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Elder abuse: a retrospective analysis of autopsy cases from the department of legal medicine in Genoa from 2006 to 2017.
Journal of Elder Abuse & Neglect ( IF 2.000 ) Pub Date : 2020-04-23 , DOI: 10.1080/08946566.2020.1755760
Francesco Ventura 1 , Fiorella Caputo 1 , Cristiano Micera 1 , Andrea Molinelli 1
Affiliation  

Elder abuse is a form of violence that is often misunderstood and still underestimated. This kind of abuse is classified in physical abuse, psychological abuse, financial abuse, sexual abuse, neglect and self-neglect. In this study, 784 cases of dead people over 65 years of age were retrospectively analyzed: in all cases, the cause of death was determined by the autopsy. Ten cases have been classified as victims of elder abuse: 7 females and 3 males aged between 67 and 91 (average age of 78.9 years). The types of abuse were as follows: neglect: 8 cases; physical abuse: 2 cases; psychological abuse: 2 cases; financial abuse: 2 cases; self neglect: 2 cases. In three cases, the victims had been subjected to two or more types of abuse. In 5 cases the victims had a neuro-psychic decay. In cases of neglect the cause of death was due to sepsis or dehydration. In a case of physical abuse, death was traumatic and related to physical violence. In cases of self neglect, death occurred due to cardiac causes. In cases of domestic abuse, the perpetrator was in most cases the elder's son and in one case the paid caregiver. In three cases, however, the abuses were committed against elderly guests in Nursing Homes. In three cases the perpetrator was affected by psychiatric disorders. Recognizing the elder abuse is often difficult and the understanding of the phenomenon in the case of death requires an integrated analysis of the autopsy data and the anamnesis of the victim.

中文翻译:

老年人虐待:2006年至2017年热那亚法律医学部门的尸检病例的回顾性分析。

虐待老年人是一种暴力形式,经常被误解,但仍然被低估。这种虐待分为身体虐待,心理虐待,经济虐待,性虐待,忽视和自我忽视。在这项研究中,回顾性分析了784例65岁以上的死亡者:在所有情况下,死亡原因均由尸检确定。十个案件被列为虐待老年人的受害者:7名女性和3名男性,年龄在67至91岁之间(平均年龄为78.9岁)。虐待的类型如下:疏忽:8例;身体虐待:2例;心理虐待:2例;经济滥用:2例;自我忽视:2例。在三起案件中,受害者遭受了两种或更多种虐待。在5例中,受害者有神经精神衰弱。在忽视的情况下,死亡原因是由于败血症或脱水。在身体虐待的情况下,死亡是创伤性的,与身体暴力有关。在自我忽视的情况下,死于心脏原因。在家庭虐待的情况下,犯罪者在大多数情况下是大儿子,在一种情况下是带薪看护人。然而,在三起案件中,虐待是针对敬老院中的年长客人。在三起案件中,肇事者受到精神疾病的影响。识别虐待老人通常很困难,并且要了解死亡情况下的现象,需要对尸体解剖数据和受害者的回忆进行综合分析。在家庭虐待的情况下,犯罪者在大多数情况下是长子,在一种情况下是带薪看护人。然而,在三起案件中,虐待是针对敬老院中的年长客人。在三起案件中,肇事者受到精神疾病的影响。识别虐待老人通常很困难,并且要了解死亡情况下的现象,需要对尸体解剖数据和受害者的回忆进行综合分析。在家庭虐待的情况下,犯罪者在大多数情况下是大儿子,在一种情况下是带薪看护人。然而,在三起案件中,虐待是针对敬老院中的年长客人。在三起案件中,肇事者受到精神疾病的影响。识别虐待老人通常很困难,并且要了解死亡情况下的现象,需要对尸体解剖数据和受害者的回忆进行综合分析。
更新日期:2020-04-23
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