Domestic Violence and Out‐of‐hospital ProvidersA Potential Resource to Protect Battered Women

M. Elaine Husni · Judith A. Linden · Carrie D. Tibbles

22 citations0/0 files storedAcademic Emergency Medicine

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

Abstract

OBJECTIVE: The primary objective was to determine the prevalence of domestic violence (DV) in a subset of women presenting to the Boston emergency medical services (EMS) system and to evaluate documentation. A secondary objective was to determine the rate of refusal of transport to the hospital for DV-positive patients, compared with the general population. METHODS: A retrospective chart review of ambulance run sheets from a nonconsecutive, convenience sample between July and December 1995 was performed. Women presenting with injury, obstetric/ gynecologic complaints, or psychiatric complaints were included. Records were reviewed, and labeled as positive, probable, suggestive, or negative for DV, based on a previously used classification system. A weighted kappa test was performed, and data were analyzed using chi-square and t-test. RESULTS: Among 1,251 charts reviewed, 876 met criteria for inclusion. The percentage of positive cases was 5.4% (95% CI = 3.9% to 6.9%), probable 10.8% (8.8% to 12.9%), suggestive 2.6% (1.6% to 3.7%), and negative 81.2% (78.6% to 83.6%). Among DV-positive patients, the refusal to transport rate was 23.4% (11.3% to 35.5%), compared with a 7.1% (5.8% to 9.3%) rate for the entire study population (n = 876), and 4.7% for the general Boston EMS population during the same year. More DV patients presented during the night shift compared with other shifts. CONCLUSIONS: Domestic violence is common in this high-risk population. A substantial proportion of women in this population refuse transport to the hospital. Out-of-hospital personnel should be trained with the tools to identify and document DV, assess patient safety, offer timely resources, and empower victims to make choices.

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References

2000Full Report of the Prevalence, Incidence, and Consequences of Violence Against Women 1996Chart Reviews In Emergency Medicine Research: Where Are The Methods?1992Assessing for Abuse During Pregnancy 1998Prevalence, Incidence, and Consequences of Violence Against Women: Findings From the National Violence Against Women Survey.1996Prevalence of Violence Against Pregnant Women 1995The “Battering Syndrome”: Prevalence and Clinical Characteristics of Domestic Violence in Primary Care Internal Medicine Practices 1995Domestic violence against women. Incidence and prevalence in an emergency department population 1995Domestic Violence Against Women

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