ABSTRACT Research in Coronel Portillo, Ucayali, examined how the Gesell Chamber affects the protection of children's best interests in judicial processes. With a quantitative approach and pre-experimental design, 128 minors were observed. The results indicated that the effective use of the Gesell Chamber has a positive and significant influence on the application of the best interests of the child, reducing revictimization and improving the quality of the judicial process.

RESUMEN La investigación en coronel Portillo, Ucayali, examinó cómo la Cámara Gesell afecta la protección del interés superior del niño en procesos judiciales. Con un enfoque cuantitativo y diseño pre-experimental, se observaron 128 menores. Los resultados indicaron que el uso eficaz de la Cámara Gesell tiene una influencia positiva y significativa en la aplicación del interés superior del niño, reduciendo la revictimización y mejorando la calidad del proceso judicial.

Resumen Objetivo: Comprender la expresión de las subjetividades de médicas(os) en su encuentro con víctimas de violencia sexual en urgencias hospitalarias. Metodología: Investigación cualitativa, diseño de caso colectivo, con enfoque etnográfico, con la elaboración de un diario de campo, dos itinerarios institucionales, dos entrevistas a coordinadoras, diez entrevistas en profundidad a médicas(os) y un encuentro reflexivo. Resultados: Se identificaron cuatro momentos en el recorrido de la víctima, y en ellos emergieron expresiones subjetivas que se agruparon en formas de reconocimiento y mecanismos. Se incorporaron el campo médico en el subcampo medicina moderna en sus habitus, sus prácticas clínicas vulneraron a las víctimas de violencia sexual. Por el contrario, si se apartaron de las lógicas que impuso el campo médico, sus prácticas se tradujeron en un cuidado comprensivo. Discusión: El no reconocimiento conduce a la imposibilidad del ejercicio de la ciudadanía de la salud; sus mecanismos parten de procesos de socialización desde sus constructos sociohistóricos que se ven reforzados por el modelo médico hegemónico y el campo médico generando tensión entre las lógicas prácticas de médicas(os) y las necesidades de las víctimas. Sin embargo, se observa una fractura de dicho modelo como una posibilidad de transformación hacia un cuidado comprensivo.

Abstract Objective: To understand how physician’s subjectivity is expressed while attending to victims of sexual violence at emergencies. Methodology: Qualitative research, a collective case design with an ethnographic approach, via the elaboration of a field journal, two institutional itineraries, 12 in-depth interviews to leaders and doctors and one workshop. Results: There were four moments identified on victim’s itinerary at emergencies services, in each moment emerged subjectivity’s expressions, that could be organized on forms of subjectivity and their mechanisms within. If the physicians embodied the modern medicine, a subfield of medicine, into their habitus, their practices tend toward the revictimization of their patients. In the other hand, if doctors do not embody such practices and assume a critical posture about it, they tend toward a comprehensive care. Discussion: The non-recognition of such practices leads to the impossibility of exercising health citizenship, its mechanisms are a result of socialization processes from sociohistorical constructs that are reinforced by hegemonic medical model and the medical field., generating tension between practical logics of physicians and the needs of the victims. However, a fracture of this model is observed as a possibility of transformation toward comprehensive care.

Resumo A palavra da vítima tem grande relevância em casos de violência sexual, entretanto no Brasil há escassez de recomendações específicas para a realização de entrevistas nestes casos. Este artigo visa apresentar procedimentos a serem adotados em entrevistas com mulheres vítimas de violência sexual. As recomendações incluem a conscientização sobre mitos de estupro, estabelecimento de rapport, gravação do depoimento, e uso de relato livre e perguntas abertas. Essas práticas estão em consonância com as recomendações científicas e podem ser utilizadas para capacitar profissionais da segurança pública, a fim preservar a prova testemunhal e evitar revitimização. sexual estupro rapport depoimento abertas pública revitimização

