Intimate Partner Violence from the Emergency Medicine Perspective

Amy A. Ernst · Steven J. Weiss

33 citations0/0 files storedWomen & Health

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Intimate Partner and Family Violence Emergency and Acute Care Studies Elder Abuse and Neglect

Abstract

BACKGROUND: The incidence of acute cases of intimate partner violence (IPV) in the Emergency Department (ED) patients is between 2 and 7.2%. Ongoing IPV may be an immediate cause of presentation for medical care, or it may not be readily apparent. Over the last two decades efforts to improve identification of IPV in the ED have been successful. METHODS: A medline literature search from 1981-2001 was performed. A review of intimate partner violence from the emergency department provider perspective is performed. A discussion of the screening/detection of intimate partner violence and the barriers to improving detection rates is provided. RESULTS: The review of the current literature shows that IPV is a frequent cause of illness or injury in patients presenting in the ED. Screening programs for intimate partner violence have shown to increase the identification of patients experiencing acute episodes of abuse and seeking treatment. The difficulty has been in sustaining the programs and improving the screening of patients. Patient, provider and systems barriers prevent adequate recognition and management of the problem. CONCLUSION: Detection of IPV in patients presenting to the ED can be improved by providing educational programs and screening tools to health care providers. Sustaining the screening programs is more difficult and requires a health care system-wide effort.

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References

1979Measuring Intrafamily Conflict and Violence: The Conflict Tactics (CT) Scales 1981The Assessment of Spouse Abuse: Two Quantifiable Dimensions 1995Domestic violence against women. Incidence and prevalence in an emergency department population 1999Screening and Intervention for Intimate Partner Abuse 1997Accuracy of 3 brief screening questions for detecting partner violence in the emergency department 1997Accuracy of 3 brief screening questions for detecting partner violence in the emergency department 1992Marital aggression. Impact, injury, and health correlates for husbands and wives 1992Assessing for abuse during pregnancy. Severity and frequency of injuries and associated entry into prenatal care

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2009Care Provided in Visits Coded for Intimate Partner Violence in a National Survey of Emergency Departments 2008Visits Coded as Intimate Partner Violence in Emergency Departments: Characteristics of the Individuals and the System as Reported in a National Survey of Emergency Departments 2006Screening for Intimate Partner Violence Using an Audiotape Questionnaire 2014“I’ve never asked one question.” Understanding the barriers among orthopedic surgery residents to screening female patients for intimate partner violence

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