Screening for partner violence: direct questioning or self-report?
OBJECTIVE
To compare the effectiveness of a self-report checklist with a standard set of direct questions in identifying women who are experiencing domestic partner violence.


METHODS
Medical records were reviewed for evidence of positive partner violence for women attending the Royal Brisbane and Women's Hospital prenatal clinic between August and September 2002.


RESULTS
Records (n = 1,596) were audited, and 937 (58.7%) contained both forms. The self-report check list identified a greater number of "cases" of partner violence (151) than the direct questions (66), with the level of agreement between the two instruments being only "fair" (Kappa coefficient.34). Each of the methods identified 7 cases of major abuse, which would have been missed if only 1 instrument had been used. All cases where women stated that they were afraid of their partner using the direct questions were also identified using the self-report checklist.


CONCLUSIONS
A self-report checklist is an effective alternative to direct questioning in detecting women who are experiencing partner violence and is acceptable to women.


METHODS
II-3
Webster
Joan
J
Level 6. Ned Hanlon Building, Royal Brisbane and Women's Hospital, Butterfield Street, Herston, Queensland 4029, Australia. joan_webster@health.qld.gov.au
Holt
Victoria
V
D000293:Adolescent; D000328:Adult; D001315:Australia / Q000453:epidemiology; D015331:Cohort Studies; D017579:Domestic Violence / Q000706:statistics & numerical data; D005260:Female; D006801:Humans; D015994:Incidence; D007398:Interpersonal Relations; D008403:Mass Screening / Q000379:methods*; D008423:Maternal Age; D010358:Patient Participation; D011247:Pregnancy; D018566:Pregnancy, High-Risk; D011295:Prenatal Care; D011336:Probability; D018570:Risk Assessment; D013179:Spouse Abuse / Q000706:statistics & numerical data*; D011795:Surveys and Questionnaires