TY - JOUR
T1 - Universal screening for intimate partner and sexual violence in trauma patients
T2 - An EAST multicenter trial
AU - Zakrison, Tanya L.
AU - Ruiz, Xiomara
AU - Gelbard, Rondi
AU - Cline, John
AU - Turay, David
AU - Luo-Owen, Xian
AU - Namias, Nicholas
AU - Crandall, Marie
AU - George, Jessica
AU - Williams, Brian H.
N1 - Publisher Copyright:
Copyright © 2017 Wolters Kluwer Health, Inc. All rights reserved.
PY - 2017/7/1
Y1 - 2017/7/1
N2 - BACKGROUND: A single-center trial recently demonstrated a prevalence of 14% of intimate partner and sexual violence (IPSV) among both male and female trauma patients, regardless of mechanism of injury. We aimed to determine if this phenomenon was similar to rates in other trauma centers by assessing the feasibility of universal screening and determining the prevalence and association of IPSV with other trauma-associated comorbidities.METHODS: We designed an Eastern Association for the Surgery of Trauma-supported multicenter, prospective observational cohort study involving four Level I trauma centers throughout the United States. Screening occurred from March 2015 to April 2016. We performed universal screening of adult trauma patients using the validated HITS (Hurt, Insult, Threaten, Scream) and SAVE (sexual violence) screening surveys. Trauma recidivism, substance use, and mental illness were also measured and were classified as "trauma-associated comorbidities." Chi-squared test compared categorical variables with significance at p <0.05. Parametric data is presented as mean ± standard deviation.RESULTS: A total of 2,034 eligible trauma patients were screened by clinical social workers at each site over 1 year. The mean age was 37.05 ± 20.32 with 63% men, 37% women, and one transgendered participant. The overall rate of IPSV was 11.4%. The proportion of positive screens for men was 9.3%, with variability between centers (3.8-72.7%), and for women was 16.1% (15.3-50.0%) (p < 0.001). The transgendered patient screened positive for IPSV. Of patients who screened positive for IPSV, 60.0% had one or more trauma-associated comorbidity compared to 15.1% of patients who screened negative (p < 0.001).CONCLUSION: More than one in nine trauma patients is at risk of IPSV, regardless of gender or mechanism of injury. IPSV may be a risk factor for other trauma-associated comorbidities.LEVEL OF EVIDENCE: Prognostic/Epidemiologic, level II; Care Management, level III.
AB - BACKGROUND: A single-center trial recently demonstrated a prevalence of 14% of intimate partner and sexual violence (IPSV) among both male and female trauma patients, regardless of mechanism of injury. We aimed to determine if this phenomenon was similar to rates in other trauma centers by assessing the feasibility of universal screening and determining the prevalence and association of IPSV with other trauma-associated comorbidities.METHODS: We designed an Eastern Association for the Surgery of Trauma-supported multicenter, prospective observational cohort study involving four Level I trauma centers throughout the United States. Screening occurred from March 2015 to April 2016. We performed universal screening of adult trauma patients using the validated HITS (Hurt, Insult, Threaten, Scream) and SAVE (sexual violence) screening surveys. Trauma recidivism, substance use, and mental illness were also measured and were classified as "trauma-associated comorbidities." Chi-squared test compared categorical variables with significance at p <0.05. Parametric data is presented as mean ± standard deviation.RESULTS: A total of 2,034 eligible trauma patients were screened by clinical social workers at each site over 1 year. The mean age was 37.05 ± 20.32 with 63% men, 37% women, and one transgendered participant. The overall rate of IPSV was 11.4%. The proportion of positive screens for men was 9.3%, with variability between centers (3.8-72.7%), and for women was 16.1% (15.3-50.0%) (p < 0.001). The transgendered patient screened positive for IPSV. Of patients who screened positive for IPSV, 60.0% had one or more trauma-associated comorbidity compared to 15.1% of patients who screened negative (p < 0.001).CONCLUSION: More than one in nine trauma patients is at risk of IPSV, regardless of gender or mechanism of injury. IPSV may be a risk factor for other trauma-associated comorbidities.LEVEL OF EVIDENCE: Prognostic/Epidemiologic, level II; Care Management, level III.
KW - Intimate partner violence
KW - recidivism
KW - sexual violence
KW - trauma
KW - universal
KW - Sex Offenses/statistics & numerical data
KW - Prevalence
KW - Prospective Studies
KW - Cross-Sectional Studies
KW - Humans
KW - Risk Factors
KW - Trauma Centers
KW - Wounds and Injuries/epidemiology
KW - Male
KW - Intimate Partner Violence/statistics & numerical data
KW - United States/epidemiology
KW - Adult
KW - Female
KW - Mass Screening/methods
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UR - http://www.scopus.com/inward/citedby.url?scp=85018512535&partnerID=8YFLogxK
UR - https://www.mendeley.com/catalogue/b1dc2072-3550-3894-a140-00f489618a00/
U2 - 10.1097/TA.0000000000001495
DO - 10.1097/TA.0000000000001495
M3 - Article
C2 - 28426560
SN - 2163-0755
VL - 83
SP - 105
EP - 110
JO - Journal of Trauma and Acute Care Surgery
JF - Journal of Trauma and Acute Care Surgery
IS - 1
ER -