Screening and intervention for intimate partner violence at trauma centers and emergency departments: an evidence-based systematic review from the Eastern Association for the Surgery of Trauma

Background Intimate partner violence (IPV) is a serious public health issue with a substantial burden on society. Screening and intervention practices vary widely and there are no standard guidelines. Our objective was to review research on current practices for IPV prevention in emergency departmen...

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Main Authors: Hee Soo Jung, Rishi Rattan, Anna Goldenberg, Erin Chang, Stephanie Bonne, D'Andrea Joseph, Amanda L Teichman, Patrick B Murphy, Courtney Edwards, Christina Colosimo, Anna Liveris, Emily Lawson, Kathleen Fox, Jennifer J Freeman, Krista L Haines, Linda Dultz, Farheen A Qurashi, Nathan Polite, Rachel L Choron, Sandra Arabian, Andrew T Schramm, Hassan Naser A Mashbari, Randi N Smith
Format: Article
Language:English
Published: BMJ Publishing Group 2023-11-01
Series:Trauma Surgery & Acute Care Open
Online Access:https://tsaco.bmj.com/content/8/1/e001041.full
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author Hee Soo Jung
Rishi Rattan
Anna Goldenberg
Erin Chang
Stephanie Bonne
D'Andrea Joseph
Amanda L Teichman
Patrick B Murphy
Courtney Edwards
Christina Colosimo
Anna Liveris
Emily Lawson
Kathleen Fox
Jennifer J Freeman
Krista L Haines
Linda Dultz
Farheen A Qurashi
Nathan Polite
Rachel L Choron
Sandra Arabian
Andrew T Schramm
Hassan Naser A Mashbari
Randi N Smith
author_facet Hee Soo Jung
Rishi Rattan
Anna Goldenberg
Erin Chang
Stephanie Bonne
D'Andrea Joseph
Amanda L Teichman
Patrick B Murphy
Courtney Edwards
Christina Colosimo
Anna Liveris
Emily Lawson
Kathleen Fox
Jennifer J Freeman
Krista L Haines
Linda Dultz
Farheen A Qurashi
Nathan Polite
Rachel L Choron
Sandra Arabian
Andrew T Schramm
Hassan Naser A Mashbari
Randi N Smith
author_sort Hee Soo Jung
collection DOAJ
description Background Intimate partner violence (IPV) is a serious public health issue with a substantial burden on society. Screening and intervention practices vary widely and there are no standard guidelines. Our objective was to review research on current practices for IPV prevention in emergency departments and trauma centers in the USA and provide evidenced-based recommendations.Methods An evidence-based systematic review of the literature was conducted to address screening and intervention for IPV in adult trauma and emergency department patients. The Grading of Recommendations, Assessment, Development and Evaluations methodology was used to determine the quality of evidence. Studies were included if they addressed our prespecified population, intervention, control, and outcomes questions. Case reports, editorials, and abstracts were excluded from review.Results Seven studies met inclusion criteria. All seven were centered around screening for IPV; none addressed interventions when abuse was identified. Screening instruments varied across studies. Although it is unclear if one tool is more accurate than others, significantly more victims were identified when screening protocols were implemented compared with non-standardized approaches to identifying IPV victims.Conclusion Overall, there were very limited data addressing the topic of IPV screening and intervention in emergency medical settings, and the quality of the evidence was low. With likely low risk and a significant potential benefit, we conditionally recommend implementation of a screening protocol to identify victims of IPV in adults treated in the emergency department and trauma centers. Although the purpose of screening would ultimately be to provide resources for victims, no studies that assessed distinct interventions met our inclusion criteria. Therefore, we cannot make specific recommendations related to IPV interventions.PROSPERO registration number CRD42020219517.
