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高致命危險案件之快速篩檢指標與分類研究

Rapid Screening Index and Classification Study Among High Lethal Risk Intimate Violent Abusers

摘要


2011年全國開辦家庭暴力安全防護網方案(前身為嘉義縣市家庭暴力危險分級試辦方案),雖該方案只處理約佔15%之危險評估量表八分及以上高致命危險親密暴力案件。但更嚴峻的是每月召開的高危機個案會議都是在3小時內決定約30個案件各單位處理方向。各單位雖可就專業意見建議是否繼續列管或結案,但督導人員對於是否為危機之解讀與處理有關鍵的影響。筆者根據昔日之男性婚姻暴力者分類學研究及各分類之重要指標並以昔日所蒐集之260位親密暴力案件資料做統計分析發現現有TIVPDV量表之第6、9、14三題(各為說過要分手就一起死、一週喝酒四天或以上到酒醉、被害者相信會被殺死)可以為該會議與社工員快篩之用。研究發現有無第6、14題中其過去一年致命暴力次數達明顯差異,而若進一步檢視三題全無、6+14、9+14、三題全有者其致命暴力次數也均達明顯差異。根據三題之排列組合可以有七類,即低危機型、邊緣型、酗酒型、高致命型、邊緣高致命型、酗酒高致命型、邊緣酗酒高致命型。最後建議社工員應在接案時先以是否達八分之高致命危險,再以此三題檢視屬哪類高危險個案之分類,只要是有6+14、9+14、或三題均有除非被害人已經安全或加害人已稍改善,否則輕易結案易發生致命事件。

並列摘要


Taiwan started the high risk domestic abuse protection program in 2011 and each local government has to open the monthly meeting to deal these cases since then. However, the program only deal with the 15% of the cases, and the staff in the meeting might not have the ability to clarify what kind of high risk cases they might face and how to deal with. The purpose of this study was to develop the rapid screening tool. Totally 260 male intimate abuser collected the previous study by the Taiwan version Danger Assessment Scale were to reassess based on the typology of male intimate abusers. It was found that three items (ever mentioned break up and both die, drunk at least 4 days in a week, victim believed she could be killed. They are item 6, 9, 14 in the newer version of Danger Assessemnt) can be good screening items to identify the various types of high lethal risk abusers. The different combinations of the three items including none of them, 6+14, 9+14, and 6+9+14. The with and without of the above combinations reach significance on numbers of lethal violence. The various combinations can be called low risk, borderline, drunk, high risk, drunk-high risk, drunk-borderline-high risk. It was suggested that the social worker should firstly identify the risk score whether above the score of eight, and then identify the types of high risk to prepare the risk management, otherwise the lethal incident could happen.

參考文獻


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