Document Detail


STaT: a three-question screen for intimate partner violence.
MedLine Citation:
PMID:  12804354     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
OBJECTIVE: To develop a simple, sensitive screening tool for lifetime intimate partner violence (IPV) in women. METHODS: In the emergency department (ED) of an urban teaching hospital, 75 English-speaking women between 18 and 64 years old were tested. The sensitivity and specificity of 43 dichotomous response-option, IPV screening questions were compared. The reference standard was lifetime IPV, determined by a semistructured interview, using preset criteria of specific violence acts or emotional control or both by an intimate partner. Questions with high sensitivity (>70%) were tested together against the reference standard. Answering yes to any question scored 1 point. Content area and the area under receiver-operator curve (AUROC) of the screening questions determined the final tool. RESULTS: Sixty-three percent of women reported lifetime IPV. Eight of the 43 screening questions had a sensitivity of >70%. After testing possible combinations, the final three-question screen, STaT had the highest AUROC. The STaT questions are: "Have you ever been in a relationship where your partner has pushed or Slapped you?" "Have you ever been in a relationship where your partner Threatened you with violence?" and "Have you ever been in a relationship where your partner has thrown, broken or punched Things?" The sensitivity (95% confidence intervals [95% CI]) of STaT for lifetime IPV is 96% (90%, 100%), 89% (81%, 98%), and 64% (50%, 78%) for a score of >/=1, >/=2, and 3, respectively. The corresponding specificity is 75% (59%-91%), 100%, and 100%. CONCLUSIONS: Three simple questions when used together can effectively identify lifetime IPV and will aid clinicians' efforts to identify abuse in women.
Authors:
Anuradha Paranjape; Jane Liebschutz
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Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  Journal of women's health (2002)     Volume:  12     ISSN:  1540-9996     ISO Abbreviation:  J Womens Health (Larchmt)     Publication Date:  2003 Apr 
Date Detail:
Created Date:  2003-06-13     Completed Date:  2003-08-29     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  101159262     Medline TA:  J Womens Health (Larchmt)     Country:  United States    
Other Details:
Languages:  eng     Pagination:  233-9     Citation Subset:  IM    
Affiliation:
Ambulatory Service, Edith Nourse Rogers Veterans Administration Hospital and Boston University School of Medicine, Boston, Massachusetts, USA. aparanj@emory.edu
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MeSH Terms
Descriptor/Qualifier:
Adult
Area Under Curve
Battered Women / psychology*
Female
Humans
Middle Aged
Questionnaires / standards*
Risk Assessment
Risk Factors
Sensitivity and Specificity
Spouse Abuse / diagnosis*,  prevention & control
United States
Women's Health*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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