Improving the emergency department detection rate of domestic violence using direct questioning

The purpose of this study was to compare the domestic violence (DV) rate id entified with simple direct questioning to a historical cohort of patients receiving routine emergency department (ED) care. One thousand ED charts of female patients were retrospectively reviewed. Each patient in the prospec tive cohort was asked five DV specific questions. The historical cohort rev ealed a DV prevalence rate of 0.4%. The prospective study group of 302 pati ents identified 11 (3.6%) patients who admitted to acute DV on direct quest ioning. Ten of these patients accepted help. Twenty (6.6%) were identified as probable DV and 12 (4%) admitted to past violence. The total number of v ictims of DV, past, present, and probable was 43 (14.2%). This increase in detection from 0.4% (4/1000) to 14.2% (43/302) is significant at p < 0.001. Only 1.3% of patients refused to participate in the DV specific questions. The conclusion of the study indicated that the use of simple, direct quest ioning significantly improves the detection rate of DV in the ED. (C) 2000 Elsevier Science Inc.