Abstract The victim’s word has great relevance in cases of sexual violence, however in Brazil there is a lack of specific recommendations for conducting interviews in these cases. This article aims to present procedures to be adopted in interviews with women victims of sexual violence. The recommendations include raising awareness about rape myths, establishing rapport, recording the testimony, and prioritize free recall and open-ended questions. These practices are in line with scientific recommendations and can be used to train public safety professionals to preserve eyewitness evidence and avoid revictimization. victim s violence myths rapport testimony openended open ended questions revictimization

Abstract: In family justice, one of the biggest challenges is to effectively guarantee the right of children to participate. Though participation implies multiple benefits for the child, such as increased self-esteem, psychological wellbeing and preventing violations of rights, it is possible to detect many obstacles for it to effectively occur in court. Among these, prioritizing adults’ interests, conditioning participation of the child to their age and lack of formal regulations was noted. The present study consists of a thematic analysis of interviews with Chilean family judges about child participation. Findings point to a consideration of the infrastructure and the institutional legal organization as not being able to guarantee and facilitate child participation in the judicial system. Lack of standardization in norms and practices inside the courts encourages judges to base their decisions on their own personal abilities and criteria, frequently influenced by prejudice about revictimization and the capacity of children to exercise a meaningful participation related to their psychological development. In addition, considerations about how laws and family courts should promote child participation in family justice are discussed.

Resumen: En la justicia de familia, uno de los mayores desafíos es hacer efectivo el derecho de los niños a la participación. Aunque la participación infantil entraña múltiples beneficios, como mayor autoestima, bienestar psicológico y prevención de posibles vulneraciones de derechos en los niños, se observan varias dificultades para que esta se haga efectiva en el contexto del tribunal. Estas incluyen priorizar los intereses del adulto, condicionar la participación del niño a su edad, y la falta de capacitación y regulación. El presente estudio realizó un análisis temático en base a entrevistas con jueces de familia chilenos sobre la participación infantil. Los hallazgos apuntan a una visión acerca de la infraestructura y de la organización institucional judicial que no garantiza ni facilita la participación infantil. La falta de estandarización y capacitación favorece que cada juez haga uso de habilidades y criterios personales para aplicarla o no, donde se observa que frecuentemente influyen ideas preconcebidas sobre la victimización secundaria y la capacidad de ejercer una participación significativa en relación con el nivel de desarrollo de los niños. Asimismo, se discuten las consideraciones que la ley y la institución legal deben tener en orden de garantizar la participación de niños, niñas y adolescentes en causas judiciales de familia.

Abstract Whether or not it is appropriate to offer victims the possibility of working on forgiveness to overcome the pain of the lived experience and its consequences is a controversial issue. The pressure to forgive makes revictimization more likely and transmits guilt and a message of minimizing the victims' pain. A misunderstanding of forgiveness can further weaken the victim's ability to protect him- or herself, make him or her more vulnerable, and make it easier for the abuse to continue. This paper aims to review the conditions for forgiveness to be a psychological tool for the mental health of the victims. Forgiveness is a complex concept with multiple dimensions and possibilities, and it can offer victims a valuable resource for overcoming their pain. However, it is not essential to the victim's healing process.

Resumen La conveniencia o no de plantear a las víctimas la posibilidad de trabajar sobre el perdón como forma de superar el dolor de la experiencia vivida y sus consecuencias es una cuestión controvertida. Las dinámicas de presión hacia el perdón hacen más probable la revictimización y transmiten tanto culpa como un mensaje de minimización de su dolor. Un perdón mal entendido puede debilitar aún más la capacidad de protegerse de la víctima, hacerla más vulnerable y facilitar la prolongación del abuso. El objetivo de este artículo es revisar las condiciones para que el perdón sea una herramienta psicológica al servicio de la salud mental de las víctimas. El perdón es un concepto complejo, con múltiples dimensiones y posibilidades, y puede ofrecer a las víctimas un valioso recurso para superar su dolor, aunque no es esencial para el proceso de sanación de una víctima.

