R. Keynejad, United Kingdom

Institute of Psychiatry, Psychology and Neuroscience Health Service and Population Research; Section for Womens Mental Health
Roxanne is a Clinical Research Training Fellow in the King's College London Institute of Psychiatry, Psychology & Neuroscience Section of Women’s Mental Health and an NHS ST4 higher trainee in general adult psychiatry. Her PhD is a randomised feasibility study of brief problem-solving therapy for perinatal depression and intimate partner violence in rural Ethiopia, supervised by Dr Charlotte Hanlon and Professor Louise Howard. Roxanne founded the international violence, abuse and mental health network, which brings together early career researchers and practitioners interested in these subjects in low and middle-income countries.

Presenter of 2 Presentations

Workshop: The Impact of the COVID-19 Pandemic on Women’s Mental Health and Service Delivery: What Have we Learnt? (ID 200) No Topic Needed
Workshop: The Impact of the COVID-19 Pandemic on Women’s Mental Health and Service Delivery: What Have we Learnt? (ID 200) No Topic Needed

W0036 - Domestic Violence and Abuse and COVID-19

Session Icon
Pre-Recorded with Live Q&A, Section
Mon, 12.04.2021
Session Time
10:00 - 11:30
Channel 5
Lecture Time
10:14 - 10:28


Abstract Body

Introduction: In the United Kingdom(1) and internationally(2), help-seeking for domestic violence (DV) and domestic homicides have increased(3) during COVID-19 lockdown periods. Suspension and remote delivery of face-to-face clinical services, continuing healthcare and other support services limits opportunities for DV detection and disclosure.

Methods: This presentation will summarise changes in DV incidence and help-seeking during COVID-19, their impacts on health and wellbeing, and present guidance for clinicians assessing and supporting survivors.

Results: World Health Organisation recommendations to Listen, Inquire, Validate, Enhance safety and Support ('LIVES') survivors of DV remain the cornerstone of first-line support (4). Urgently-issued guidelines on safeguarding(5) and responding to DV during COVID-19(6) make a range of recommendations for clinicians supporting people experiencing DV.

Conclusions: DV is an important social determinant of physical and mental health, with a range of potential fatal and non-fatal consequences. Despite the constraints of healthcare during a pandemic, attention to patients' risk of DV and its consequences is a crucial part of bio-psycho-social assessment and management planning.


(1) Kelly, Morgan. Coronavirus: Domestic abuse calls up 25% since lockdown, charity says. 2020. https://www.bbc.co.uk/news/uk-52157620

(2) Graham-Harrison, et al. Lockdowns around the world bring rise in domestic violence. 2020. https://www.theguardian.com/society/2020/mar/28/lockdowns-world-rise-domestic-violence

(3) Roesch, et al. Violence against women during covid-19 pandemic restrictions. BMJ 2020;369.

(4) WHO. Responding to intimate partner violence and sexual violence against women: WHO clinical and policy guidelines. 2013. https://apps.who.int/iris/bitstream/handle/10665/85240/9789241548595_eng.pdf;jsessionid=E19DCC3CDAB9BE390EE6F8360C6F1D7E?sequence=1

(5) RCGP. COVID-19 and Safeguarding. 2020. https://elearning.rcgp.org.uk/pluginfile.php/149180/mod_resource/content/2/COVID-19%20and%20Safeguarding%20%286%29.pdf

(6) IRISi. Guidance for General Practice teams responding to domestic abuse during telephone and video consultations. 2020. https://irisi.org/wp-content/uploads/2020/04/Guidance-for-General-Practice-Covid-19-FINAL.pdf