“Are You Safe at Home?”: Clinician's Assessments for Intimate Partner Violence at the Initial Obstetric Visit

Few studies have empirically examined patient–clinician conversations to assess how intimate partner violence (IPV) screening is performed. Our study sought to examine audio-recorded first obstetric encounters’ IPV screening conversations to describe and categorize communication approaches and explo...

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Bibliographic Details
Authors: Huang, Cecilia (Author) ; Hill, Amber (Author) ; Miller, Elizabeth (Author) ; Soudi, Abdesalam (Author) ; Flick, Diane (Author) ; Buranosky, Raquel (Author) ; Holland, Cynthia L. (Author) ; Hawker, Lynn (Author) ; Chang, Judy C. (Author)
Format: Electronic Article
Language:English
Published: 2023
In: Violence against women
Year: 2023, Volume: 29, Issue: 2, Pages: 185-201
Online Access: Presumably Free Access
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Keywords:
Pregnancy
obstetrical care
disclosure of violence
assessment/screening
patient–clinician communication
Intimate Partner Violence
Description
Summary:Few studies have empirically examined patient–clinician conversations to assess how intimate partner violence (IPV) screening is performed. Our study sought to examine audio-recorded first obstetric encounters’ IPV screening conversations to describe and categorize communication approaches and explore associations with patient disclosure. We analyzed 247 patient encounters with 47 providers. IPV screening occurred in 95% of visits: 57% used direct questions, 25% used indirect questions, 17% repeated IPV screening later in the visit, 11% framed questions with a reason for asking, and 10% described IPV types. Patients disclosed IPV in 71 (28.7%) visits. There were no associations between disclosure and any categories of IPV screening.
ISSN:1552-8448
DOI:10.1177/10778012221142915