Domestic Abuse

Question 1

What are the forms of domestic abuse?

Answer 1

Psychological
Sexual - stalking etc.
Physical
Financial
Emotional
Controlling

Question 2

What American model can be used to reduce domestic violence against women?

Answer 2

Duluth model

Question 3

Complications of domestic abuse?

Answer 3

Traumatic injuries i.e fractures/miscarriage
Somatic problems or chronic illness i.e IBS, headaches
Psychological or psychosocial problems i.e depression, PTSD

Question 4

What tool to assess risk of serious harm in domestic abuse?

Answer 4

DASH tool

Question 5

What can you do as GPs to respond to domestic abuse?

Answer 5

Display Helpline posters and contact cards
Focus on patient’s safety
Ask direct questions
Acknowledge and be clear that the behaviour is not okay

Question 6

What should you not do?

Answer 6

Do not ask about domestic abuse in front of family members
Do not tell them what to do - empower them
Do not assume someone will take care of things

Question 7

What do you do for risk stratification?

Answer 7

Standard/Medium - refer to domestic abuse services

High - Refer to Multi-Agency Risk Assessment Conference (MARAC)/ IDVAS

Question 8

What are 3 indications of domestic abuse?

Answer 8

Not witnessed by anyone else
Repeated admissions to GP + A and E
Multiple minor injuries