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STaT: a three-question screen for intimate partner violence.

Anuradha Paranjape1, Jane Liebschutz

  • 1Ambulatory Service, Edith Nourse Rogers Veterans Administration Hospital and Boston University School of Medicine, Boston, Massachusetts, USA. aparanj@emory.edu

Journal of Women'S Health (2002)
|June 14, 2003
PubMed
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A new three-question screen, STaT, effectively identifies lifetime intimate partner violence (IPV) in women. This simple tool aids clinicians in detecting abuse, improving patient care and safety.

Area of Science:

  • Public Health
  • Clinical Medicine
  • Sociology

Background:

  • Intimate partner violence (IPV) is a significant public health issue affecting women globally.
  • Early identification of IPV is crucial for intervention and support.
  • Existing screening tools may lack sufficient sensitivity or specificity.

Purpose of the Study:

  • To develop and validate a simple, sensitive screening tool for lifetime intimate partner violence (IPV) in women.
  • To assess the accuracy of a novel three-question screening tool (STaT) in identifying IPV.

Main Methods:

  • A study involving 75 women in an urban emergency department compared 43 IPV screening questions.
  • Lifetime IPV was the reference standard, determined by a semistructured interview.
  • The sensitivity and specificity of screening questions and combinations were analyzed using receiver-operator curve (AUROC) analysis.

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Main Results:

  • Sixty-three percent of women reported lifetime IPV.
  • The final three-question screen, STaT, demonstrated the highest AUROC.
  • STaT achieved high sensitivity (96% for score >=1) and specificity (100% for score >=2).

Conclusions:

  • The STaT tool, comprising three simple questions, effectively screens for lifetime IPV in women.
  • This validated tool can significantly aid clinicians in identifying abuse.
  • Implementing STaT can improve early detection and intervention for IPV.