Indian Journal of PsychiatryIndian Journal of Psychiatry
Home | About us | Current Issue | Archives | Ahead of Print | Submission | Instructions | Subscribe | Advertise | Contact | Login 
    Users online: 1705 Small font sizeDefault font sizeIncrease font size Print this article Email this article Bookmark this page


    Advanced search

    Similar in PUBMED
   Search Pubmed for
   Search in Google Scholar for
 Related articles
    Email Alert *
    Add to My List *
* Registration required (free)  

    Typologies of In...
    Factors That Per...
    Relevant Legisla...
    Screening of Int...
   Whom to Screen
   How to Screen

 Article Access Statistics
    PDF Downloaded354    
    Comments [Add]    

Recommend this journal


 Table of Contents    
Year : 2018  |  Volume : 60  |  Issue : 4  |  Page : 494-498
Intimate partner violence: Wounds are deeper

1 Department of Psychiatry, Command Hospital, Eastern Command, Kolkata, West Bengal, India
2 Department of Psychiatry, Katihar Medical College, Katihar, Bihar, India
3 Department of Psychiatry, INHS Asvini, Mumbai, Maharashtra, India

Click here for correspondence address and email

Date of Web Publication28-Nov-2018


Intimate partner violence claims millions of victims worldwide leading to infringement of fundamental human rights, serious physical and mental heath consequences and leading behind in its wake broken relationships and affected children. Despite its prevalence, its is not a well understood phenomenon. Through this article, we briefly review the literature on this subject; emphasizing on epidemiology and typologies of IPV, perpetuating factors and outcomes, the relevant legislations in India and the screening and intervention steps.

Keywords: Intervention, intimate partner violence, outcomes, screening, typologies

How to cite this article:
Patra P, Prakash J, Patra B, Khanna P. Intimate partner violence: Wounds are deeper. Indian J Psychiatry 2018;60:494-8

How to cite this URL:
Patra P, Prakash J, Patra B, Khanna P. Intimate partner violence: Wounds are deeper. Indian J Psychiatry [serial online] 2018 [cited 2021 Oct 16];60:494-8. Available from:

   Introduction Top

Intimate partner violence (IPV) is defined as any behavior within an intimate relationship (married, unmarried, and live-in) that causes physical, psychological, or sexual harm to those in that relationship. This definition encompasses physical, sexual, and psychological aggression/abuse or controlling behavior of any kind.[1] IPV differs conceptually from domestic violence. Domestic violence is defined as the physical, sexual, and emotional maltreatment of one family member by another.[2] It typically includes all types of family violence such as elder abuse, child abuse, and marital rape; however, IPV is limited to acts of aggression between intimate partners.[3] As females are more likely to be hurt in cases of IPV,[4],[5] male-to-female partner violence has been studied in much greater detail, though both male-to-female and female-to-male partner violence exist; and the rates of female-to-male partner violence equal or exceed male-to-female partner violence;[6],[7],[8] in general household population. Almost 50% of IPV are bidirectional, and the rest divided between male-to-female only and female-to-male only partner violence.[9],[10]

   Typologies of Intimate Partner Violence Top

(a) As per severity of the violence, IPV can be classified as follows: (i) Level I abuse: pushing, shoving, grabbing, throwing objects to intimidation or damage to property, and pets; (ii) Level II abuse: kicking, biting, and slapping; and (iii) Level III: use of a weapon, choking, or attempt to strangulate.[11] (b) As per different forms of violence, (i) intimate terrorism/patriarchal terrorism: aggression is predominantly male to female, serves to not only control and dominate the partner but also to instill fear; (ii) violent resistance: a situation where partner resists such aggression, often in self-defense, chances of injury to partner is more; and (iii) situational couple violence/common couple violence: aggression is bidirectional, low intensity and often consequent to a conflict situational rather than as a tool for controlling or self-defense.[12],[13] (c) As per type of male batters, (i) family-only batterers: engage in the least severe marital violence and be the least likely to engage in psychological and sexual abuse. Violence is generally restricted to family members; least likely to have related legal problems. Little psychopathology and either no personality disorder or a passive-dependent personality disorder; (ii) dysphoric/borderline batterers: engage in moderate-to-severe wife abuse including psychological and sexual abuse. They are dysphoric, psychologically distressed, and emotionally volatile. Likely to have borderline and schizoid personality characteristics and problems with alcohol and drug abuse; and (iii) violent/antisocial batterers: engage in moderate-to-severe levels of familial violence. Engage in the most extrafamilial aggression. Most likely to have related legal, alcohol, and drug-related problems. Most likely to have an antisocial personality disorder or psychopathy.[14]

