Domestic Violence: What Leaving Feels Like

As nurses, we often feel that we know how to help someone. We KNOW that a woman in an abusive relationship should leave, just leave. And we tell her so. But do we have any idea what leaving feels like? Some of us do. Nurses Announcements Archive Article

Imagine you got up from your computer right this minute, and walked out of your house knowing you will never, ever come back.

Maybe you had a chance to grab your purse on the way past the chair it's slung over, but more likely not. So you've walked out of your house with nothing but the clothes you have on your back -- not well chosen for whatever may come, but just something you threw on when you got up this morning.

Old sweats, maybe, and flip-flops. Not even a pair of real shoes. Your car is sitting right there in the driveway, but you didn't get a chance to grab your purse or your car keys, so it's useless to you now. You may never see it again, either, despite the three or four years of payments you have yet to make. You've got about 90 seconds before he notices you're gone and comes looking for you; 90 seconds to disappear so he cannot find you.

Do you run as far and as fast as possible, cross country and avoiding roads in the hope that he won't spot you? Do you try to go to a neighbor's house? Will they even let you in, both of your eyes blackened and your face covered in blood?

The neighbors have a good marriage, you know. You've walked past their house at dusk with your dog on a leash, and you've seen them all sitting around the dining table talking and laughing. That's what happy looks like. How can you knock at their door and ask them to hide you from your husband? Will they even understand how dangerous he is? Will being in their home put THEM at risk? How could you forgive yourself if their young children got hurt because they were hiding you?

Inside your house is your grandmother's dresser, your great-grandfather's steamer trunk and the mirror he bought your great grandmother as a wedding present. How can you leave those treasures behind? How can you not? Your computer is there, with all your bank account information, your passwords, your LIFE. The blue and white china you picked out when you were newly engaged and feeling so hopeful about the future and so happy about the present, the silver your mother gave you that HER mother scrimped and saved to buy. Your clothes. We're not talking about the contents of a walk-in closet here and the results of a lifetime of shopping prowess, but clean underwear, a nightgown, a pair of jeans and a clean sweater. Real shoes instead of the flip flops you're wearing, and scrubs to wear to work. Your mother's jewelry, your grandmother's wedding ring and the watch your parents gave you for graduation. All of that still in the house.

Your time is running out. Quick!!! What do you do? You want to live, but you don't want to live like this anymore, but you know you can't run in those flip-flops and you hear his heavy steps coming to the front door to look for you. What are you going to do? Disappear? Or convince him that you just came outside to get the spare jug of laundry detergent from the garage, go back inside and try to leave another day -- a day when hopefully you have your purse and your car keys and a change of clothes? If you're lucky enough to survive his anger for one more night.

There are a few problems with the "Do you feel safe in your home?" question. First, I've seen this question asked almost 100% of the time in front of someone else that came with the patient, usually their spouse/domestic partner/boyfriend/girlfriend, etc.--so right there, if there is something going on, you're not going to get an honest answer. This should be asked while the patient is alone, along with questions about sexuality, along with "Is there anything else you should tell me that you don't want me to repeat in front of [support person/family, et al]?"

Secondly, it's a really weird question to ask someone. Most people will automatically say they feel safe in their home, even when they're abused in it. The question should be, "Are you being or do you think you may be harmed physically, mentally, or emotionally?" and then follow-up questions--which is a time to put your chart aside and pay the patient full attention until s/he is done talking. Then chart, and ask questions as you need to fill in the gaps (you may even want to chart this out of sight of the patient.)

Specializes in Maternal Child Health, GYN.

birthingbabiesrn...I totally agree with you. Often this is not taken seriously enough in the admission process and it becomes another question on the long list of questionnaire. A lot of thought should be given to how patient's are assessed for DV and with much skill and care as well.

Specializes in Operating Room.

Thankfully, no one in my life has been this abusive towards me. I hope this is not a situation that is currently happening and I would encourage anyone to find a way out of that situation, even if you find yourself feeling hopeless. As medical professionals, we save lives without even thinking twice and we also see death at it's most unglamorous. This should be the most profound lesson of all - that lives can't be replaced, things can. The memories in our lives are what define us, and they carry us to whatever place throughout life. Whatever sentimental value things may have there is always a way to embrace what has once been to what could be now. A human life should never have to be sacrificed at the hands of another in any context. It goes against the very core of my being to be kind, help, and care for people by allowing these kinds of situations to continue for anyone.

