Violence

Question 1

Lifetime prevalence of physical + sexual violence

Answer 1

25% (women) vs. 8% (men)

Question 2

Lifetime prevalence of sexual assault

Answer 2

18% (women) vs. 1.5% (men)

Question 3

Percentage of homicides due to IPV

Answer 3

33% (women) vs. 4% (men)

Question 4

Risk factors associated with being abused

Answer 4

Pregnancy (prevalence of IPV is 10% and is the leading cause of mortality)

Young age

Single, separated, or divorced

Question 5

Non-causal factors associated with being abused

Answer 5

Mental illness
Drug / alcohol use
Poor health / chronic pain
Health-seeking behavior

Question 6

Risk factors associated with becoming an abuser

Answer 6

Alcohol drugs (esp. stimulants)
Firearms
Marital conflict / instability; poor family functioning 
Social isolation 
< HS education 
Abuse as child
Young age 
Low income / economic stress

Question 7

Primary prevention of IPV

Answer 7

Aimed at reducing the incidence of IPV

i.e. Education of adolescents about healthy relationships

Question 8

Secondary prevention of IPV

Answer 8

Aimed at preventing injury once IPV has occurred

i.e. IPV screening so that early intervention can prevent serious injuries / illnesses

Question 9

Physician responsibilities in the managemenet of IPV

Answer 9

1. Ask routinely
2. Identify (diagnose)
3. Validate patient’s experience
4. Engage patient in reflection
5. Assess safety
6. Document and refer

Question 10

Batterer Intervention Programs - Outcomes

Answer 10

50 - 85% of men who complete programs remain non-violent for up to 2 years

Question 11

Batterer Intervention Programs - Content models (2)

Answer 11

1. Feminist (Duluth) Model - targets men’s view of women and their beliefs about a “right” to control relationships
2. Cognitive Behavioral Therapy - based on the assumption that batterers lack skills in relationships

Question 12

IPV - CO reporting requirements

Answer 12

All acute injuries thought to be due to IPV must be reported to the police in the jurisdiction of your office (not the jurisdiction where the injury occurred)

Exception: If reporting will directly increase risk to a victim it may be reasonable to defer or delay; this should be clearly documented

Question 13

Elder abuse - CO reporting requirements

Answer 13

Must report abuse (physical or sexual), caretaker neglect, or exploitation (including financial) of any at-risk elder (any person age 70+)