Evidence map›Paper›PMID 40420277›Full record

ArticleBMC women's health2025

"The questions made me realize how many times I could have been saved and removed from that situation": The experiences of patients attended to by paramedics for intimate partner violence, and actionable implementations for paramedicine.

Rory A Marshall, Nicole Merritt, Tori N Stranges, Stephen Bartlett, Simon Sawyer, Paul van Donkelaar

Abstract read
In one paragraph

Article in BMC women's health, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Article
  2. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Rory A MarshallSchool of Health and Exercise Sciences, Faculty of Social Development, University of British Columbia Okanagan, 1147 Research Road, Kelowna, BC, V1V 1V7, Canada. RoryAMarshall9@gmail.com.
Nicole MerrittSchool of Health and Exercise Sciences, Faculty of Social Development, University of British Columbia Okanagan, 1147 Research Road, Kelowna, BC, V1V 1V7, Canada.
Tori N StrangesSchool of Health and Exercise Sciences, Faculty of Social Development, University of British Columbia Okanagan, 1147 Research Road, Kelowna, BC, V1V 1V7, Canada.
Stephen BartlettSchool of Clinical Sciences, Faculty of Health, Queensland University of Technology, 2 George Street, Brisbane, QLD, 4000, Australia.
Simon SawyerSchool of Paramedicine, Faculty of Medicine, Dentistry and Health, Griffith University, 1 Parklands Drive, Southport, QLD, 4215, Australia.
Paul van DonkelaarSchool of Health and Exercise Sciences, Faculty of Social Development, University of British Columbia Okanagan, 1147 Research Road, Kelowna, BC, V1V 1V7, Canada.

Funding

Associate Vice-President Research Allowance F19-03116Changing the Conversation: Integrating Traumatic Brain Injury Knowledge into Community-Based Supports Grant F16-06120Generating and Translating Knowledge on Intimate Partner Violence and Traumatic Brain Injury Grant F18-01049
6 · The paper itself

Abstract

introductionIntimate partner violence (IPV) persists as a severe and prevalent criminal, social, and health issue, most commonly affecting women. Survivors of IPV frequently engage with the healthcare system to access treatment, support, and resources. Paramedics commonly encounter, either knowingly or unknowingly, patients experiencing IPV. There is little empirical research on how paramedics manage cases involving IPV.

objectiveTo examine how the perspectives and experiences of survivors of IPV who have been attended to by paramedics can inform our understanding of paramedic services.

methodsUsing an interpretive description qualitative approach in the context of paramedicine, self-identified women (18+ years) who reported a history of IPV and being attended to by paramedics for IPV-caused reasons participated in semi-structured interviews. Interviews were transcribed verbatim and de-identified. De-identified transcripts were inductively analyzed (NVivo) for common patterns.

resultsN = 9 survivors participated in interviews. Participants experienced cyclic and escalating physical, sexual, psychological, and coercive control forms of IPV. Participants primarily reported accessing paramedic services following instances of severe IPV and reported receiving minimal treatment and support. Challenges included bias and discrimination, poor individual paramedic conduct, undereducated and undertrained paramedics, insufficient infrastructure, inadequate transitions into healthcare and community services, perpetrator dynamics, and survivor dynamics. Corresponding solutions were safe and equitable paramedic behaviour, respectful conduct, mandatory education and training, develop functional infrastructure, develop functional transitions, and utilize techniques to engage with perpetrators and survivors.

conclusionPersonal, situational, practitioner, paramedic service, and broad systemic infrastructure challenges cause survivors of IPV to be underserviced by paramedic services. Inadequate intervention efforts may be harmful or fatal for survivors. Survivor-derived solutions may guide paramedic service improvements. With improved service delivery, paramedics could evolve into reliable and useful resources for survivors of IPV.

Indexed as

Allied Health PersonnelEmergency Medical TechniciansIntimate Partner ViolenceSurvivorsAdultFemaleHumansInterviews as TopicMiddle AgedParamedicineParamedicsQualitative ResearchHealthcare accessHealthcare pathwaysIntimate partner violenceParamedicineParamedicsPublic health

Identifiers

PMID40420277
PMCPMC12105233

What OpenQuestion holds

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LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.