Using indirect questions to detect intimate partner violence: the SAFE-T questionnaire

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.     

Help-Seeking Behavior of Female Victims of Intimate Partner Violence in Ghana: The Role of Trust and Perceived Risk of Injury

Although several studies have investigated the socio-cultural underpinnings of intimate partner violence (IPV) in Ghana, few explore the help-seeking behavior of the victims. This study examined the help-seeking behavior of female victims of IPV in Ghana. Specifically, it explored the role of perceived risk of injury and trust in determining whether and where victims seek help and their likelihood of seeking help in the event of future abuse. The study used nationally representative cross-sectional data (N =?1689) and logit regression techniques to address these research objectives. The majority of respondents who had suffered IPV had not sought help after experiencing violence. However, of these, a substantial proportion said they would do so in the future. Respondents with high perceived risk of injury from physical and emotional violence were significantly more likely to seek help from both formal and informal support networks than those who saw themselves at no risk. Those with high levels of trust in formal and informal institutions were more likely to seek help from these networks. Compared to those who did not, respondents who thought IPV should be kept private were less likely to seek help, especially in future abuse. Finding suggest policy makers should educate women about IPV, especially their risk of violence.     

Quality of Maternal Parenting among Intimate-Partner Violence Victims Involved with the Child Welfare System

Children are overrepresented in households with intimate-partner violence (IPV), and many suffer the double burden of being the subject of maltreatment and bearing the consequences of abuse to their mothers. Despite this situation, little information exists concerning parenting by women who have been abused by an intimate partner. We examine the relationship between women’s experiences with IPV and the quality of maternal parenting using data from the National Survey of Child and Adolescent Well-Being. The sample consisted of 1,943 female caregivers of children younger than 10 years investigated for child maltreatment. Women who had experienced IPV in the past but were no longer victims of IPV had significantly better parenting scores than women who were currently experiencing IPV, when other risk factors were controlled. This study adds to the evidence that IPV does not necessarily impair maternal parenting. Women abused by an intimate partner deserve a thorough assessment of what services they need: parenting services should be offered as warranted on a case-by-case evaluation of the particular woman’s parenting skills.     

Impact of emergency department intimate partner violence intervention

The objective of the study is to assess the impact of emergency department (ED) intimate partner violence (IPV) counseling and resource referrals on patient-perceived safety and safety planning. ED patients with risk factors were offered consultation with trained IPV advocacy counselors who completed safety assessments, provided resource referrals, and helped patients develop safety plans. Patients were contacted after ED intervention to assess progress and further assist in IPV counseling. Over 96% of patients perceived an increase in their safety after the intervention, and approximately 50% had completed a portion of their safety plan. Legal assistance and/or law enforcement were considered the most beneficial resource referrals. Although follow-up was limited, this study appears to demonstrate that an ED IPV intervention program may be useful in helping IPV victims achieve safer living environments and access local resources.     

Older women and intimate partner violence: effective interventions

Women above the age of 60 who have experienced intimate partner violence (IPV) have specific needs compared with younger victims. More research is emerging that assists counselors and other helping professionals with identification of these needs and aids to promote the mental health and well-being of this population. Professionals must consider the generational values held by older IPV victims and understand how values may impact decision making. Integrating safety planning and risk assessment into the counseling process is vital. Older IPV victims may seek counseling for posttraumatic stress or depressive symptoms as a result of the abuse. Others may participate in counseling for issues unrelated to IPV. Therefore, a thorough assessment process should include questions related to relationship dynamics so that the counselor has a complete understanding of all factors impacting the client's functioning. Helping professionals must also have an understanding of available community resources, as well as barriers that these clients face as they take steps toward recovery from trauma. This research uses qualitative analysis of case studies to assist helping professionals in understanding the most effective interventions when working with this population.We found that a contextual approach focusing on the restoration of self-confidence is a constructive means of initiating recovery from trauma.     

Pregnancy and Intimate Partner Violence in Canada: a Comparison of Victims Who Were and Were Not Abused During Pregnancy

The purpose of this study was to examine risk factors, indicators of severity, and differences in post-violence health effects for victims who experienced intimate partner violence (IPV) during pregnancy compared to victims who experienced IPV outside the pregnancy period. Data were from Statistics Canada’s 2009 General Social Survey. Among IPV victims, 10.5 % experienced physical and/or sexual violence during pregnancy. Victims who had experienced violence during pregnancy were more likely than victims who were not abused during pregnancy to experience both less severe and more severe forms of violence. In fully adjusted models, younger age, separated or divorced marital status, as well as partners’ patriarchal domination, destruction of property, and drinking were significant predictors of pregnancy violence. Measures indicative of more severe violence and of a number of adverse post-violence health effects were significantly elevated among victims who experienced pregnancy violence relative to victims who were not abused during pregnancy. Implications of these findings are discussed.     

