Risks go beyond the violence

Ashley B. Hink · Eric A. Toschlog · Brett H. Waibel · Michael R. Bard

29 citations0/0 files storedThe Journal of Trauma: Injury, Infection, and Critical Care

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Intimate Partner and Family Violence Substance Abuse Treatment and Outcomes Gun Ownership and Violence Research

Abstract

BACKGROUND: Intimate partner violence (IPV) is a significant cause of intentional injury among women but remains underrecognized, and its relationship to other risk factors for all-cause injury remains poorly defined. This study aimed to assess IPV and its association with alcohol abuse, illicit substance use, selected mental illnesses, and other risk factors for injury. METHODS: This is a cross-sectional study of prospectively collected data among adult females admitted to a rural, Level I trauma center. Well-validated instruments assessed IPV, substance abuse, and mental illness. Bivariate relationships were assessed with χ, odds ratios, and t test analyses. RESULTS: Eighty-one women were enrolled; 51% reported lifetime IPV, and 31% reported past-year IPV. Both groups were significantly more likely to have a mental illness than those without a history of IPV. Those reporting lifetime IPV exposure were significantly more likely to report illicit substance use, and past-year IPV was associated with alcohol abuse (28% vs. 7.1%, p = 0.01). Participants reporting past-year IPV were significantly more likely to have a partner possessing a firearm (40% vs. 12.5%, p = 0.005). CONCLUSION: The experience of lifetime and past-year IPV among women at a Level I, rural trauma center was high, and it was significantly associated with mental illness, substance abuse, and high-risk scenarios for intentional injury including firearm ownership by a significant other. These findings inform the potential value of IPV screening and intervention and suggest that IPV, mental illness, and substance abuse should be considered associated entities in prevention and recidivism reduction efforts in the female trauma population. LEVEL OF EVIDENCE: Prognostic study, level II; therapeutic study, level III.

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References

1998The Mini-International Neuropsychiatric Interview (M.I.N.I.): the development and validation of a structured diagnostic psychiatric interview for DSM-IV and ICD-10 2002Health consequences of intimate partner violence 2003Risk Factors for Femicide in Abusive Relationships: Results From a Multisite Case Control Study 2006Intimate Partner Violence 2004Intimate Partner Violence and Physical Health Consequences 2009Intimate Partner Violence Screening Tools 2009Screening for Intimate Partner Violence in Health Care Settings A Randomized Trial 2013Screening for Intimate Partner Violence and Abuse of Elderly and Vulnerable Adults: U.S. Preventive Services Task Force Recommendation Statement

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2017Universal screening for intimate partner and sexual violence in trauma patients 2020Traumatic Injuries Due to Interpersonal and Domestic Violence in the United States 2018Experiências de mulheres em situação de violência em busca de atenção no setor saúde e na rede intersetorial 2017Intimate partner violence-related hospitalizations in Appalachia and the non-Appalachian United States

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