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Domestic abuse

The RCN is committed to raising health care professionals understanding of how domestic violence impacts on lives

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.

Domestic abuse statistics

1 in 3 women globally are directly affected by domestis abuse (WHO, 2016)

1 in 6 men will experience domestic abuse in their lifetime (ONS)

1 in 5 children have been exposed to domestic abuse (Radford, 2011)

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:

  • psychological
  • physical
  • sexual
  • financial
  • emotional.

Characteristics of domestic abuse

Domestic abuse is essentially a pattern of behaviour not generally limited to a one-off incident. The key differences between it and other forms of abuse are: 

  • the survivor and the perpetrator are known to each other
  • unlike stranger abuse or violence, domestic abuse takes place largely in private and behind closed doors
  • there is often a lack of objective evidence that abuse has taken place
  • outsiders may take the view that that domestic abuse is less serious
  • the abuse rarely happens once and tends to increase in frequency and severity over time
  • the abuser may have a great deal of intimate knowledge about their victim and hurt them in subtle ways that may not be understood by others
  • physical injuries can easily be targeted on places on the body where they are unlikely to be seen by others
  • it is less likely to be reported to the police.
Domestic abuse. A cry for health

A cry for health 

'Domestic abuse has a devastating effect on the health and wellbeing of victims and families, and is a national public health epidemic.'

A new evaluation study published by SafeLives looks at the impact of providing specialist support for victims and survivors of domestic abuse in a hospital setting.