Correlates of in-law conflict and intimate partner violence against Chinese pregnant women in Hong Kong

This study examines correlates of in-law conflict with intimate partner violence (IPV) against pregnant women in a cohort of Chinese pregnant women who visited antenatal clinics in Hong Kong. This was a territory-wide, cross-sectional study of 3,245 pregnant women recruited from seven hospitals in Hong Kong. Participants were invited to complete the Chinese Abuse Assessment Screen and a demographic questionnaire. About 9% of the pregnant women reported having been abused by their partners in the preceding year. In-law conflict was the characteristic most significantly associated with preceding-year abuse against pregnant women, after controlling for covariates. Findings underscore the need to obtain information on in-law conflict as a risk factor for IPV. In-law conflict should be included in the assessment of risk for IPV. For the prevention of IPV, family-based intervention is needed to work with victims as well as in-laws.     

Risk of Revictimization of Intimate Partner Violence: The Role of Attachment, Anger and Violent Behavior of the Victim

Victims of intimate partner violence (IPV) are known to be at high risk for revictimization. Yet, to date, the mechanisms explaining the link between victimization and revictimization of IPV have not been extensively studied. In the present prospective study involving 74 female help-seeking victims of IPV, we investigated victim-related psychological mechanisms that may underlie this link. With this study, we aim to contribute to the development of theory addressing these psychological mechanisms and their role in explaining risk for IPV revictimization. Hypotheses regarding possibly relevant psychological mechanisms were derived from two conflicting approaches to IPV: the gender perspective, and the mutual IPV perspective. Results lend further support to the mutual IPV perspective, since our final prediction model indicates that victim-perpetrated IPV is an important risk factor for physical and psychological IPV revictimization. An avoidant attachment style shows to be a strong predictor as well, in particular for victims with high and average anger levels. Findings provide clear indications for risk assessment and treatment of IPV victims, and moreover offer opportunities to empower these victims in order to prevent future violence.     

Screening for intimate partner violence: the impact of screener and screening environment on victim comfort

The barriers that professionals face when screening victims for intimate partner violence (IPV) are well studied. The specific barriers that victims face however when being screened are not. The authors sought to identify characteristics of the screener and screening environment that make a victim feel more or less comfortable when disclosing a history of IPV. One hundred forty self-reported female victims of IPV completed a survey regarding their experiences with screening and degree of comfort with certain traits of the screener and the screening environment. Women demonstrated a preference to be screened by a woman, someone of the same race, a provider aged 30 to 50 years, and without anyone else present. Screeners should be aware of characteristics that impact victim comfort and should provide multiple opportunities for women to disclose IPV in a safe, respectful, and culturally effective environment.     

Risk for Revictimization of Intimate Partner Violence by Multiple Partners: a Systematic Review

Are victims of intimate partner violence (IPV) by multiple partners (MP) different from victims of IPV by one partner? Are there different victim-related risk factors for IPV by MP? This systematic literature review identified seven empirical studies that related to these issues. The review findings indicated that (1) empirical research on IPV by MP appears to be scarce, with only limited recent development; (2) there were significant differences between women who had been subjected to IPV in a single relationship and women with IPV by MP; (3) IPV by MP was significantly associated with childhood domestic trauma, drug abuse, IPV characteristics, and attachment style; (4) regarding PTSD and personality disorders, the results were mixed and inconclusive; and (5) depression did not appear as a salient risk factor for IPV by MP. Interpretations must be made cautiously because of the wide diversity in measurement approaches. It is important that service personnel and researchers attend with increased awareness to women with IPV by MP.     

