Challenges in the multi-disciplinary management of intimate partner violence cases in Sri Lanka: A case report

Introduction: Intimate partner violence (IPV) is a major public health issue associated with significant physical and psychological morbidity. In Sri Lanka, social stigma and delayed legal intervention may further worsen mental health outcomes among victims.
Case Presentation: A 42-year-old mother of three presented to the National Hospital of Sri Lanka with severe depression, dissociative symptoms, and suicidal ideation following approximately two decades of IPV. Her husband reportedly exhibited morbid jealousy, alcohol dependence, and polysubstance abuse. Past medical history included assault-related head injury, post-traumatic seizures, and a previous suicide attempt by drug overdose. Following psychiatric evaluation and family intervention, the patient was referred for medicolegal examination and legal protection under the Prevention of Domestic Violence Act, No. 34 of 2005. Limited physical examination revealed no fresh injuries, while full examination was declined by the patient. Despite multidisciplinary management involving psychiatric, medicolegal, and social support services, the patient remained vulnerable due to persistent psychological distress, financial dependency, and limited social support.
Conclusion: This case highlights the cumulative psychiatric impact of chronic IPV and emphasizes the importance of coordinated medicolegal intervention, sustained psychiatric care, and strengthened social support systems for vulnerable victims.