Abstract: This text unveils the ways in which gender violence is expressed in the legal structures of legal treatment to the complaints of women victims of abuse in intimate partner relationships in Colombia. Judicial actions and rulings in these cases result in actions of revictimization and ineffectiveness of justice, which perpetuate the logic of male domination and moral damage to women. As long as the Colombian normative system does not recognize that it constitutes one of the elemental structures of patriarchy, it will be ineffective in guaranteeing women a life free of violence.

Resumen En este texto se develan los modos en que se expresa la violencia género en las estructuras jurídicas de tratamiento legal a las denuncias de las mujeres víctimas de maltratos en relaciones de pareja en Colombia. Las actuaciones y fallos judiciales referidos a estos casos derivan en acciones de revictimización e inoperancia de la justicia, que perpetúan las lógicas de dominación masculina y de daño moral a las mujeres. Mientras el sistema normativo colombiano no reconozca que en sí mismo, constituye una de las estructuras elementales del patriarcado, será ineficaz en garantizarles a las mujeres una vida libre de violencias.

Resumen El objetivo de este artículo es indagar en experiencias de victimización secundaria que provienen de la precaria implementación de programas de restitución de tierras. Para ello, se analizará la experiencia de la comunidad de Nueva Esperanza en el Caribe colombiano, presentando resultados del análisis de entrevistas semiestructuradas e información espacial y documental basada en corpus de sentencias, fallos y literatura gris. Los hallazgos de este trabajo muestran cómo diseños y dispositivos institucionales derivados de políticas de reparación han facilitado experiencias de revictimización en grupos reclamantes de tierras. En un contexto de obstáculos burocráticos, impedimentos y vacíos normativos, así como un abanico de violencias institucionales, grupos opositores a procesos de restitución de tierras se han acomodado a tales diseños y han aprovechado vacíos existentes en la legislación para mantener intacto e inamovible el sistema de relaciones de la propiedad rural en la región de Agustín Codazzi, centro de la investigación.

Abstract The goal of this article is to investigate experiences of secondary victimization resulting from the precarious implementation of land restitution programs. To this end, the experience of the community of Nueva Esperanza in the Colombian Caribbean will be analyzed, presenting results from the analysis of semi-structured interviews and spatial and documentary information based on a corpus of judgments, rulings, and gray literature. The findings of this paper show how institutional designs and devices derived from reparation policies have facilitated experiences of revictimization in land claimant groups. In a context of bureaucratic obstacles, impediments, and regulatory gaps, as well as a range of institutional violence, groups opposed to land restitution processes have accommodated themselves to such designs and have taken advantage of existing gaps in the legislation to maintain intact and immovable the system of rural property relations in the region of Agustín Codazzi, the focus of the research.

Objetivo: Develar nudos críticos que afronta el personal técnico, que laboran en los Centros de Emergencia Mujer (CEM) del Perú, al momento de atender a las mujeres víctimas de violencia de género. Originalidad/aporte: Se aporta información valiosa sobre la asistencia, en los CEM, a las mujeres víctimas de violencia de género. Esta información es de gran utilidad para la toma de decisiones, dirigidas a mejorar la labor y efectividad de la actuación de los técnicos/as en los centros. Se pone en evidencia una situación poco estudiada que sirve de referencia para otras realidades, en el ámbito internacional latinoamericano. Método: Se desarrolló una investigación de campo, desde una aproximación cualitativa. Participaron en el estudio 41 técnicos/as de los Centros de Emergencia Mujer (CEM) del Perú. Los resultados revelaron que los nudos críticos, percibidos por el personal técnico, fueron: trabajar con limitaciones materiales y de desplazamiento, la sobrecarga de trabajo que dificultaba la atención de las víctimas, las dilaciones en el tratamiento de los casos de violencia de género y la revictimización de la persona agredida. Además, lidiar con un marco cultural machista que enmascara las situaciones y con la diversidad religiosa y lingüística. Conclusiones: Se concluye que es necesario hilar hacia una mirada de la violencia de género permeada por un enfoque de ciudadanía y justicia de género que vertebre la atención a la víctima, orientados bajo los principios de igualdad, respeto a los derechos humanos y defensa de la diversidad cultural, sin incurrir en una actuación paternalista.

