Practitioner perspectives on the nexus between traumatic brain injury and family violence.

Research output: Contribution to conferencePaper


The World Health Organization has highlighted family violence as a major public health concern. Researchers have examined resulting injuries from family violence, however few studies have investigated the interaction between brain injury and family violence. A systematic review and qualitative study were conducted to explore the incidence, prevalence and factors contributing to traumatic brain injury (TBI) and family violence. Data were extracted and deductive narrative synthesis performed on 43 articles. Twenty-two semi-structured interviews and one focus group were conducted with practitioners working with either victims and/or perpetrators of family violence. Inductive and deductive coding methods were adopted. Practitioners estimated 30% to 40% of their caseloads had suspected or diagnosed TBI and described complex contributing factors. These included mental health conditions, substance use, and post-traumatic stress disorder. Five social determinants of health were identified from the literature and qualitative data collection: biological, behavioral, structural, social, and environmental. These factors included age and gender of parent/baby, crying as an antecedent of family violence, relationships (intimate partner, father, boyfriend, mother and siblings), previous exposure to abuse as a child, hostile living environments, previous trauma, and life stressors (unemployment, financial, and lack of housing). The Brain injury and Family violence Nexus model (BFN) emerged from the systematic review and qualitative study which details the interaction between these phenomena. Utilising the BFN model to understand the interaction can enhance the methods used within health, justice and social services for a more focussed approach.


ConferenceQualitative Methods (QM) Conference 2019
Abbreviated titleQM
OtherInternational Institute for Qualitative Methodology
Internet address


  • Family violence
  • Traumatic brain injury
  • Qualitative analysis: thematic analysis
  • Practitioner research

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