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Journal of Interpersonal Violence, Vol. 22, No. 2, 238-249 (2007)
DOI: 10.1177/0886260506295814

Using Indirect Questions to Detect Intimate Partner Violence

The SAFE-T Questionnaire

Jamie L. Fulfer

Southern Illinois University

Jillian J. Tyler

Southern Illinois University

Natalie J. S. Choi

Southern Illinois University

Jill A. Young

Southern Illinois University

Steven J. Verhulst

Southern Illinois University

Regina Kovach

Southern Illinois University

J. Kevin Dorsey

Southern Illinois University

A screening instrument for detecting intimate partner violence (IPV) was developed using indirect questions. The authors identified 5 of 18 items studied that clearly distinguished victims of IPV from a random group of health conference attendees with a sensitivity of 85% and a specificity of 87%. This 5-item instrument (SAFE-T) was then tested on 435 women presenting to three emergency departments and the results compared to a direct question regarding current abuse. The SAFE-T questions detected only 54% of the women who admitted being abused and correctly classified 81% of the women who said they were not victims. The 1-year prevalence of IPV in this sample of women presenting to an emergency department was 11.6%. The authors conclude that indirect questioning of women appears to be more effective at ruling out IPV in an emergency department population and may be less useful for women "early" in an abusive relationship.

Key Words: screening intimate partner violence • emergency department women


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