Evaluation of Violence Against Women: A Retrospective Study

Abstract

Background: In this study, it was aimed to evaluate adult female cases admitted to the forensic medi-cine clinic and reported for violence against women. Materials and Methods: All female cases over the age of 18 years for whom a forensic report was issued in the forensic medicine clinic between 01.01.2011 and 31.12.2020 due to violence against women were included in the study. Groups were compared with parametric and non-parametric tests. A “p” value above 0.05 was accepted for statistical significance. Results: The mean age of the patients was 35.26±14.43 years; 56.9% (n:281) of the cases were mar-ried. Most of the cases (n:136, 31.6%) were exposed to violence by their spouses and 43.1% (n:213) were exposed to violence by intimate partners. The overwhelming proportion of the cases (93.9%) were exposed to blunt trauma and 40.9% of the cases (n:225) had multiple injuries. Only 2.2% (n:11) of the cases were reported as life-threatening. The mean injury severity score (ISS) was 1.16±0.54 and the mean new-injury severity score (NISS) was 2.26±3.26 in 444 patients with traumatic lesions. ISS and NISS scores were markedly higher in women who were exposed to violence by their intimate partners (p<0.01). Males with sharps or gunshot wounds had statistically higher ISS and NISS scores than those with blunt trauma (p<0.001). Conclusions: We believe that violence against women can be reduced by ensuring legal regulations against domestic violence, educating women about their rights in the face of violence and what to do for protection before and after violence, and increasing and supporting spouse therapy between spouses.

Keywords

• Women
• violence
• injury
• trauma scores
• forensic medicine

Supporting Institution

no

Ethical Statement

Ethics committee approval for the study was obtained from Bolu Abant İzzey Baysal University Clinical Research Ethics Committee (dated 05.10.2021 and numbered 2021/241).

Thanks

no

Kadınlara Yönelik Şiddet Vakalarının Değerlendirilmesi: Retrospektif Çalışma

Abstract

Amaç: Bu çalışmada, adli tıp kliniğine başvuran ve kadına yönelik şiddet nedeniyle rapor düzenlenen erişkin kadın olguların değerlendirilmesi amaçlanmıştır. Materyal ve Metod: Adli tıp kliniğinde 01.01.2011 – 31.12.2020 yıllarında kadına yönelik şiddet nedeniyle adli rapor düzenlenen erişkin tüm kadın olgular çalışmaya dahil edildi. Gruplar parametrik ve non-parametrik testler ile karşılaştırılmıştır. İstatistiksel anlamlılık için p’nin 0,05 üzeri değer kabul edildi. Bulgular: Olguların yaş ortalaması 35,26±14,43’tür. Olguların %56,9’u (n:281) evliydi. Olguların en sık (n:136, %31,6) eşi tarafından şiddete maruz kalmış olup %43,1’i (n:213) yakın partner tarafından şiddete maruz kalmıştı. Olguların büyük çoğunluğu (%93,9) künt travmaya maruz kalmıştı. Olguların %40,9’u (n:225) birden fazla bölgeden yaralanmıştı. Olguların sadece %2,2’sinde ise (n:11) hayati tehlikeye neden olacağı yönünde rapor düzenlenmiştir. Travmatik lezyon tespit edilen 444 olgunun ortalama injury severity score (ISS) 1.16±0,54 ve new-injury severity score (NISS) ortalaması ise 2,26±3,26’dır. Yakın partneri tarafından şiddete maruz kalan kadınlarda da ISS ve NISS skorları anlamlı derecede daha yüksekti (p<0,01). Kesici delici alet veya ateşli silah ile yaralanan kadınların künt travmaya maruz kalan kadınlara göre ISS ve NISS skoru istatistiki olarak daha yüksekti (p<0,001). Sonuç: Kadına yönelik şiddetin engellenmesinde aile içi şiddete karşı yasal düzenlemelerin sağlanma-sı, kadınların şiddet karşısında ne gibi hakları olduğu ve şiddet öncesi ve sonrasında korunmak için nelerin yapılması konusunda eğitilmesi ve eşler arasında eş terapisinin arttırılması ve desteklenmesi ile kadına yönelik şiddetin azaltılabileceğini düşünüyoruz.

