Klinisch-rechtsmedizinische Versorgung in Krisenzeiten
摘要
Data on the frequency of violence during the Coronavirus Disease 2019 (COVID-19) pandemic in Germany is heterogeneous. There are also few reliable findings on the accessibility of medical care for those affected by violence during the pandemic. In this study we wanted to analyze the changes in case numbers, case characteristics and the accessibility of medical help for victims of violence during the pandemic. The aim was to contribute to a “pandemic preparedness” in case of future pandemics.
Material and methodsA retrospective data analysis was carried out taking into account the case records of clinical forensic examinations in our Institute of Forensic Medicine during four phases: before, at the beginning, in the late phase and after the peak of the pandemic (February to July of the years 2019, 2020, 2021 and 2022). The data exported from the iGOBSIS documentation application were analyzed descriptively using SPSS.
Results602 people were examined. The total number of cases remained largely unchanged at the beginning of the pandemic but increased towards its end. Notably, the proportion of children examined increased from 17.8% (2019) to nearly one third during the pandemic years. The proportion of examinations conducted at the request of the police was also higher during the pandemic (20.3% in T0 vs. 38% in T3). The severity of injuries in cases of domestic violence did not show any substantial changes.
DiscussionOur data and the results of other studies suggest that violence remains a problem, especially in times of crisis, and that victims face barriers to accessing medical help. As part of a “pandemic preparedness”, low-threshold support structures and efficient networking within the support system should be expanded.