— 心理社會完整性 · HARD · SATA —
護理師評估一位遭受家庭暴力的個案，哪些陳述代表個案處於高死亡風險？（選所有適合的）
A nurse is assessing a client in a domestic violence situation. Which statements indicate that the client is at high risk for lethality? (Select all that apply.)
- AHe has threatened to kill me when I try to leave✓ 正解他曾威脅說，如果我試圖離開，他會殺了我
- BHe has recently acquired a firearm✓ 正解他最近取得了槍枝
- CHe controls all the financial resources他掌控所有的財務資源
- DHe often insults my appearance in front of others他經常在他人面前侮辱我的外表
- EHe has increased the frequency of violence significantly✓ 正解他顯著增加了暴力的頻率
— Explanation · 中文詳解 —
家庭暴力危險評估中，揚言殺人（A）、持有致命武器（B）、暴力的頻率與嚴重度遽增（E）是致死性最高的因子。經濟控制（C）與言語羞辱（D）雖屬於受虐特徵，但屬於控制行為，與即時死亡風險的相關性較前三者低。
High lethality risk in domestic violence situations is indicated by threats to kill, access to firearms, and a significant escalation in the frequency or severity of violence. These factors are strong predictors of fatal outcomes and require urgent safety planning. Financial control and verbal abuse, while concerning, are less directly predictive of immediate lethal violence.
✦ 台美臨床差異
美有完善的暴力評估工具（如 Danger Assessment），台灣雖有類似機制，但因隱私與家醜不外揚心態，個案回報資訊常受限。