- Intimate Partner and Family Violence
- Child Abuse and Trauma
- Homicide, Infanticide, and Child Abuse
- Adolescent Sexual and Reproductive Health
- Sex work and related issues
- Sexual Assault and Victimization Studies
- Injury Epidemiology and Prevention
- Homelessness and Social Issues
- Migration, Health and Trauma
- Child and Adolescent Health
- Gun Ownership and Violence Research
- Suicide and Self-Harm Studies
- Traffic and Road Safety
- Health and Conflict Studies
- Grief, Bereavement, and Mental Health
- Poverty, Education, and Child Welfare
- Legal Issues in South Africa
- Trauma and Emergency Care Studies
- Gender, Security, and Conflict
- Global Maternal and Child Health
- Child Abuse and Related Trauma
- Human Rights and Development
- HIV/AIDS Research and Interventions
- Autopsy Techniques and Outcomes
- Family Support in Illness
University of Cape Town
2013-2025
Greater Manchester Mental Health NHS Foundation Trust
2025
Children’s Institute
2013-2022
Western Cape Department of Health
2022
Stellenbosch University
2022
University of Maryland, College Park
2020
South African Medical Research Council
2008-2015
Medical Research Council
2006-2013
Death is the most extreme consequence of intimate partner violence. Female homicide studies with data on perpetrator-victim relationship can provide insights. We compare results two South African national female similar sampling done 10 y apart.We conducted a retrospective survey using weighted cluster design proportionate random sample 38 mortuaries to identify homicides committed in 2009. abstracted victim from mortuary and autopsy reports, perpetrator police interviews. compared women 14...
Objective To investigate injury-related mortality in South Africa using a nationally representative sample and compare the results with previous estimates.Methods We conducted retrospective descriptive study of medico-legal postmortem investigation data from mortuaries multistage random sample, stratified by urban non-urban areas mortuary size.We calculated age-specific age-standardized rates for external causes death.Findings Postmortem reports revealed 52 493 deaths 2009 (95% confidence...
Background In most countries, reliable national statistics on femicide, intimate partner femicide (IPF), and non-intimate (NIPF) are not available. Surveys required to collect robust data this extreme consequence of violence (IPV). We analysed 3 surveys compare IPF, NIPF from 1999 2017 using age-standardised rates (ASRs) incidence rate ratios (IRRs). Methods findings conducted mortuary-based retrospective weighted cluster designs proportionate random samples medicolegal laboratories....
To describe age- and sex-specific rates of child homicide in South Africa.A cross-sectional mortuary-based study was conducted a national sample 38 medicolegal laboratories operating 2009. These were sampled inverse proportion to the number that operational each three strata defined by autopsy volume: < 500, 500-1499 or > 1499 annual autopsies. Child data collected from mortuary files, reports police interviews. Cause death, evidence abuse neglect sexual assault, perpetrator characteristics...
Violence against children is a significant cause of personal suffering and long-term ill health, poor psychological adjustment, range social difficulties, including adverse effects intergenerationally.Using large corpus longitudinal data collected in the Birth to Twenty Plus cohort, give an overview exposure experience violence, as well perpetration across childhood, reported contemporaneously by several informants. This overcomes limitations retrospectively recalled information from one...
To explore safety for girls in schools, particularly how perceive and negotiate dangers risks associated with the use of toilets.Participatory action research over a period 3 days at three schools South Africa. Informants were 81 16 years older, teachers other relevant school personnel. Data collected through focus group discussions, in-depth interviews, participant observation, mapping photography.Toilets had inadequate or no sanitation. Both their avoidance risky female students...
To examine the incidence and patterns of intimate femicide-suicide in South Africa to describe factors associated with an increase risk suicide after femicide (i.e. killing female partner).A cross-sectional retrospective national mortuary-based study was conducted at a proportionate random sample 25 legal laboratories identify all homicides committed 1999 women aged over 13 years. Data were collected from mortuary file, autopsy report police interview.Among 1349 perpetrators femicide,19.4%...
