Dichter Melissa E, Rhodes Karin V
School of Social Policy & Practice, University of Pennsylvania, Philadelphia, PA, USA.
Acad Emerg Med. 2009 Jan;16(1):83-6. doi: 10.1111/j.1553-2712.2008.00294.x. Epub 2008 Nov 8.
The purpose of this study was to evaluate the utility of asking female emergency department (ED) patients about police calls for service as a possible indicator of intimate partner violence (IPV).
Trained research assistants screened female, adult, English-speaking patients presenting to an urban university ED 7 am to midnight, 7 days per week during the 2006-2007 academic year. Patients were asked two commonly used IPV screening questions regarding past-year experience with physical violence or threat by an intimate partner and whether or not the police had been called due to a fight between themselves and a male partner.
Of the 4,984 patients screened, 3.9% screened positive for an IPV-related police call in the past 12 months; more than one-third (37.8%) of those screened negative for IPV on the traditional screening questions. The question about an IPV-related police call for service identified an additional 74 cases of possible IPV, representing 1.5% of the overall sample or a 30.8% increase over those identified with the traditional IPV screening questions.
Adding an additional question regarding police calls to standard IPV screening could alert healthcare providers to possible IPV risk.
本研究旨在评估询问女性急诊科患者警方服务来电情况作为亲密伴侣暴力(IPV)潜在指标的效用。
在2006 - 2007学年,训练有素的研究助理对每周7天、每天上午7点至午夜到一所城市大学急诊科就诊的成年女性英语患者进行筛查。患者被问及两个常用的IPV筛查问题,一个是关于过去一年中亲密伴侣实施身体暴力或威胁的经历,另一个是是否因与男性伴侣打架而报警。
在4984名接受筛查的患者中,3.9%在过去12个月里因与IPV相关的警方来电筛查呈阳性;超过三分之一(37.8%)的患者在传统筛查问题上IPV筛查呈阴性。关于与IPV相关的警方服务来电问题又识别出74例可能的IPV病例,占总样本的1.5%,比用传统IPV筛查问题识别出的病例增加了30.8%。
在标准IPV筛查中增加一个关于警方来电的问题,可提醒医疗服务提供者注意可能的IPV风险。