Abstract Objective: To understand critical issues faced by the technical staff working in the Women's Emergency Centers (CEM) in Peru, when assisting women victims of gender violence. Originality/support: Valuable information is provided on the assistance provided to women victims of gender-based violence in the MECs. This information is very useful for decision making, aimed at improving the work and effectiveness of the performance of the technicians in the centers. It highlights a situation that has been little studied and serves as a reference for other realities in the international Latin American context. Method: A qualitative research approach was used to inform the proposed aims. Forty-one technicians from the Women’s Emergency Centers (CEM) in Peru participated in the study. The results revealed that the critical issues perceived by the technical staff were working with material and travel limitations, work overload that made it difficult to care for victims, delays in the treatment of cases of gender-based violence and revictimization of the victim. In addition, dealing with a macho cultural framework that masks the situations and with religious and linguistic diversity. Conclusions: It is concluded that it is necessary to view gender violence with a focus on citizenship and gender justice that under the principles of equality, respect for human rights and defense of cultural diversity, without incurring in a paternalistic action.

Objectivo: Revelar as questões críticas enfrentadas pelo pessoal técnico que trabalha nos Centros de Emergência para Mulheres (CEM) no Peru, ao prestar assistência às mulheres vítimas de violência baseada no género. Originalidade/apoio: É fornecida informação valiosa sobre a assistência prestada às mulheres vítimas de violência baseada no género nos MECs. Esta informação é muito útil para a tomada de decisões, com vista a melhorar o trabalho e a eficácia das acções dos técnicos nos centros. Salienta uma situação que tem sido pouco estudada e serve de referência para outras realidades na esfera internacional da América Latina. Método: A investigação de campo foi levada a cabo utilizando uma abordagem qualitativa. Quarenta e um técnicos dos Centros de Emergência para Mulheres (CEM) no Peru participaram no estudo. Os resultados revelaram que as questões críticas percebidas pelo pessoal técnico foram: o trabalho com limitações materiais e de viagem, uma sobrecarga de trabalho que dificultou o atendimento às vítimas, atrasos no tratamento dos casos de violência baseada no género e a re-victimização da pessoa agredida. Além disso, lidar com um quadro cultural machista que mascara as situações e com a diversidade religiosa e linguística. Conclusões: Conclui-se que é necessário avançar para uma visão da violência baseada no género permeada por um enfoque na cidadania e na justiça de género que estrutura a atenção à vítima, orientada sob os princípios da igualdade, respeito pelos direitos humanos e defesa da diversidade cultural, sem incorrer numa acção paternalista.

Abstract: In psychology, assessing with self-report scales is a central issue. To use them properly they must have certain characteristics of validity and reliability, however, this does not guarantee that they are interpreted without prejudice or common sense, biased, as in the case of the assessment of intimate partner violence (IPV), to blame or revictimize the female victims. The purpose of this paper is to illustrate some of the problems generated by analyzing IPV in a decontextualized way. Some situations of violence described by Mexican men and women from different groups of origin with similar IPV scores are analyzed. The violence reported by men and women is diverse, permeated by gender issues. A gender perspective analysis is proposed to avoid revictimization processes while assessing these phenomena.