South Africa has a female homicide rate six times the global average, with half of murdered women killed by an intimate partner. The gendered nature such murders indicates need to explore masculinities men who kill This paperexplores childhoods 20 were incarcerated for and draws on 74 in-depth interviews these men, family friends. study found that traumatic childhood experiences increases emotional vulnerability, resulting in their feeling unloved, insecure powerless. We argue they adopt...
Journal Article 'So Now I'm the Man': Intimate Partner Femicide and Its Interconnections With Expressions of Masculinities in South Africa Get access Shanaaz Mathews, Mathews * *Shanaaz Children's Institute, 46 Sawkins Road, University Cape Town, Rondebosch, 7700, Africa; shanaaz.mathews@uct.ac.za; Rachel Jewkes, Gender Health Research Unit, Medical Council; Naeemah Abrahams, Council. Search for other works by this author on: Oxford Academic Google Scholar Jewkes Abrahams The British...
Background. The criminal use of firearms in South Africa is widespread and a major factor the country having third-highest homicide rate world. Violence common feature African society. A firearm home risk intimate partner violence, but this has not been readily demonstrated because lack data. Methods. We drew on several studies including national studies, with male participants from justice sector, to discuss role gun ownership gender-based violence. Conclusion. Guns play significant...
Abstract Large numbers of children are affected by child sexual abuse in South Africa. This study aimed to assess psychological adjustment post assault. In-depth, semistructured interviews were conducted with caretakers, and structured using mental health assessment screening tools given at three intervals over a five-month period after presentation assault center. Almost half the met clinical criteria for anxiety, two-thirds full symptom post-traumatic stress disorder two four weeks...
We conducted a retrospective national mortuary based study to identify all adult female homicides (18 years and older) child (boys girls < 18 years) in 2009 randomly selected, proportionate sample of mortuaries. Victim, perpetrator crime data were collected three processes: from the register, autopsy report police with identification sexual validated across collection processes.Among 2670 (95% CI: 2311-2979) women killed 2009, 494 406-574) identified as which was 19.8% 17.6-22.0) among 1277...
Background Homicide of children is a global problem. The under-5-y age group the second largest homicide after 15–19 y olds, but has received little research attention. Understanding and gender patterns important for assisting with developing prevention interventions. Here we present an analysis homicides among under 5 in South Africa from national study that included focus on neonaticide infanticide. Methods Findings A retrospective cross-sectional was conducted using random sample 38...
Background Co-occurring self-harm and aggression (dual harm) is particularly prevalent among forensic mental health service (FMHS) patients. There limited understanding of why this population engages in dual harm. Aims This work aims to explore FMHS patients’ experiences harm how they make sense behaviour, with a focus on the role emotions. Method Participants were identified from their participation previous study. Sixteen patients lifetime history recruited two hospitals. Individuals...
Objective: Although mental health impact of gender based violence has been documented for many decades, the socio-cultural dimensions and type perpetrator on outcomes not described outside developed countries. We explore depression symptomatology four to six weeks post-rape in South Africa examine whether this differs according circumstances rape.Method: 140 participants recruited from public hospital services Eastern Western Cape provinces were interviewed within two after completing post...
Abstract South Africa has one of the highest rates both rape and HIV infections. Of great concern is possibility transmission during assault, but adherence to post-exposure prophylaxis (PEP) been varied low. We developed a telephonic psycho-social support, leaflet diary intervention for victims tested its impact on PEP. A randomised control trial was conducted in Western Eastern Cape 279 survivors were enrolled two arms. The involved providing an information including follow-up support...
Child sexual abuse is endemic in South Africa, driven by high levels of gender-based violence and underscored structural social factors. This article aims to develop an understanding the process disclosure a sample female children their caregivers. In-depth semistructured interviews were conducted with 31 aged 8-17 years caregivers at 3 intervals after presentation assault treatment center. Nearly half failed disclose immediately, fearing caregivers' reaction. Most purposefully disclosed...
Objective: Levels of alcohol use are high in South Africa and not much is known about women's when murdered. The aim this article to describe the patterns blood concentration (BAC) at time death for female homicide victims explore factors associated with having an elevated BAC. Method: A subsample a national, representative, retrospective mortuary-based study homicides ages 14 years older was analyzed. Data were gathered from medical legal laboratory records, autopsy reports, police...