Keywords

• Kadın
• şiddet
• yaralanma
• travma skorları
• adli tıp

References

1. 1. Yılmaz Karaman İG, Akı Z, Çanakçı ME, Altınöz AE, Özakın E. Violence against women during COVID-19 pandemic: a com-parative study from a Turkish Emergency Department. Pre-hosp Disaster Med. 2022;37(4):462-7.
2. 2. Tekkas Kerman K, Betrus P. Violence against women in Tur-key: a social ecological framework of determinants and pre-vention strategies. Trauma Violence Abuse. 2020;21(3):510-26.
3. 3. World Health Organization - Violence against women, 2024. [serial on the Internet] [cited 21 July 2024].Available at: https://www.who.int/news-room/fact-sheets/detail/violence-against-women.
4. 4. Hacettepe University Institute of Population Studies (HUIPS). 2014 Research on Domestic Violence against Women in Tur-key. [serial on the Internet] ISBN: 978–605–4628-75-9, An-kara. [cited 21 July 2024]Available at: http://www.hips.hacettepe.edu.tr/ING_SUMMARY_REPORT_VAW_2014.pdf.
5. 5. Karabağ G, Yavuz MS, Akın U, Aydın F, Aydın Y. Evaluation of female forensic cases applied to the Forensic Medicine Out-patient Clinic of Manisa Celal Bayar Üniversitesi Hafsa Sultan hospital between 2015-2019. CBU-SBED.2021;8(3):449-58.
6. 6. Çelebi E, Pirincci E, Durmuş AB. Exposure of married women to spousal violence: a community-based study in Eastern Turkey. Ulus Travma Acil Cerrahi Derg. 2022;28(1):69-77.
7. 7. Özpinar S, Dinç Horasan G, Baydur H, Canbay T. Factors affec-ting the views and experiences of women living in the city centre of Manisa, Turkey, regarding domestic violence. Aust J Prim Health. 2016;22(5):466-71.
8. 8. Deng Q, Tang B, Xue C, Liu Y, Liu X, Lv Y, et al. Comparison of the ability to predict mortality between the Injury Severity Score and the New Injury Severity Score: a meta-analysis. Int J Environ Res Public Health. 2016;13(8):825.

9. 9. Li H, Ma YF. New injury severity score (NISS) outperforms injury severity score (ISS) in the evaluation of severe blunt trauma patients. Chin J Traumatol. 2021;24(5):261-5.
10. 10. Işık M, Bilgin NG. Evaluation of female cases applying to Mersin Medical Faculty Hospital due to partner violence between 2018-2020. The Bull Leg Med.2023;28(2):166-77.
11. 11. Koca Yavuz T, Kaya K, Hilal A. Evaluation of the physical and sexual violence cases against women applied to the depart-ment of Forensic Medicine of Çukurova Unıversity Medical Department in 2019. J Harran University Med Fac. 2021;18(2):284-9.
12. 12. Toprak S, Ersoy G. Femicide in Turkey between 2000 and 2010. PLoS One. 2017;12(8):e0182409.
13. 13. Karanfil ED, Erdem K, Ünaldı ŞT, Tezgel SG, Can İÖ, Toprak EA. Identification, characteristics and forensic medical app-roach to partner violence in patients applying to the Emer-gency Department - preliminary study. 1st International 17th National Forensic Sciences Congress , 12-15 November 2020, İzmir, Turkey, pp.118, 2020.
14. 14. Canpolat Ö, Demir M. Evaluation of cases applied to the emergency department for family violence against women. Gazi Sağlık Bilimleri Dergisi 2020;5(1):1-9.
15. 15. Unal EO, Koc S, Unal V, Akcan R, Javan GT. Violence against women: a series of autopsy studies from Istanbul, Turkey. J Forensic Leg Med. 2016;40:42-6.
16. 16. Basar F, Demirci N. Domestic violence against women in Turkey. Pak J Med Sci. 2018;34(3):660-5.
17. 17. Nihel H, Latifa M, Anissa A, Raja G, Souheil M, Wael M, et al. Characteristics of violence against women in Kairouan, Tuni-sia, in 2017. Libyan J Med. 2021;16(1):1921900.
18. 18. Karbeyaz K, Yetiş Y, Güneş A, Şimşek Ü. Intimate partner femicide in Eskisehir, Turkey 25 years analysis. J For Leg Med 2018;60:56-60.
19. 19. Koç G. A study of femicide in Turkey from 2010 to 2017. SAGE Open 2022;12(3): 21582440221119831.
20. 20. Cavlak M, Ar Mutlu ND, Balseven Odabaşı A, Paksoy Erbaydar N. Analyzing two decades of intimate partner femicide-suicides in Türkiye. J Forensic Leg Med. 2023;94:102485.
21. 21. Salehi O, Tabibzadeh Dezfuli SA, Namazi SS, Dehghan Khalili M, Saeedi M. A new injury severity score for predicting the length of hospital stay in multiple trauma patients. Trauma Mon. 2016;21(1):e20349.
22. 22. Abajas Bustillo R, Amo Setién FJ, Ortego Mate MDC, Seguí Gómez M, Durá Ros MJ, Leal Costa C. Predictive capability of the injury severity score versus the new injury severity score in the categorization of the severity of trauma patients: a cross-sectional observational study. Eur J Trauma Emerg Surg. 2020;46(4):903-11.