Resumen: En psicología, la evaluación a través de escalas de autorreporte es un tema central. Para emplearlas adecuadamente deben contar con determinadas características de validez y confiabilidad; sin embargo, ello no garantiza que se interpreten fuera del prejuicio o el sentido común, llegando, como en el caso de la evaluación de la violencia en las relaciones de pareja (VRP), a culpabilizar o revictimizar a las mujeres víctimas. El presente escrito tiene por objetivo ilustrar algunos de las problemáticas generadas al analizar de manera descontextualizada la VRP. Se analizan algunas situaciones de violencia descritas por hombres y mujeres mexicanos de diferentes grupos de procedencia con puntajes similares de VRP. Las violencias referidas por hombres y mujeres son diversas, permeadas por cuestiones de género; se propone el análisis con perspectiva de género para evitar procesos de revictimización al medir fenómenos como éste.

Resumen: El objetivo de este artículo es introducir a las órdenes de protección como el principal instrumento legal para evitar que las mujeres que han sufrido violencia en el marco de una pareja actual o previa sean nuevamente victimizadas. Para ello, se describe el proceso de reconocimiento jurídico de la violencia hacia las mujeres en Latinoamérica y el Caribe, introduciendo aportes desde el feminismo jurídico. Luego se enumeran los beneficios esperados de las órdenes de protección para prevenir la revictimización de las mujeres, y se describe cómo este espíritu ha sido materializado en el marco jurídico de los países del Cono Sur. Finalmente, se realiza una descripción detallada de la naturaleza de las órdenes de protección en Uruguay, denominadas medidas cautelares, y del circuito institucional que cada caso de violencia conyugal hacia las mujeres recorre desde la radicación de la denuncia de violencia doméstica hasta el seguimiento policial de las medidas.

Abstract: The aim of this article is to introduce protection orders as the main legal instrument to prevent the revictimization of women who have suffered intimate partner violence. For that purpose, it begins describing the legal recognition process of violence against women in Latin America and the Caribean, and introduces feminist scholar’s contributions. It continues outlining the expected benefits in which the application of protection orders as a means to prevent women’s revictimization are globally sustained. Then, it describes how these principles have been incorporated into the Southern Cone legislation. Finally, it provides a detailed description of protective orders nature in Uruguay, under the legal denomination of precautionary measures (strict definition); and addresses the institutional circuit that each case of intimate partner violence towards women completes from the domestic violence report to the follow up process performed by the police.

Abstract The work that follows presents and applies a category of analysis specifically developed for the study of gender violence news. The tool is the result of a process of theoretical triangulation between the contributions of socio-semiotics and gender studies. Our goal was to identify the traces of the patriarchal discourse in the notes published by Diario de Cuyo, in its online version, about two cases of girls from San Juan who were raped, became pregnant, and accessed the Legal Interruption of Pregnancy during 2018 and 2019. The relevance of the investigation arises from the central attention that the media agendas provided in recent times to the cases of Argentine girls who were victims of rape and the revictimization that characterized their speeches. We consider that the role of the media has been decisive in the construction of social reality since, through their speeches, understood as phenomena of meaning, they have promoted a parti cular way of interpreting events. The results of the analysis showed the discursive strategies with which the graphic press has reinforced and naturalized the inequities between men and women.

Resumen Este trabajo presenta y aplica una categoría de análisis específicamente elaborada para el estudio de las noticias sobre violencia de género. La herramienta es el resultado de un proceso de triangulación teórica entre las aportaciones de la socio-semiótica y los estudios de género. Nuestro objetivo fue identificar las huellas del discurso patriarcal en las notas publicadas por Diario de Cuyo, en su versión en línea (online), sobre dos casos de niñas sanjuaninas que fueron violadas, quedaron embarazadas y accedieron a la Interrupción Legal del Embarazo (ILE) durante 2018 y 2019. La relevancia de la investigación surge de la atención central que las agendas mediáticas brindaron en el último tiempo a los casos de niñas argentinas que fueron víctimas de violación y por la revictimización que caracterizó los discursos de tales agendas. Consideramos que el rol de los medios ha sido determinante en la construcción de la realidad social puesto que, a través de sus discursos, entendidos como fenómenos de sentido, han promo vido una forma particular de interpretar los acontecimientos. Los resultados del análisis dieron cuenta de las estrategias discursivas con las que la prensa gráfica ha reforzado y naturalizado las inequidades existentes entre varones y mujeres.

