Domestic Violence & Coercive Control

  • Half of all women murdered in Ireland are killed either by their current or ex-partner

  • Since the start of the Covid-19 pandemic domestic violence has intensified all over the world

  • Anyone can experience domestic violence regardless of gender

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What is domestic violence?

An incident or pattern of incidents of controlling, coercive, threatening, degrading and violent behaviour, including sexual violence, in most cases by a partner or ex-partner, but also by a family member or care giver.

Why are we concerned in emergency department?

Domestic violence is common, more common that you can imagine. Domestic violence does not imply physical injuries only. It is a vicious cycle of emotional, financial, sexual, psychological, and physical violence leading to coercion where the abnormal becomes normal. This leads of a myriad of mental and physical illnesses with which these people present to emergency department.

Why should we screen people for domestic violence / abuse in emergency department?

It takes on an average 35 events of physical violence before a person reports domestic abuse. The time spent in the emergency department may be the only time these people might have away from their abusive environment and to seek help. Rather than waiting for the 35th presentation, asking a screening question might change a person’s life in a positive manner.

 

What should I do if someone discloses domestic abuse?

Believe them (even if the history makes no sense). Maintain a non-emotional body language. Be reassuring ‘You are not alone & it is not your fault’. Listen with out interruption. Get senior help (ED Registrar / Consultant / CNM) early. Follow Emergency Department Domestic Violence Pathway.

What should I do if there are children involved?

Firstly ascertain if there is an immediate risk to the welfare of the child / children or if they are somewhere safe. If you are uncertain if there is an immediate risk to a child escalate to a senior colleague and the CNM2 in charge immediately. Follow the child protection algorithm.

Available Services

Below are the contact details for a number of different services available to people experiencing domestic abuse

Services for women

Dublin

Kildare

Louth

Meath

Offaly

Wexford

  • Wexford Women’s Refuge 1800 220 4444

Wicklow

Services for Men

Survivors of Sexual Violence