative sample of young adults aged 18 to 35 on financial cost experienced as a result of TFA, including findings of healthcare utilization and associated healthcare costs. Respondents who reported experiencing one or more forms of TFA were asked about the lifetime health and economic impacts of the TFA. Nearly one in five TFA survivors (18.2%) reported experiencing an economic cost from the TFA, with a median total cost of $900 USD. There was a significant difference in the likelihood of reporting a financial cost among TFA survivors by race/ethnicity, TFA exposure, average use of online sites/apps, and the number of sites/apps used. Financial fraud, technology, and housing costs were the most common types of cost reported. More than 1 in 10 survivors (11.3%) reported receiving mental health counseling related to the TFA, with a per-person total cost estimate of $6,228 USD from mental health counseling. A similar proportion (11.6%) of TFA survivors reported taking one or more prescribed medications to manage the impact of the TFA, with an average duration of 37.4 weeks of use. Older age, identifying as non-Hispanic Black/African American or Hispanic/Latino/a/x, identifying as a sexual or gender minority, and greater TFA severity were associated with higher financial cost reported. Findings present novel information on the economic and psychological harms associated with TFA and indicate the importance of access to mental health and financial support services for TFA survivors.

Violence has negative effects on women's physical, mental, sexual, reproductive, and behavioral health. Globally, 50% to 80% of women who have experienced violence suffer some health consequences. We aimed to evaluate the prevalence and trends of self-reported health consequences of violence among Mexican adolescents and women from 2000 to 2018. Data from four nationally representative Mexican surveys (2000, 2006, 2012, and 2018) were analyzed using logistic regression models to assess trends in the health consequences of violence stratified by age, education, place of residence, employment, pregnancy status, and location of violence. We employed a probit regression model to assess sociodemographic determinants that contribute to a higher likelihood of experiencing community violence compared to violence at home. In the 2018 survey, the health consequences of violence were observed in 1.9% of adult women and 2.2% of adolescents. We identified a significant annual increase in the health consequences of violence, especially in 2012 and among adolescents. Similarly, there was an increase in the health consequences among adults due to community violence (8.1% annual increase), and the rise was higher among adolescents (9.4% annual increase). Urban residence, higher education, and economic activity significantly increased the likelihood of community violence exposure in adult women, while higher education was a significant factor among adolescents. This study significantly contributes to filling the knowledge gap regarding the health consequences of violence against women among adolescent and adult women, underscoring the need for early interventions and public policies to reduce exposure and mitigate long-term health effects on Mexican women.

Despite an increased risk of committing and experiencing violence among adolescent boys, little is known about either how different types of violence co-occur within individuals or their association with different risk factors. This study used a person-centered approach to (1) identify patterns in boys' perpetration and victimization across a range of 7 types of interpersonal violence (bullying, electronic aggression, sexual harassment/aggression; and psychological/ physical/sexual dating violence); and (2) examine the association of these patterns with 12 risk factors at the individual, relational, and community level to inform future prevention efforts. We used latent class analysis to identify patterns of violence among a diverse sample of 239 adolescent boys from 12 schools in 4 regions of the United States. Four classes were identified: The LOW-ALL group (36.4% of the sample) described boys unlikely to commit or experience any forms of violence. The PERP-MULTI group (20.9%) included boys with a high probability of committing bullying and sexual harassment and a relatively lower probability of experiencing sexual harassment. The EQUAL-PEER-SH group (33.5%) described boys with a high probability of both committing and experiencing sexual harassment, bullying, and electronic aggression. The smallest group of boys, labeled HIGH-ALL (9.2%), were at a high probability of committing and experiencing nearly all types of violence examined. We used weighted multiple-group analysis to compare risk factors across the latent groups identified. Attitudes supporting violence, internalized traditional masculinity, delinquency, school withdrawal, and both family and community violence exposure were significantly higher in groups with a high likelihood to commit various types of violence. These findings provide practical guidance for enhancing universal and selected violence prevention efforts for adolescent boys.