Resumo Este trabalho, fruto de uma pesquisa empírica realizada em audiências de custódias no Recife e em Olinda, problematiza a ausência da vítima nos casos da Lei Maria da Penha nesses atos. Para tanto, confrontamos a atuação dos/as juízes/as da audiência de custódia ao posicionamento do Supremo Tribunal Federal, na ADI 4424, que negou, em nome da proteção às mulheres, a representação no crime de lesão corporal leve nos casos abrangidos pela Lei Maria da Penha. Durante a pesquisa percebemos que, o “batedor de mulher”, ao dividir, nas audiências, espaço com “ladrões” e “traficantes”, esvazia a gravidade da violência doméstica, gerando decisões liberatórias que, não são necessariamente um problema em si, mas podem se tornar quando não acompanhadas de uma assistência específica à vítima. Ao final, mesmo apontando um caminho de muitas dificuldades, propomos um diálogo entre a Lei Maria da Penha e as audiências de custódia para minorar a revitimização da mulher no processo penal.

Abstract This article draws on findings of an empirical research on the so-called “custody hearings”, that is, the initial appearance before a judge after detainees are arrested for a crime in Brazil. This study was carried out in the cities of Recife and Olinda and the aim in this paper is to problematise the absence of the victim at such hearings in cases ruled by Brazil’s domestic violence law - the ‘Maria da Penha Law’. In this vein, we confronted judges’ workings in custody hearings against the backdrop of a decision made by Brazil’s Supreme Federal Court, in the “ADI 4424” case, which imposed “obligation to prosecute” domestic abuse assaults causing minor physical injuries - all in name of protecting the victim. During the research fieldwork we found that the seriousness of domestic violence is somewhat undercut for “women batterers” share the same space as “thieves” and “drug dealers” in the workings of custody hearings. This has led to decisions to release defendants from detention when their cases fall under the auspices of the Maria da Penha Law. This is not a problem in itself but may well become one when victims are left unassisted. At the end of the day, while acknowledging its many challenges, we suggest a dialogue between the Maria da Penha Law and custody hearings to lessen the revictimization of women in criminal proceedings in Brazil.

Abstract As of the establishment of the guarantee system in Mexico proclaimed by the constitutional reform in academic criminal matters in 2008, the rights of the victim as subject of protection of the State were confirmed, for which, the General Victims Law issued in 2013, in its normative design suffers from precision on the subjects obliged to monitor that the granting of integral reparation is guaranteed as a prerogative inherent to the taxpayer or offended of the crime. Likewise, it can be seen that in the reform of the aforementioned legal system in 2017, two serious problems are presented, such as the symbolic protection of the participation of civil society in the actions aimed at completing the integral reparation and blurring the suitability of Commissioner's profile Executive of the National Victim Assistance System, since it legitimates the presence of people who do not possess the academic and / or professional bases to certify the integral reparation to those who suffered the effects of punishable behaviors, a circumstance that does not match the guidelines of a Democratic State of Law. In this situation, the essential elements of traditional public policies are analyzed against public policies with a human rights approach to determine whether, in effect, the current normative design of the state guarantee obligation comprehensive reparation for crime victims is adjusted to the protectionist paradigm promoted through the positivization of human rights in the Political Constitution of the United Mexican States. Introduction: The present document contemplates the dogmatic review of the victim law and its historical evolution in Mexico, through the constitutional reforms generated since 1993, as well as the study of the essential elements of integral reparation and its connection with the fundamental right of dignity human consecrated at federal and international level, in order to lay the analytical basis on the institutionalization of revictimization in Mexico on the occasion of ambiguity in the design of the General Victims Law regarding the timely establishment of the legitimate authority to guarantee integral reparation, a circumstance that distorts the manifest obligation of the Mexican State to generate public policies that protect human dignity. Method: From the perspective of systematic legal and comparative methods, we reflect on the particularities of victim law as a binding point with the essential elements of integral reparation and the concept of revictimization promoted by the Comprehensive Model of Victim Assistance, an end of generate a guiding thread with the explanation about institutionalized revictimization product of the normative ambiguity in the signaling of the subjects obliged to monitor for the fulfillment of the integral reparation by the ministry of the General Law of Victims in their last reform of 2017, circumstance that It does not conform to the postulates of a public policy with a human rights perspective inherent in the glorified protectionist spirit, through constitutional reforms in criminal and human rights matters. Results: The normative design of the General Victims Law promoted by the Mexican State enshrines an institutional revictimization caused by ambiguity in the precise signaling of the authorities in charge of monitoring the fulfillment of integral reparation, a situation that transcends the fundamental right of human dignity established in Article 1 of the Political Constitution of the United Mexican States; Articles 5.2 and 11.1 of the American Convention on Human Rights; Article 1 of the Universal Declaration of Human Rights; and, article 10.1 of the International Covenant on Civil and Political Rights, substantial elements of International Human Rights Law. Discussion or Conclusion: In order to guarantee the effective protection of the fundamental right of human dignity, the Mexican State must specify in numeral 1 of the General Law of Victims, the legitimate authorities to verify compliance with the right to integral reparation, that is, the punctualization of the obligated subjects that must respond for the breach of the legal duty imposed by the ordinance in comment, the Political Constitution of the United Mexican States and the international treaties ad hoc as an irreducible standard of public policies with a human rights approach.

