{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,16]],"date-time":"2026-10-16T20:16:59Z","timestamp":1792181819808,"version":"4.4.0"},"reference-count":31,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2024,4,21]],"date-time":"2024-04-21T00:00:00Z","timestamp":1713657600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2024,4,21]],"date-time":"2024-04-21T00:00:00Z","timestamp":1713657600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Emerg Medicine Australasia"],"published-print":{"date-parts":[[2024,10]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>Examine the nature of domestic and family violence (DFV) presentations to an ED in the Northern Territory and identify potential gaps in service delivery.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Prospective descriptive study of DFV presentations in November 2021.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      A total of 70 presentations were identified, representing 1.2% of all presentations aged 16\u2009years and older. Disproportionately impacted were First Nations people (90%), women (77.1%) and those aged less than 40\u2009years (67.1%). Most (81.4%) arrived outside of business hours and only 37.1% were assessed by the social worker. Case complexity was increased by high rates of homelessness (30%), concurrent alcohol consumption (44.3%) and pregnancy (11.1% of females). More than a third (37.1%) had attended on one to four occasions in the previous 6 months with a DFV\u2010related injury. Compared to non\u2010DFV attendances, the median ED length of stay was approximately twice as long (456\n                      <jats:italic>vs<\/jats:italic>\n                      210\u2009min), admissions rates to the ED short stay unit five times higher (25.7%\n                      <jats:italic>vs<\/jats:italic>\n                      5.7%;\n                      <jats:italic>P<\/jats:italic>\n                      \u2009&lt;\u20090.01, odds ratio [OR]\u2009=\u20095.7 and 95% confidence interval [CI] =\u20093.3\u20139.8) and rates of self\u2010discharge prior to completion of care 9 times higher (12.9%\n                      <jats:italic>vs<\/jats:italic>\n                      1.5%;\n                      <jats:italic>P<\/jats:italic>\n                      \u2009&lt;\u20090.01, OR\u2009=\u20099.5 and 95% CI\u2009=\u20094.6\u201319.7).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>The data highlights the need for a 24 h trauma\u2010informed, culturally safe and integrated service to support people experiencing DFV. This could be achieved by a specialist unit designed and staffed by First Nations health practitioners.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/1742-6723.14418","type":"journal-article","created":{"date-parts":[[2024,4,21]],"date-time":"2024-04-21T23:25:11Z","timestamp":1713741911000},"page":"703-709","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["A descriptive study of domestic and family violence presentations to an emergency department in the Northern Territory"],"prefix":"10.1111","volume":"36","author":[{"ORCID":"https:\/\/orcid.org\/0009-0004-1174-7326","authenticated-orcid":false,"given":"Lucy","family":"Owen","sequence":"first","affiliation":[{"name":"Royal Darwin and Palmerston Regional Hospital, Top End Regional Health Service  Darwin Northern Territory Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sibella","family":"Hare Breidahl","sequence":"additional","affiliation":[{"name":"Royal Darwin and Palmerston Regional Hospital, Top End Regional Health Service  Darwin Northern Territory Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Maud","family":"Mussared","sequence":"additional","affiliation":[{"name":"Royal Darwin and Palmerston Regional Hospital, Top End Regional Health Service  Darwin Northern Territory Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5267-972X","authenticated-orcid":false,"given":"Sandra","family":"Brownlea","sequence":"additional","affiliation":[{"name":"Royal Darwin and Palmerston Regional Hospital, Top End Regional Health Service  Darwin Northern Territory Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"David","family":"Kault","sequence":"additional","affiliation":[{"name":"School of Engineering James Cook University  Townsville Queensland Australia"},{"name":"Townsville Correctional Centre  Townsville Queensland Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2024,4,21]]},"reference":[{"key":"e_1_2_9_2_1","unstructured":"Northern Territory Government.The Northern Territory's Domestic Family and Sexual Violence Reduction Framework 2018\u20132028: Safe respected and free from violence. 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