Use culturally/linguistically appropriate language
Document findings
Include any description of incident
Use body map
File reports when required under law
Assess safety
Escalating frequency/severity of violence
Threats of homicide/suicide
Weapons used or available
Review options and referrals
Become familiar with variety of resources
Let the patient decide what is the safest option
Framing Questions:
"Because violence is so common in many people's lives, I've begun to ask all of my patients about it"
"I am concerned that your symptoms may have been caused by someone hurting you"
"I don't know if this is (or ever has been a problem for you, but many of the patients I see are dealing with abusive relationships. Some are too afraid or uncomfortable to bring it up themselves, so I've started asking about it routinely.
Direct Verbal Questions:
"Are you in a relationship with a person who physically hurts or threatens you?"
"Did someone cause these injuries? Was it your partner/husband?"
"Has your partner or ex-partner ever hit or physically hurt you?"
"Do you (or did you ever) fell controlled or isolated by your partner?"
"Do you ever feel afraid of your partner? Do you feel you are in danger?"
"Is it safe for you to go home?"
"Has your partner ever forced you to have sex when you didn't want to? Has your partner ever refused to practice safe sex?"
"Has any of this happened to you in previous relationships?"
