Families and Friends of Homicide Victims' Experiences With the Healthcare System: A Trauma-Informed Perspective.

INTRODUCTION: Families and friends of homicide victims (FFHV) interact with healthcare systems almost immediately after the traumatic event. Their interactions with healthcare providers can either facilitate healing, have a neutral effect, or compound an already painful experience. When trauma victims are admitted to the hospital, resources are necessarily diverted on their behalf with less consistent attention paid to their families and friends. The interactions surrounding the immediate circumstance as well as experiences in the weeks to months after can have significant long-term impact. This study explores the needs and experiences of FFHV when interacting with the healthcare system to inform physicians' and providers' interactions and provision of services. METHODS: This study of 3 focus groups sought to understand these experiences with the healthcare system to better inform physicians' and providers' interactions and provision of services. RESULTS: Using the framework approach, the study ultimately built upon the existing trauma-informed care (TIC) framework to include several emergent themes. Participants discussed the need for death notification sensitivity, benefits of coordinated care, barriers to accessing care, the need for physician empathy and attention, the lack of trauma screening, and hastily prescribing medications. CONCLUSION: This TIC approach can inform future healthcare interactions with the FFHV as it grounds the patients' experience in their historical reality and may improve future provider-patient relationship.

Understanding Intimate Partner Violence Perpetration Involving the Deaf Population.

There has been an increase in intimate partner violence (IPV) research regarding the deaf population; however, no studies to date obtained data directly from members of the deaf population who disclose IPV perpetration. This community-based participatory research study explored the social context of IPV perpetration involving the deaf population through interviews with deaf or hard-of-hearing individuals who self-identified as perpetrating either physical or sexual abuse in an intimate relationship where at least one partner was deaf. Through semi-structured interviews using video relay, an interdisciplinary research team, which included deaf investigators, explored questions which included IPV triggers, types of IPV, weapon use, childhood victimization, and interactions with first responders and response systems (e.g., criminal justice, medical). The types of IPV abuse, resulting injuries, and systems used are discussed. The team collectively identified key elements of abuse and their relationships to each other through concept mapping of each interview. Through a method of constant comparison, we identified several themes: intergenerational transmission of violence, fund of information concerns, communication barriers with family and friends and resulting frustration, and help-seeking challenges. Many of these themes are specific to the deaf population, illustrating the need for continued research to understand IPV in diverse communities. Findings are compared with IPV trends in the general (hearing) population, and prompt concerns that universal IPV interventions may not effectively address the needs of the deaf population. Recommendations for diversifying screening efforts, modifying screening tools, and tailoring interventions to better address IPV involving deaf and hard-of-hearing populations are discussed.

Deaf Victims' Experiences With Intimate Partner Violence: The Need for Integration and Innovation.

While in recent years, intimate partner violence (IPV) has attracted considerable research attention, the experiences of IPV affecting the Deaf community have been understudied. As a linguistic and cultural minority, Deaf victims of IPV encounter significant barriers in accessing information and services designed to address the medical and legal consequences of victimization. The number of Deaf Americans who communicate via American Sign Language (ASL) may well exceed a half-million, yet little is known about Deaf IPV victims' experiences and the characteristics of persons who perpetrate IPV with ASL users. This study addressed both topics. The current study is based on interviews in ASL with 14 Deaf IPV victims (participants). We explored: the types of abuse participants experienced; characteristics of victims and perpetrators; participants' help-seeking behaviors; and the availability, use, and helpfulness of various resources. These findings were compared to what is known about IPV in the hearing community. Our findings include that lack of information regarding IPV and lack of access to specialized IPV services were pervasive problems affecting Deaf victims. For some victims, the close-knit nature of the Deaf community was a barrier for discussing IPV and accessing information and support. It was common for Deaf victims to receive services or information about IPV from providers who were not IPV specialists. Communication abuse was prevalent in our study. The nature of communication abuse is unique for Deaf victims compared to hearing victims.

Improving Systematic Response in the Face of Homicide: Family and Friends of Homicide Victims Service Needs.

Homicide is a pressing issue in America. This study used qualitative data obtained from focus groups of family and friends of homicide victims (FFHV) to assess and better meet the needs of victims post homicide. The study results posit myriad changes to the systematic response to homicide. The article concludes with recommendations for training and resources, with specific attention to legal, law enforcement, medical, and behavioral health providers.

Beyond Clery Act statistics: a closer look at college victimization based on self-report data.

This study examined the relationships among victimization, demographic characteristics, and activity choices in a cross-sectional sample of 479 undergraduate students. In the sample, 74% was female and 65% was Caucasian, with an even distribution of ages ranging from 18 to 22+ years; all participants completed an online survey. Using survey feedback, the study team performed multivariate regression analysis and reported quantity and type of victimization experiences in relation to factors that may contribute to identifying groups at risk for experiencing violence. Findings suggest that gender, grade point average, and membership in student organizations or Greek-letter organizations influence students' potential for different types of victimization. Furthermore, alcohol use and household income did not have a statistically significant relationship with any victimization types. Finally, rates reported indicate student underreporting and illustrate difficulty implementing the Clery Act. Policy recommendations, future research, and limitations are discussed. With accurate victimization data, resources and services may be more efficiently allocated to meet the needs of students at greater risk for victimization.