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Abstract Mexico present high rate of violence against women, which comes from the partner. The risk level assessment of intimate partner violence allows providing security measures to the victims and reducing the re-victimization. The aim was to validate the Severe Intimate Partner Violence Risk Prediction Scale (EPV-R) in the urban context of Chihuahua, Mexico. Methods. The scale was applied in 591 victims of violence, classified into two groups: severe and non-severe violence. An experts committee included three new items: psychological violence, economic violence and aggressor links with organized crime. The Internal consistency, the inter-observer concordance, the discriminative capacity of each of the items and the diagnostic efficacy were analyzed. All test were performed at the 95% of confidence level. Results. Adequate internal consistency (Cronbach’s alpha of 0.79) and good agreement between inter-observers (Kappa coefficient 0.79, p < 0.001; Intraclass Correlation Coefficient = 0.96, p = 0.001) were found. Of all 23 items, 20 showed adequate association capacity between severe and non-severe violence groups (p < 0.05), five items presented high capacity, 6 items moderated capacity and 11 items showed low capacity, assigning them a value of 3, 2 and 1 points respectively. The total score mean of the scale was higher in severe group than non-severe group, 22.7 ± 5.9 vs 12.1 ± 7.2 respectively (t = 14.6, p = 0.001). After several cutoff scores tested, a value of 21 combine the best sensitivity, specificity and diagnostic efficacy of the instrument with 70%, 87% and 79% respectively; also, an AUC of 0.86 was found (p = 0.001). From this viewpoint, three levels of severe violence risk were determined: low (0-8), moderate (9-20) and high (20-36). Conclusion. The EPV-R is a reliable and valid instrument to estimate the risk of serious violence against the couple in the urban context of Chihuahua, Mexico.