A forensic medicine perspective on recurring episodes of intimate partner violence

During a three year period, 418 victims of intimate partner violence (IPV) were examined and their injuries documented at the Center for Victims of Violence (CVV) in Hamburg, Germany. All victims were questioned if their acute injuries were attributable to recurring acts of violence by the same intimate partner. The victims' experiences with recurring IPV were analyzed and associated risk factors as well as findings of acute physical injuries were integrated into the assesment. Overall, women were significantly more often victims of recurring episodes of IPV than men. In 35.4% of cases, victims of recurring IPV sustained injuries to three or more body regions. However, women who were victimized during a single act of violence, presented with the same distribution of injuries in only 21.1% of cases (p = 0.01). The results emphasize the fact that IPV often manifests itself in a spiraling escalation of physical violence. Furthermore, blunt force trauma to the head was diagnosed significantly more often (p = 0.05). The risk of sustaining a head injury was equally high for women who experienced a first-time violent episode by their ex-partner as it was for married women or women living in a non-marital partnership during recurring episodes of IPV. In an effort to reduce the increased risk for victims of IPV, health care personnel are highly encouraged to partake in forensic medicine based continuing education. This preventative measure may prepare clinicians to recognize IPV earlier as well as to treat and advise clients appropriately.     

Characteristics of victims coarrested for intimate partner violence

This study evaluated the frequency of coarrest in female victims who utilized 911 for intimate partner violence (IPV) and any patterns or circumstances that increased the likelihood of coarrest. All cases of police-documented IPV where a female IPV victim was arrested in conjunction with the perpetrator were included. Each incident report was reviewed to determine demographic characteristics of the victim, weapon and substance involvement, presence of children, and violence severity. Of IPV victims, 9% (131 of 1,489) were arrested. Having a weapon, alcohol use, not being married, and older age were associated with increased likelihood of arrest (p < .001). The presence of a child decreased the likelihood of victim arrest (p < .001). Race, prior incidents of IPV, offender restraining order, and incident severity were not significantly associated with coarrest. Although coarrest occurred in a minority of cases, it may deter victims from contacting police for future incidents of police.     

The roles of victim and perpetrator alcohol use in intimate partner violence outcomes

Alcohol use increases the risk of intimate partner violence (IPV), yet little research has examined its role in victimization outcomes (e.g., physical injury, police reporting). This study examined the roles of perpetrator and victim incident-specific alcohol use in IPV outcomes. The sample included 501 men and 1,756 women who had experienced an IPV physical assault. Logistic regression analyses showed that after controlling for relevant covariates, women whose partners had been drinking were significantly more likely to be injured than were women whose partners had not been drinking. A woman's own alcohol use was unrelated to victimization outcomes. Men were significantly more likely to report the incident if their partners had been drinking but were marginally less likely to report if they had been drinking. Findings suggest that perpetrators' incident-specific alcohol use is important in understanding which victims are most likely to be injured and report the incident to the police.     

Intimate partner violence and HIV/STD risk among lesbian, gay, bisexual, and transgender individuals

To date, there has been little research examining HIV/STD risk among lesbian, gay, bisexual, and transgender (LGBT) individuals who are in abusive relationships. This article uses data collected from a community-based organization that provides counseling for LGBT victims of intimate partner violence (IPV). A total of 58 clients completed the survey, which inquired as to sexual violence and difficulties negotiating safer sex with their abusive partners. A large percentage of participants reported being forced by their partners to have sex (41%). Many stated that they felt unsafe to ask their abusive partners to use safer sex protection or that they feared their partners' response to safer sex (28%). In addition, many participants experienced sexual (19%), physical (21%), and/or verbal abuse (32%) as a direct consequence of asking their partner to use safer sex protection. Training counselors on issues of sexuality and safer sex will benefit victims of IPV.     

Risk Factors for Women’s Intimate Partner Violence Victimization: An Examination from the Perspective of the Schema Therapy Model

This study attempted to examine risk factors for intimate partner violence (IPV) victimization against women in terms of the schema therapy model (STM). Seventy-nine shelter-residing female IPV victims and 78 married female IPV non-victims participated in the study. The Young Schema Questionnaire Short Form, the Young Parenting Inventory, the Young Compensation Inventory, and the Young Avoidance Inventory were used. The results revealed that being young and having low income were risk factors for IPV victimization. Paternal parenting style was also found to be a further risk factor in addition to demographic variables. Further, the endorsement of disconnection and the unrelenting standards schema domains presented further information predicting IPV victimization above and beyond demographic variables and parenting styles. Maladaptive coping styles did not reveal themselves as maintenance factors for IPV victimization when the information gathered from demographic variables, parenting styles, and schema domains is taken out. The results are discussed in terms of the STM.     

