Domestic abuse

Domestic abuse describes a continuum of behaviour ranging from verbal abuse, threats and intimidation, manipulative behaviour, physical and sexual assault, through to rape and homicide.

It is a complex issue that all health care professionals should have some understanding about. They should be aware of who is affected, how individual victims may present in differing health care settings, how the subject could be approached, and most importantly what professionals can do to help and support victims of abuse.

The term Intimate Partner Violence (IPV) is also often used interchangeably with domestic abuse, as a collective term used to describe domestic abuse, sexual assault and stalking. The term domestic abuse has been used throughout this resource which discusses all types of abuse within a domestic setting and not just between partners or ex partners.

In May 2020 the RCN signed a collaborative letter in support of the reintroduction of the Domestic Abuse Bill and the Government’s ambition to transform the national response to this public health epidemic - an epidemic which has heightened during the current pandemic.

• Response from Matt Hancock to health and DA sector 2 July 2020

Domestic violence and abuse:

• is not exclusively male against female
• is not gender, race, sexual orientation, religion, culture or age specific
• children growing up exposed to domestic abuse may suffer a range of behavioural and emotional disturbances. These can also be associated with perpetrating or experiencing violence later in life
• the victim and the perpetrator are known to each other but not necessarily partners. Other family members, children and parents can be the perpetrators
• victims and perpetrators may be among the health care professional community
• it is a major safeguarding issue and all health care professionals have a role in increasing awareness, and being inquiring when confronted with behaviours that raise concerns and alarm.

Definition of domestic violence and abuse

The cross-government definition of domestic violence and abuse is:

“Any incident or pattern of incidents of controlling, coercive, threatening behaviour, violence or abuse between those aged 16 or over who are, or have been, intimate partners or family members regardless of gender or sexuality.”

Abuse can take many forms such as: