

J. RINALDI ; H. REY ; D.S. HALPERIN ; C. MARGAIRAZ ; J. JOHANNIDES (Genève)
SUMMARY :
Objective : since January 1998, a short term management is offered by the Interdisciplinary
Consultation of Medicine and Prevention of Violence at the University Hospital
of Geneva. In this framework, an original database is presented that allows
to systematically collect medical, psychological, social and forensic data.
This database aims to evaluate the impact of violence on the health status of
the victims (and the offenders) as well as to determine the immediate risks
they run. It also allows to identify their specific needs in terms of counselling
or orientation. Method : This database has been elaborated from the literature
about victimology, humanitarian medicine, disaster medicine, psychiatry and
expertal medicine. These different areas of medicine have studied the consequences
of violence, notably the post traumatic stress disorders, and take into account
the experience of associations for help and defence of victims'rights.
Collected data include :
- personal and general informations about the patient ;
- description of the violent event and of its impact on the patient (and on
other potential victims) ;
- data about the abuser ;
- informations on past record of violence ;
- data aiming at evaluating vulnerability factors and coping resources of the
victim, as well as his/her global health status (physical, mental and social).
Forensic data may be collected. This assessment is supported by information collected by means of psychometrical scales (Beck Hopelesness scale, Horowitz Impact of Event scale).
Conclusion : Beyond its clinical utility, which needs further evaluation, this database should allow to better identify the typology of violence, its risk and resilience factors and to estimate its impact on public health.