   Epidemiology Top

One in three ever-partnered women worldwide has experienced physical and/or sexual violence by an intimate partner. Of these women, 42% sustained immediate physical injuries, and 13% were fatally injured.[15] Nearly 13%–61% of women have experienced physical violence by a partner sometime in their lifetime. About 4%–49% have experienced severe physical violence, and 6%–59% have experienced sexual violence.[16] The incidence across South Asia ranges between 8% and 50%, and almost 31% of Indian women have experienced IPV at some point in their marital life.[17],[18]

   Factors That Perpetuate Intimate Partner Violence Top

(a) Cultural: religious and historical traditions in the past have sanctioned the chastising and beating of wives particularly under the notion of entitlement and ownership of women. This, in turn, legitimizes control over women's sexuality. In many societies, a women's sexuality is linked to family honor. Traditional norms in these societies allow the killing of women who have been deemed to have brought dishonor to the family. Furthermore, acts of sexual violence against women are seen as a way of defiling enemies honor. Adverse childhood experiences, particularly witnessing domestic violence and experiencing physical and sexual abuse, have been identified as factors that put children at risk. Excessive consumption of alcohol and other drugs has also been noted as a consistent factor incident of IPV. (b) Economic: the link between violence and lack of economic resources and dependence is very evident. Risk and threat of violence prevent women from seeking jobs, and because of lack of financial independence, they are stuck in an abusive relationship. (c) Legal: law enforcement agencies frequently reinforce the batterers' attempts to control and demean their victims. In many cases, despite the legislation in place, the perpetrators of IPV are dealt with more leniently compared to perpetrators of similar violence with strangers. (d) Political: there is a false notion of family being private and beyond control of the state. The problem is compounded by the underrepresentation of women in power, politics, the media, and in the legal system.[19],[20] (e) Role of alcohol as follows: (i) Cultural factors: there is strongly prevalent belief in society that alcohol can encourage violent behavior after drinking and there is increasing the use of alcohol as an excuse for violent behavior. Discriminatory upbringing with poor self-esteem also condone abuse of females.[21] Furthermore, it may be that the association of IPV and alcohol is more concurrent and a manifestation of expression of masculinity on part of men.(ii) Personal factors: Heavy drinking, by itself can be a source of marital conflict and dissatisfaction which may lead to IPV. Alcohol per se may increase the distortions of power and control motives.[22] (iii) Pharmaco-Cognitive factors: Alcohol can by itself directly increase aggressiveness or can lead to various cognitive changes in the individual that make him prone to aggressiveness. Alcohol impairs one's ability to exert self-control, learning, and impair the ability to delay gratification which can lead to aggression.[22],[23] It also leads to severe difficulties in attention, concentration, cognitive flexibility, and executive cognitive functioning.[24],[25] (iv) Proximal and distal factors: proximal factors, such as pharmaco-cognitive effects of alcohol, social, and environmental cues, state anger can trigger IPV. Distal factors are those may themselves may not cause violence but under influence of proximal factors may lead to violence. Examples are personality, relationship characteristics, and traits such as anger and hostility.[22],[26],[27] (v) Contextual Factors: excessive alcohol drinking by one partner may precipitate or exacerbate marital disharmony, thereby increasing the risk of IPV.[22],[28] Alcohol may just be like adding fodder to a fire, that it be contributing rather than causing IPV.[29]

