Domestic violence: the general practitioner's role
Emphasize confidentiality
Fear is often one of the reasons why a woman remains in a
violent relationship. Always interview the patient alone. Remind
the patient that anything she chooses to talk about is
confidential. The only exception to this will arise if the doctor
becomes aware that a dependent child is at risk (British Medical
Association, 1998). Be aware that the patient may prefer to talk to
a woman health worker if one is available. The concept of medical
confidentiality may be unfamiliar to many first generation
immigrant women and the protection it offers will need to be very
carefully explained and emphasized. Provided the patient gives
consent, involve translators, advocacy workers or ethnic community
linkworkers as appropriate.