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spelling doaj-art-b576a1b7aede4daa99f73b0fae0448a12025-08-20T02:10:07ZengBMJ Publishing GroupTrauma Surgery & Acute Care Open2397-57762023-11-018110.1136/tsaco-2022-001041Screening and intervention for intimate partner violence at trauma centers and emergency departments: an evidence-based systematic review from the Eastern Association for the Surgery of TraumaHee Soo Jung0Rishi Rattan1Anna Goldenberg2Erin Chang3Stephanie Bonne4D'Andrea Joseph5Amanda L Teichman6Patrick B Murphy7Courtney Edwards8Christina Colosimo9Anna Liveris10Emily Lawson11Kathleen Fox12Jennifer J Freeman13Krista L Haines14Linda Dultz15Farheen A Qurashi16Nathan Polite17Rachel L Choron18Sandra Arabian19Andrew T Schramm20Hassan Naser A Mashbari21Randi N Smith22University of Wisconsin-Madison School of Medicine and Public Health, Madison, Wisconsin, USATrauma Surgery and Critical Care, University of Miami School of Medicine, Miami, Florida, USASickKids Research Institute, Toronto, Ontario, CanadaAcute Care Surgery, Loma Linda University Medical Center, Loma Linda, California, USASurgery, Hackensack Meridian Health Hackensack University Medical Center, Hackensack, New Jersey, USASurgery, NYU Langone Hospital-Long Island, Mineola, New York, USASurgery, Division of Acute Care Surgery, Rutgers Robert Wood Johnson Medical School, New Brunswick, New Jersey, USATrauma & Acute Care Surgery, Medical College of Wisconsin, Milwaukee, Wisconsin, USABurns, Trauma, Acute and Critical Care Surgery, Parkland Health and Hospital System, Dallas, Texas, USADepartment of Trauma, Sky Ridge Medical Center, Lone Tree, Colorado, USATrauma and Critical Care Services, Jacobi Medical Center, Bronx, New York, USAWoodruff Health Sciences Center Library, Emory University Woodruff Health Sciences Center, Atlanta, Georgia, USAWoodruff Health Sciences Center Library, Emory University Woodruff Health Sciences Center, Atlanta, Georgia, USADepartment of Surgery, TCU and UNTHSC School of Medicine, Fort Worth, Texas, USADepartment of Surgery, Duke University, Durham, North Carolina, USABurns, Trauma, Acute and Critical Care Surgery, The University of Texas Southwestern Medical Center, Dallas, Texas, USATrauma, LifeBridge Health, Baltimore, Maryland, USASurgery, University of South Alabama, Mobile, Alabama, USADivision of Acute Care Surgery, Rutgers Robert Wood Johnson Medical School, Piscataway, New Jersey, USATrauma and Emergency Surgery, Tufts Medical Center, Boston, Massachusetts, USASurgery, Medical College of Wisconsin, Milwaukee, Wisconsin, USASurgery, Jazan University, Jazan, Saudi ArabiaTrauma/Surgical Critical Care, Emory University School of Medicine, Atlanta, Georgia, USABackground Intimate partner violence (IPV) is a serious public health issue with a substantial burden on society. Screening and intervention practices vary widely and there are no standard guidelines. Our objective was to review research on current practices for IPV prevention in emergency departments and trauma centers in the USA and provide evidenced-based recommendations.Methods An evidence-based systematic review of the literature was conducted to address screening and intervention for IPV in adult trauma and emergency department patients. The Grading of Recommendations, Assessment, Development and Evaluations methodology was used to determine the quality of evidence. Studies were included if they addressed our prespecified population, intervention, control, and outcomes questions. Case reports, editorials, and abstracts were excluded from review.Results Seven studies met inclusion criteria. All seven were centered around screening for IPV; none addressed interventions when abuse was identified. Screening instruments varied across studies. Although it is unclear if one tool is more accurate than others, significantly more victims were identified when screening protocols were implemented compared with non-standardized approaches to identifying IPV victims.Conclusion Overall, there were very limited data addressing the topic of IPV screening and intervention in emergency medical settings, and the quality of the evidence was low. With likely low risk and a significant potential benefit, we conditionally recommend implementation of a screening protocol to identify victims of IPV in adults treated in the emergency department and trauma centers. Although the purpose of screening would ultimately be to provide resources for victims, no studies that assessed distinct interventions met our inclusion criteria. Therefore, we cannot make specific recommendations related to IPV interventions.PROSPERO registration number CRD42020219517.https://tsaco.bmj.com/content/8/1/e001041.full
spellingShingle Hee Soo Jung
Rishi Rattan
Anna Goldenberg
Erin Chang
Stephanie Bonne
D'Andrea Joseph
Amanda L Teichman
Patrick B Murphy
Courtney Edwards
Christina Colosimo
Anna Liveris
Emily Lawson
Kathleen Fox
Jennifer J Freeman
Krista L Haines
Linda Dultz
Farheen A Qurashi
Nathan Polite
Rachel L Choron
Sandra Arabian
Andrew T Schramm
Hassan Naser A Mashbari
Randi N Smith
Screening and intervention for intimate partner violence at trauma centers and emergency departments: an evidence-based systematic review from the Eastern Association for the Surgery of Trauma
Trauma Surgery & Acute Care Open
title Screening and intervention for intimate partner violence at trauma centers and emergency departments: an evidence-based systematic review from the Eastern Association for the Surgery of Trauma
title_full Screening and intervention for intimate partner violence at trauma centers and emergency departments: an evidence-based systematic review from the Eastern Association for the Surgery of Trauma
title_fullStr Screening and intervention for intimate partner violence at trauma centers and emergency departments: an evidence-based systematic review from the Eastern Association for the Surgery of Trauma
title_full_unstemmed Screening and intervention for intimate partner violence at trauma centers and emergency departments: an evidence-based systematic review from the Eastern Association for the Surgery of Trauma
title_short Screening and intervention for intimate partner violence at trauma centers and emergency departments: an evidence-based systematic review from the Eastern Association for the Surgery of Trauma
title_sort screening and intervention for intimate partner violence at trauma centers and emergency departments an evidence based systematic review from the eastern association for the surgery of trauma
url https://tsaco.bmj.com/content/8/1/e001041.full
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