06 - PJ21 Sexual maltreatment, spouse or partner,

PJ21 Sexual maltreatment, spouse or partner, or QE51.12 history of spouse or partner ...

Clinical Descriptions and Diagnostic Requirements for ICD-11 Mental, Behavioural or Neurodevelopmental Disorders Sexual maltreatment, spouse or partner, or history of spouse or partner violence, sexual Essential (required) features • At least one of the following acts is required for diagnosis: • the use of physical force to compel participation in a sex act against the partner’s will, or when the partner is incapable of consent (whether or not the act is completed); • the use of physical or psychological aggression to coerce the partner to participate in a sex act. • The act is against the expressed wishes of the partner. • The act causes significant distress to the partner. Note: these categories are assigned to the victim, not the perpetrator. If PJ21 Sexual maltreatment is diagnosed, the perpetrator should be specified as a spouse or partner using the extension code XE454 (PJ21&XE454). On the ICD-11 platform, the option to specify the perpetrator–victim relationship appears in the context of the assault field. Additional clinical features • Intimate partner sexual abuse is associated with an increased risk of physical injury and need for medical attention. • Intimate partner sexual abuse is associated with an increased risk of poor physical health and of development of a chronic disease. • Intimate partner sexual abuse is associated with increased risk of various mental disorders (e.g. depressive disorders, anxiety and fear-related disorders, disorders due to substance use), as well as suicidality. Boundary with normality (threshold) • Sexual violation and coercion are not part of healthy functioning relationships. PJ21/ QE51.12 Relationship problems and maltreatment | Relationship distress and current or past maltreatment by spouse or partner