Intimate partner violence screening in the emergency department

JD Daugherty · Debra Houry

49 citations0/0 files storedJournal of Postgraduate Medicine

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

Abstract

BACKGROUND AND AIMS: Every year between 1.5 and 4 million women are abused by a partner in the United States and many abused women turn to the Emergency Department (ED) as their first source of care. Even though the vast majority of patients would feel comfortable disclosing intimate partner violence (IPV) to their physician, identification and referral is inconsistent . AIMS: The aim of this paper was to discuss prevalence statistics of IPV, current screening recommendations and practices in ED settings, and future directions to improve the screening and identifying of victims of IPV that present to the ED. MATERIAL AND METHODS: The authors conducted a Medline search for articles discussing IPV screening in the ED. RESULTS: Intimate partner violence results in approximately 1,300 deaths and 2,000,000 injuries annually among women and up to a third of ED patients have a history of IPV. Despite patients' reported willingness to disclose this information, identification of IPV by healthcare practitioners remains very low, with some estimates ranging between 4-10%. CONCLUSIONS: If we do not identify victims of IPV in the ED, this may result in continuation of the abuse, routine returns to the ED for treatment of injuries, and possibly even death.

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References

2000Physical Health Consequences of Physical and Psychological Intimate Partner Violence n.d.Extent, nature, and consequences of intimate partner violence /2002Intimate Partner Violence and Physical Health Consequences 1998Prevalence, Incidence, and Consequences of Violence Against Women: Findings From the National Violence Against Women Survey.1995The “Battering Syndrome”: Prevalence and Clinical Characteristics of Domestic Violence in Primary Care Internal Medicine Practices 1992Primary care physicians' response to domestic violence. Opening Pandora's box 1995Domestic violence against women. Incidence and prevalence in an emergency department population 1998Prevalence, Incidence, and Consequences of Violence Against Women: Findings From the National Violence Against Women Survey

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