   Consequences/outcomes of Intimate Partner Violence Top

(a) Denial of fundamental rights and undermining of human development goals; (b) Health consequences lead to far-reaching physical and psychological consequences, some with fatal outcomes. IPV may result in injuries ranging from bruises and fractures to chronic disabilities, such as partial or total loss of hearing or vision, and burns may lead to disfigurement. Violence during pregnancy results in risk to the health of both the mother and the unborn fetus. Sexual assaults and rape can lead to unwanted pregnancies, and the dangerous complications that follow from resorting to illegal abortions. Girls, who have been sexually abused in their childhood, are more likely to engage in risky behavior such as early sexual intercourse and are at greater risk of unwanted and early pregnancies. Women in violent situations are less able to use contraception or negotiate safer sex, and therefore, run a high risk of contracting sexually transmitted diseases and HIV/AIDS. Furthermore, the victims have a high incidence of stress and stress-related illnesses.[20],[30] (c) Impact on children: children, who have witnessed violence or have themselves been victims, suffer adverse consequences. They may find difficulty in forming trusting bonds, may learn violence as a legitimate may of resolving conflicts and may end up accepting violence more easily than others.[20],[31] (d) Socioeconomic costs of violence: it includes both the direct and the indirect costs of the medical, legal, and community system involved in prevention, detection, and management of IPV.

   Relevant Legislations in India Top

(a) Rights enshrined in the constitution: Part III of the Constitution protects fundamental rights, including the right to life, which is the right to live a life with dignity and free from violence. (b) The Dowry Prohibition Act of 1961 and The Dowry Prohibition (Amendment) Acts in 1984 and 1986 (c) Section 498A to the Indian Penal Code (1983). Under this provision, husband (or his relatives) could face a fine and jail for up to 3 years. (d) In 1986, Section 304B was added to the IPC. It holds a woman's husband and in-laws criminally responsible for death under suspicious circumstances within 7 years of marriage (e) In 2005, the Parliament passed the Protection of Women from Domestic Violence Act. It allows women to seek injunctions and protective orders. It also offers criminal provisions for imprisonment and fines, which come into play when a perpetrator breaches a civil order. It covers all women in abusive relationships, regardless of the relationship of the perpetrator.[32],[33]

   Screening of Intimate Partner Violence Top

Up to 77% of women are often not screened for IPV.[34] It is more so when women are from lower economic strata and have no social support.[21],[35] As per a study majority (92%) of physically abused women do not report it to their physician.[36] But in few studies many of the abused women expressed the desire that their physicians should have enquired about any abuse suffered by them at the hand of their partners.[37],[38],[39] Low level of awareness about IPV and its magnitude, among the medical practitioners can be gauged from the fact that only 10% of primary physicians routinely screen for it.[40] IPV can have serious mental and physical health consequences for the victim.[41],[42] It also adds a great financial burden to the society at large.[43] Screening for IPV will enable the victim to recognize the problem even if they may not be ready to accept help at that point of time,[44] leads to improved quality of life and fewer violence-related injuries,[45],[46] and reduces the financial strain[43] on a developing economy such as ours.

   Whom to Screen Top

Victims of IPV are not limited by cast, creed, and demographic profile or sociodemographic profile. It is not practical to predict the victims of IPV.[46],[47] Medical personnel must be aware of the risk factors of IPV and be adequate empowered to screen it. Risk of IPV does not increase with screening.[48] In fact, screening provides the victims an early opportunity to be aware and utilize the community resources.[49],[50] Hence, it is a desirable practice to screen all patients for partner violence, especially ones, with history and physical findings suggestive of abuse such as frequent visits to the emergency room,[51] inconsistent explanation of injuries or delay in seeking treatment,[52] head and neck injuries,[53] and vague somatic complaints.[54]

   How to Screen Top

Screening can be either an interview by the medical personnel or a questionnaire filled by the patient, although some studies have indicated the superiority of questionnaires.[55],[56] Some of the common questionnaires/tools for screening are as follows: (a) The HITS screen.[57] It is a four-item scale (hurt, insult, threaten, and scream). It has a Likert scoring system (1–5). The score ranges from four to a maximum of 20. A score of 10 or more is considered diagnostic of abuse. (b) STaT screen (slapped, threatened, and throw) – this is a highly sensitive tool to screen IPV. A score of ≥1 is positive screening 95% for detection of lifetime IPV.[58] (c) Other similarly useful tools are as follows: Woman Abuse Screening Tool, Women's Experience with Battering scale,[59] Conflicts Tactics Scale,[60] and The Abuse Assessment Scale.[55] It is a five-item scale specially made to detect abuse among pregnant women.

