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A Lethality Assessment Program in the Emergency Department: Program Implementation and Evaluation.

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    This study shows a nurse-led lethality assessment program improved emergency department staff knowledge and confidence in addressing intimate partner violence (IPV). The program successfully linked high-risk victims to essential services, demonstrating its feasibility and potential to reduce IPV homicides.

    Keywords:
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    Area of Science:

    • Public Health
    • Nursing
    • Emergency Medicine

    Background:

    • Intimate partner violence (IPV) screening and service linkage are inconsistent in healthcare settings.
    • A nurse-led lethality assessment program was implemented in an emergency department.
    • The program aimed to prevent IPV homicide by linking victims to a local community agency.

    Purpose of the Study:

    • To implement and evaluate a nurse-led lethality assessment program for intimate partner violence.
    • To assess changes in nurses' knowledge and confidence regarding IPV assessment and the lethality protocol.
    • To identify barriers and facilitators to program implementation in an emergency department setting.

    Main Methods:

    • A pre-post study design evaluated 143 registered nurses.
    • Knowledge, confidence, and program outcomes were assessed over a 4-month post-implementation period.
    • Focus group interviews identified implementation barriers and facilitators.

    Main Results:

    • Significant improvements in nurses' knowledge and confidence (P < .001) were observed.
    • 14 lethality screens were completed, with 13 indicating high danger.
    • 8 victims received 20 services, including shelter, safety planning, and legal aid.

    Conclusions:

    • The lethality assessment program is a feasible healthcare intervention.
    • It increases IPV awareness and links high-risk victims to services.
    • This program has the potential to reduce intimate partner violence homicides.