Identifying Maternal Intimate Partner Violence in the Emergency Department

2015 ◽  
Vol 41 (5) ◽  
pp. 444-446 ◽  
Author(s):  
Patricia A. Normandin
Cureus ◽  
2019 ◽  
Author(s):  
Janeske Vonkeman ◽  
Paul Atkinson ◽  
Jacqueline Fraser ◽  
Rose McCloskey ◽  
Adrian Boyle

2003 ◽  
Vol 18 (2) ◽  
pp. 131-141 ◽  
Author(s):  
Steve J. Weiss ◽  
Amy A. Ernst ◽  
Elaine Cham ◽  
Todd G. Nick

A five-question Ongoing Abuse Screen (OAS) was developed to evaluate ongoing intimate partner violence. Our hypothesis was that the OAS was more accurate and more likely to reflect ongoing intimate partner violence than the AAS when compared to the Index of Spouse Abuse (ISA). The survey included the ISA, the OAS, and the AAS. During the busiest emergency department hours, a sampling of 856 patients completed all aspects of the survey tool. Comparisons were made between the two scales and the ISA. The accuracy, positive predictive value, and positive likelihood ratio were 84%, 58%, and 6.0 for the OAS and 59%, 33%, and 2.0 for the AAS. The OAS was more accurate, had a better positive predictive value, and was three times more likely to detect victims of ongoing intimate partner violence than the AAS. Because the OAS was still not accurate enough, we developed a new screen, based on the ISA, titled the Ongoing Violence Assessment Tool (OVAT).


2012 ◽  
Vol 2012 ◽  
pp. 1-8 ◽  
Author(s):  
Patricia Janssen ◽  
Kathleen Mackay

Background. The purpose of this study was to describe and contrast the population of persons presenting to a Vancouver hospital emergency department two or more times with those presenting once. Methods. Subjects for this study had disclosed intimate partner violence on at least one visit to Vancouver General Hospital Emergency Department during the study period 1997–2009. We compared sociodemographic characteristics, presenting complaints and disposition on discharge among single versus repeat visitors. Results. We identified 2246 single visitors and 257 repeat visitors. In a multivariate model, repeat visitors to the ER were more likely to be of First Nations (aboriginal) status, odds ratio (OR) 2.29, 95% confidence intervals (1.30–4.01); to have had a history of previous abuse 3.38 (1.88–6.08); to have received threats of homicide 2.98 (1.74–5.08); and to present with mental illness 3.03 (1.59–5.77). Police involvement was protective against repeat visits 0.54 (0.36–0.98). Conclusion. Persons with potential for multiple visits to the emergency room can be characterized by a number of factors, the presence of which should trigger targeted assessment for violence exposure in settings where assessment is not routine.


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