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A psychosocial approach to violence against women in an emergency medical department in the COVID-19 context: challenges and limitations
  1. Daniela Ramírez-Maza1,2,
  2. Andrea Guerra Anlen1,2,
  3. Myriam Eunice Hernández-Nuñez.1,2 and
  4. Edgar Landa-Ramírez1,2
  1. 1 Facultad de Psicología, Universidad Nacional Autónoma de México, Ciudad de Mexico, Mexico
  2. 2 Programa de Psicología Urgencias, Hospital General Dr Manuel Gea González, Ciudad de México, México
  1. Correspondence to Edgar Landa-Ramírez; edgarlandaramirez{at}comunidad.unam.mx

Abstract

Since the onset of the COVID-19 pandemic, the incidence of partner-violence against women in several countries including developing countries in North America has worsened. In response, international and national institutions have recommended the introduction of healthcare protocols for women survivors of intimate-partner violence against women. This article presents the case of a woman who went to an emergency department seeking medical and psychological care for the intimate partner violence she experienced. It documents the physical and psychological conditions detected, the psychosocial interventions provided and the systematic factors that perpetuate revictimisation and impede access to legal protection and safety for women survivors of violence. Drawing on the conclusions reached in the presented case study, as well as recommendations extracted from international guidelines and research literature, the authors propose a protocol for the assessment, diagnosis and treatment of survivors of intimate partner violence seeking medical care in an emergency department.

  • COVID-19
  • Emergency medicine
  • Global Health
  • Domestic violence
  • Cognitive behavioural psychotherapy

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Footnotes

  • X @PsicUrgGea

  • Contributors The following authors were responsible for drafting of the text, sourcing and editing of clinical images, investigation results, drawing original diagrams and algorithms and critical revision for important intellectual content: DR-M, AGA, MEH-N and EL-R. The following authors gave final approval of the manuscript: DR-M, AGA, MEH-N and EL-R. Guarantor is DRM.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Case reports provide a valuable learning resource for the scientific community and can indicate areas of interest for future research. They should not be used in isolation to guide treatment choices or public health policy.

  • Competing interests None declared.

  • Provenance and peer review Not commissioned; externally peer reviewed.