Specializes in CCU, SICU, CVSICU, Precepting & Teaching.
Thankfully, no one in my life has been this abusive towards me. I hope this is not a situation that is currently happening and I would encourage anyone to find a way out of that situation, even if you find yourself feeling hopeless. As medical professionals, we save lives without even thinking twice and we also see death at it's most unglamorous. This should be the most profound lesson of all - that lives can't be replaced, things can. The memories in our lives are what define us, and they carry us to whatever place throughout life. Whatever sentimental value things may have there is always a way to embrace what has once been to what could be now. A human life should never have to be sacrificed at the hands of another in any context. It goes against the very core of my being to be kind, help, and care for people by allowing these kinds of situations to continue for anyone.

I don't think you get it. That's OK. Very few people actually get it unless they'e been there. How are you "not going to allow these kinds of situations to continue" for someone who isn't you?

Specializes in Hospice, Telemetry.

I'm speaking as the kid of a person who experienced domestic violence. And from my POV I'm still mad at my mum for staying. I understand that she did what she thought she had and should do by staying but there's a part of me that can't get over the anger of her having stayed for years or even marrying him in the first place.

I'm a little screwed up, my siblings are a little screwed up and our interpersonal relationships with other people are seriously screwed up because of my parents actions.

So, while I can understand why some people choose to stay or feel like they can't leave, speaking as the child of a person that stayed I can't be objective about it. Having to pull your "father" off your mum isn't good for any kid's psyche.

Specializes in Maternal Child Health, GYN.

I feel your pain...

Yes, I do know what it's like. I have left a very abusive relationship. It was the 3rd time he hit me and knocked me down the stairs that made my decision.

But I didn't leave that moment, I let him say all of his apologies,pretended to accept them,and the next day while he was at work, I packed what could fit into my Honda civic hatchback, and returned to my mom's.

I was lucky in that he didn't follow me. He wasn't as horrible as some abusers can be. He left me alone, he had too much pride or ego to chase after me. Yes...I was lucky.

In regards to attempting to give advice we can do damage. No one can say what would have happened if they hadn't left..and the reverse.

I do relate to some patients on a more personal level if the circumstances are dire. I realize this is unprofessional, but in some cases this is warranted.

Eye opening....

Specializes in Pediatrics.

Thanks so much for posting this article! I've read AN for over a year now, but never before been inspired enough to create an account and post. I was abused in the past. He started hitting me about 2 years into our relationship, and it took me 2 years, a broken bone, and several failed attempts before I successfully left. I don't share that part of my past often, because usually I get a "why didn't you leave sooner?" or some such response.

Also, mycall2nsg's comment is spot on. Please, please, please take the abuse questions on admit seriously with each of your patients. I went to the same small town ED 3 times with injuries. All 3 times my explanation was taken at face value, and no one asked me any questions. I have no idea if it would have helped me leave sooner, but perhaps it would have. At the very least, it shows you care to ask, and that means the world to someone with no self esteem left.

Always say something! Confront them - they usually will not listen or they will deny they are being abused --- just like I did - sitting there with bruises on my face, arms & black eye - right before I decided to save my life. Remember to tell them they have a choice & it will be time to decide to live or die in their situation, because that will ultimately happen & if you can give them a few escape ideas or tell about new apps on telephone that are for crisis centers & contacts that HE will not recognize. Do not sugar coat it & then walk away & say a prayer --- remember it is their choice. Funny how all my bad past is so helpful as a psych nurse! At least it wasn't for naught.

Specializes in Home Health.

I left. I walked with the clothes on my back (pajamas). I looked back. Hesitated. I knew the future back there. Even in the fear and pain there was a comfort zone of knowing what to expect. I knew his triggers, his ammo. Leaving and going to the unknown, the other side of my world, was scary and risky. I was jumping into the abyss. But staying there I knew would end with me as the martyr to that consuming "love". A love so intense even a commercial on the TV was enough to spark his jealous fury. The bruises and egg size knots were proof of that. 15 yrs later... I'm happy, I am free. I can be a person with feelings, dreams, and hopes. No more nightmares and no more pain. I'm now married to a wonderful supportive husband who knew my potential hidden in my pain. I'm a BSN nurse working and feeling fulfilled and loved and more important I have self worth, self love and self dignity.

Oh Ratgirl63 - that wasn't intense love - that was intense mental illness! The one that controls you, beats you & then cries & tells you how much he loves you. The one that says he will kill everyone you know just to keep you from leaving. The one that screams at you that you're a whore when you try to look pretty & wear makeup -- then looks at other women & then at you in disgust saying "why don't you ever fix yourself up?" The one that has you tripping over your own feet because he is constantly telling you you're nothing but a F-Up & then laughs at you when you cry. He won't let you have friends or family because they might talk some sense into you. No that isn't love - that's a mad dog with a bone - he don't want you, but he won't let anyone else have you.

I left mine on a midnight flight across the entire country because he was going to kill me - looked over my shoulder for 10 years before I married & changed my name. That was 30+years ago - I still have nightmares, but nursing is the only thing that makes me feel whole & safe again.