Please use this identifier to cite or link to this item: https://anrows.intersearch.com.au/anrowsjspui/handle/1/15432
Record ID: 19070f84-7901-4a4f-9183-5d7683801bad
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dc.contributor.authorCerulli, Catherineen
dc.contributor.authorWiley, Jamesen
dc.contributor.authorRhodes, Karin Ven
dc.contributor.authorKothari, Catherine Len
dc.contributor.authorDichter, Melissaen
dc.date.accessioned2022-06-30T23:19:04Z-
dc.date.available2022-06-30T23:19:04Z-
dc.date.issued2011en
dc.identifier.citation26 (8), August 2011en
dc.identifier.issn8848734en
dc.identifier.urihttps://anrows.intersearch.com.au/anrowsjspui/handle/1/15432-
dc.languageenen
dc.publisherSpringer Publishingen
dc.subjectMeasurementen
dc.subjectScreeningen
dc.titleIntimate partner violence identification and response: time for a change in strategyen
dc.title.alternativeJournal of general internal medicineen
dc.typeJournal Articleen
dc.identifier.catalogid2856en
dc.subject.keywordInternationalen
dc.subject.keywordnew_recorden
dc.subject.keywordJournal article/research paperen
dc.description.notesBACKGROUND: While victims of intimate partner violence (IPV) present to health care settings for a variety of complaints; rates and predictors of case identification and intervention are unknown.<br/ ><br/ >MAIN MEASURES: We linked police, prosecutor, and medical record data to examine characteristics of ED identification and response from 1999–2002; bivariate analyses and logistic regression analyses accounted for the nesting of subjects’ with multiple visits.<br/ ><br/ >RESULTS: IPV victims (N = 993) generated 3,426 IPV-related police incidents (mean 3.61, median 3, range 1–17) over the 4-year study period; 785 (79%) generated 4,306 ED visits (mean 7.17, median 5, range 1–87), which occurred after the date of a documented IPV assault. Only 384 (9%) ED visits occurred within a week of a police-reported IPV incident. IPV identification in the ED was associated with higher violence severity, being childless and underinsured, more police incidents (mean: 4.2 vs 3.3), and more ED visits (mean: 10.6 vs 5.5) over the 4 years. The majority of ED visits occurring after a documented IPV incident were for medical complaints (3,378, 78.4%), and 72% of this cohort were never identified as victims of abuse. IPV identification was associated with the day of a police incident, transportation by police, self-disclosure of “domestic assault,” and chart documentation of mental health and substance abuse issues. When IPV was identified, ED staff provided legally useful documentation (86%), police contact (50%), and social worker involvement (45%), but only assessed safety in 33% of the women and referred them to victim services 25% of the time.<br/ ><br/ >CONCLUSION: The majority of police-identified IPV victims frequently use the ED for health care, but are unlikely to be identified or receive any intervention in that setting.<br/ ><br/ >[? Springer Publications. All rights reserved. For further information, visit <A href= "http://www.springer.com/medicine/internal/journal/11606">Journal of General Internal Medicine</a>]en
dc.identifier.sourceJournal of general internal medicineen
dc.date.entered2011-08-12en
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