Resumen La valoración del nivel de riesgo de violencia permite brindar medidas de seguridad a las víctimas y disminuir la revictimización. El objetivo fue validar la escala de predicción de riesgo de violencia grave contra la pareja (EPVR) en población mexicana. Método. Se aplicó la EPV-R modificada a 591 víctimas de violencia, clasificadas en dos grupos: violencia grave y no grave. Se analizó la consistencia interna, la concordancia inter-observadores, la capacidad discriminativa de los ítems y la eficacia diagnóstica. Resultados. Se encontró una confiabilidad interna adecuada (alfa de Cronbach de 0.79); 20 ítems presentaron capacidad discriminativa entre violencia grave y no grave acorde al índice de discriminación y la prueba de chi-cuadrada (p < 0.05). Se observó una concordancia adecuada inter-observador con base en el índice Kappa (0.79, p = 0.001) y el coeficiente de correlación interclase (0.96, p = 0.001). A partir de una puntuación de 21, se encontró un AUC de 0.86 (p = 0.001), una sensibilidad de 70%, una especificidad de 87% y una eficacia diagnóstica de 79%. Conclusión. La escala EPV-R demostró ser un instrumento fiable y válido para estimar el riesgo de violencia grave contra la pareja, en la ciudad de Chihuahua, México.

RESUMO Objetivos: identificar potencialidades e fragilidades da rede intersetorial à mulher em situação de violência sexual, na perspectiva da Bioética de Intervenção e da Declaração Universal sobre Bioética e Direitos Humanos. Métodos: estudo qualitativo, realizado com membros da equipe multiprofissional que atuam nos serviços intersetoriais de atendimento à mulher em situação de violência sexual (munícipio no Sul do Brasil). Amostra intencional, totalizando 30 profissionais. A técnica de coleta foi a entrevista semiestruturada, de janeiro a abril de 2016. Entrevistas analisadas pela análise temática. Resultados: emergiram duas categorias: potencialidades e fragilidades relacionadas a rede intersetorial. Potencialidades confirmam a importância da rede intersetorial articulada, fragilidades, como falta de fluxo organizado e desarticulação dos serviços, resultam na revitimização da mulher e fragmentação do cuidado. Considerações Finais: necessário articular os serviços e qualificar os profissionais. A Bioética de Intervenção e a Declaração Universal sobre Bioética e Direitos Humanos fomentam discussões que contribuem no modo de organizar e sustentar a rede intersetorial.

ABSTRACT Objectives: to identify potentialities and weaknesses of the intersectoral network for women in situations of sexual violence, from the perspective of Intervention Bioethics and the Universal Declaration on Bioethics and Human Rights. Methods: qualitative study conducted with multidisciplinary team members who work in intersectoral care services for women subject to sexual violence. It was held in a municipality in southern Brazil. An intentional sample, totaling 30 professionals. Semi-structured interview was used from January to April 2016. Interviews were analyzed by Thematic Analysis. Results: two categories emerged: potentialities and weaknesses related to the intersectoral network. Potentialities confirm the importance of the articulated intersectoral network; weaknesses such as lack of organized flow and disarticulation of services result in women revictimization and care fragmentation. Final Considerations: it is necessary to articulate services and qualify professionals. The Intervention Bioethics and the Universal Declaration on Bioethics and Human Rights foster discussions that contribute to how to organize and sustain the intersectoral network.

RESUMEN Objetivos: identificar las potencialidades y debilidades de la red intersectorial para mujeres em situaciones de violencia sexual, desde la perspectiva de la Intervención Bioética y la Declaración Universal de Bioética y Derechos Humanos. Métodos: este es un estudio cualitativo realizado con miembros del equipo multiprofesional que trabajan em servicios de atención intersectorial para mujeres em situaciones de violencia sexual (municipio em el sur de Brasil). La muestra fue intencional, totalizando 30 profesionales. La técnica de recolección fue la entrevista semiestructurada, de enero a abril de 2016. Las entrevistas fueron analizadas por análisis temático. Resultados: surgieron dos categorías: potencialidades y debilidades relacionadas con la red intersectorial. Las potencialidades confirman la importancia de la red intersectorial articulada, las debilidades, como la falta de flujo organizado y la desarticulación de los servicios, dan como resultado la revictimización de las mujeres y la fragmentación de la atención. Consideraciones Finales: es necesario articular los servicios y calificar a los profesionales. La Intervención Bioética y la Declaración Universal de Bioética y Derechos Humanos fomentan debates que contribuyen a cómo organizar y mantener la red intersectorial.