長期照顧壓力致命案件分析：以民國107～109年非親密關係重大家庭暴力事件個案為例

本研究以民國107～109年各縣市通報非親密關係暴力之長期照顧因素致死的9個案例之重大家庭暴力事件個案檢討報告紀錄為文本，呈現毎一個案故事，並以內容分析個案背景、家庭照顧、近期壓力、接受服務之情形。研究發現：行為人以男性、無業、青壯年、身心疾患居多，被害人以女性、中高齡、失智症、重度身心障礙為主。照顧期間以1～3年者居多，照顧型態為身心不穩定子女照顧失智或失能父母、子女消極照顧父母致疏忽死亡、老年父母照顧成年身心障礙子女。照顧者的壓力為從次要照顧者成為主要照顧者、從過去被關照者成為照顧者、照顧者身心狀況不佳、被照顧者近期身心惡化、經濟壓力、受媒體報導自殺新聞影響。接受服務情形為曾求助但獲得的回應不夠積極、不斷提供資源但案家未提出申請、案家的關係與財務問題影響受助意願、提供的服務沒有延展性。最後，對長期照顧、社會安全網及家庭暴力防治網絡提出建議。

關鍵字

長期照顧；致命暴力；家庭暴力；照顧壓力

並列摘要

This study uses the case review records of 9 cases of major domestic violence incidents that were notified by non-intimate relationship violence in the counties and cities of the Republic of China from 107 to 109 as the text to present the stories of each case, and analyze the background, Family care, recent stress, receiving services. The study found that the perpetrators were mostly men, unemployed, young adults, and physically and mentally ill, and the victims were mostly women, middle-aged and elderly, dementia, and severe physical and mental disabilities. Most of the care period is 1 to 3 years. The type of care was mentally and physically unstable children taking care of demented or disabled parents, children passively taking care of parents leading to negligent death, and elderly parents taking care of adult children with disabilities. The stress of the caregivers was as follows: becoming the primary caregiver from the secondary caregiver, becoming the caregiver from the care recipient in the past, poor physical and mental condition of the caregiver, recent physical and mental deterioration of the care recipient, economic pressure, and being affected by media reports of suicide news. The situation of receiving services is that they have asked for help but received insufficient responses, provided resources continuously but the client did not apply, the relationship and financial problems of the client affected the willingness to receive help, and the services provided were not scalable. Finally, recommendations are made for long-term care, social safety nets, and domestic violence prevention networks.