How do I deal with (suspected) violence?
- Guarantee confidentiality/anonymity and create an undisturbed examination/conversation situation – perhaps send the accompanying person out of the room
- Make sure that you can understand each other (if necessary, arrange for an interpreter/video interpreter
- Safety is the top priority
- Respect decisions and signal willingness to help
- History of the violence experience
- What exactly happened (duration, form of violence)
- Physical and psychological effects
- If possible, document and take pictures of damage/soiling/secretions/blood before undressing
- Use the forensic kit (not only for sexual offences)
- Fresh, recent injuries, traces of old injuries, scars
- Exact description, body scheme
- Time the picture was taken (date, time)
- The identity of the patient must be recognizable
- If possible, take pictures of damage/soiling/secretions/blood before undressing
- Overview, proximity and detail pictures (with scale)
- Take pictures of injuries, scars as well as of negative findings
... Campbell Danger Assessment
- Increase of frequency and seriousness of physical violence over the last six months?
- Threat of armed assault or actual attack (knife, scissors etc.)?
- Threats of murder or fear of actually suffering serious injuries or being killed?
- Sexual or physical abuse?
- Constant jealousy?
If three or more questions are answered with yes, she/he is to be categorized as extremely endangered – if necessary, offer inpatient admission!
- If YES, contact the Child and Youth Welfare service
- If necessary, report danger
- Forward information to child protection group or child protection facility
Establish contact with clinical psychology and/or social work.
- in the event of death, aggravated assault or rape
- in the event of mistreatment, torture, neglect or sexual abuse of children/ adolescents or defenseless adults who are incapable of acting or making decisions because of infirmity, illness or mental handicap.
Exception
If reporting contradicts the explicit will of a person of age who is capable of acting and making decisions, provided that there is no immediate danger to this or any other person and under the condition that all clinical forensic evidence has been medically secured.
Checklist
How do I deal with (suspected) violence?
Signs of violence
That's how you can tell if violence was involved
Group for the protection of victims
Where can I find support?