An Evaluation of a Parent Group for Survivors of Intimate Partner Violence

Researchers continue to demonstrate the significant physical and mental health consequences to women who experience intimate partner violence (IPV) and children exposed to IPV. However, more research is needed to examine group interventions that support mothers, their children, and the parent-child relationship in the aftermath of IPV. We analyzed data provided by women who participated in a 12-week parent group. The objectives of the parent group were for mothers to better understand their children’s developmental experience of IPV and to break the secret of domestic violence in their family. The sample included 15 women who completed the group and the baseline, midpoint, and endpoint surveys. Eleven of these women also completed a semi-structured interview three months following the group. Survey items and interview topics focused on group process and outcomes. Women reported the group helped them feel less alone in their experience of IPV and they valued having a space to learn and discuss new concepts that related to their experiences and their children’s experiences of IPV. They reported more confidence in identifying their child’s feelings and being a safe person to whom their children could express their anger. Women also reported they developed greater coping and communication tools, and a strengthened mother-child bond, through group participation. Group interventions are an important format for learning and sharing for some mothers who have experienced IPV, though more evaluation is needed on what components of these group interventions are the most supportive of mothers’ healing and growth.

     

The effects and costs of intimate partner violence for work organizations

This study examines the productivity-related effects and costs of intimate partner violence (IPV) on the workplace. Specifically, it explores whether IPV victims and nonvictims differ in the number of work hours missed due to absenteeism, tardiness, and work distraction and the costs for employers from these missed work hours. The research involved a Web-based survey of 823 male and 1,550 female employees in three midsized organizations. Employees who reported lifetime IPV victimization, but not current victimization, missed more hours of work because of absenteeism than did nonvictims. Current victims, but not lifetime victims, were more likely to be distracted at work than nonvictims. Organization costs due to absenteeism and tardiness were greater for lifetime victims than nonvictims; however, no difference in costs was found for current victims. Overall, we found that IPV has negative effects on organizations, but that the nature and cost of these effects vary by type of victimization.     

Autobiographical Memory Impairment in Female Victims of Intimate Partner Violence

Although the health consequences of intimate partner violence (IPV) have been amply described, as of yet, no study has focused on autobiographical memory (AM), despite the fact that AM dysfunction has been shown to have an impact on everyday life. We assessed AM using a cue-word task in 25 female victims of IPV and 22 control women who had never been exposed to a traumatic event. The IPV group also completed measures of psychotraumatic symptoms. AM was impaired in the IPV victims. When the effect of cue-word valence was analyzed, decreased AM specificity was observed with negative cue-words. This exploratory study demonstrates AM dysfunction among female victims of IPV for the first time. The pattern is consistent with the AM impairment observed in victims of traumatic events.     

A glimpse into the role of personal values within the restorative justice process: a qualitative study with restorative justice facilitators

Restorative justice is a process whereby offenders and their victims communicate to address the harm caused by the crime. Currently, there is little research looking at what characterises victims and offenders who are willing to participate in this process, who benefits, and what changes occur after participating. Personal values may be important in understanding such questions because they can influence human behaviour, appraisals of behaviour, and can change following life experiences. Hence, the aim of this study was to investigate the role that the values within Schwartz’s value theory may have in answering these questions. This was accomplished through a thematic analysis of semi-structured interviews with 12 restorative justice facilitators. Consistently, the motivations they observed for both victims and offenders participating in restorative justice included themes of prosocial values. Additionally, prosocial values were among those highlighted as being important for the realisation of the benefits of restorative justice. There was also some preliminary evidence that this process may change what values are important for both victims and offenders. Overall, these findings have implications for restorative justice providers; a greater understanding of motivations, who will benefit, and how restorative justice can be presented to appeal to a wide audience.     

Prevalence of Intimate Partner Violence Victimization and Victims’ Relational and Sexual Well-Being

Research shows that experiences with intimate partner violence (IPV) harm victims’ individual well-being. Surprisingly, little is known about how IPV might impact on victims’ well-being at the relationship level. Based on a population-based study in Flanders (the Northern part of Belgium), this study concentrates on how lifetime experience with IPV impacts on victims’ relational and sexual well-being with their current partner. Ten percent of the population was confronted with physical violence and 56.7 % with psychological violence. Higher levels of IPV victimization corresponded with an adverse mental, relational (relationship satisfaction, attachment), and sexual (sexual satisfaction, sexual dysfunction, sexual communication) well-being in both women and men but except for the latter correlates, the effects were more pronounced for women than for men.