   Interventions/reporting Top

Listen in an empathetic, nonjudgmental manner. Confiding in someone itself is associated with reduced rates of abuse.[61] Victims are more empowered to help themselves if they have a healthy trusting relationship with the doctor.[62] Awareness and implementation of safety behavior protocol help in reducing the incidents of abuse.[63] It is essential for both the doctor and the victim to be able to access the immediate and long-term risk[45] from the perpetrator and take necessary legal steps such as obtaining a protection order as studies have shown that victims with protection order are less likely to be attacked again.[64],[65] Furthermore, utilizing community resources, such as nongovernmental organizations or shelters, reduce the risk of further abuse.[46] It must be explained to victims that the abuse is against the law. While police contact must be offered, the healthcare professional must not impose on the patient to make any decisions about who they disclose the information to. Furthermore, it is much easier to contact the police from the relative safety of the A and E Department than at home. Although refusal of police contact is common, the healthcare professional must guard against frustration as the cause could range from fear of further abuse, financial dependence, concerns about children, and self-blame.[46] In addition, there are many agencies who offer help to the victims without the necessity of police intervention. Making available leaflets with details of such agencies and other useful advices, in public places such as malls, public transportation systems, and bathrooms may go a long way in improving the plight of the victims.

   Conclusion Top

IPV is a serious and widely prevalent problem which is usually underrecognized. It puts the victim at risk for physical and psychological harm in addition of draining the limited resources of a developing country such as ours. The problem is compounded by various cultural, political, legal, and economic factors. Substance abuse, especially alcohol, is closely relayed to incidents of IPV. There is a need to sensitize the community, especially the medical system, which will enable prevention, early screening, and intervention in such cases.

Financial support and sponsorship


Conflicts of interest

There are no conflicts of interest.

   References Top

Krug EG, Dahlberg LL, Mercy JA, Zwi AB, Lozano R. World Report on Violence and Health. Geneva: World Health Organization; 2002.  Back to cited text no. 1
American Psychological Association. Violence and the Family. Report of the APA Presidential Task Force on Violence and the Family. Washington, DC, USA: American Psychological Association; 1996.  Back to cited text no. 2
Cunradi CB. Neighborhoods, alcohol outlets and intimate partner violence: Addressing research gaps in explanatory mechanisms. Int J Environ Res Public Health 2010;7:799-813.  Back to cited text no. 3
Archer J. Sex differences in aggression between heterosexual partners: A meta-analytic review. Psychol Bull 2000;126:651-80.  Back to cited text no. 4
Morse BJ. Beyond the conflict tactics scale: Assessing gender differences in partner violence. Violence Vict 1995;10:251-72.  Back to cited text no. 5
Schafer J, Caetano R, Clark CL. Rates of intimate partner violence in the United States. Am J Public Health 1998;88:1702-4.  Back to cited text no. 6
Cunradi CB. Drinking level, neighborhood social disorder, and mutual intimate partner violence. Alcohol Clin Exp Res 2007;31:1012-9.  Back to cited text no. 7
Straus MA. Trends in cultural norms and rates of partner violence: An update to 1992. In: Stith SM, Straus MA, editors. Understanding Partner Violence: Prevalence, Causes, Consequences and Solutions. Minneapolis, MN, USA; National Council on Family Relations; 1995.  Back to cited text no. 8
Straus MA. Women's violence toward men is a serious social problem. In: Loseke DR, Gelles RJ, Cavanaugh MM, editors. Current Controversies on Family Violence. Newbury Park, NJ, USA: Sage Publications; 2005.  Back to cited text no. 9
Caetano R, Ramisetty-Mikler S, Field CA. Unidirectional and bidirectional intimate partner violence among white, black, and Hispanic couples in the United States. Violence Vict 2005;20:393-406.  Back to cited text no. 10
World Health Organization/London School of Hygiene and Tropical Medicine. Preventing Intimate Partner and Sexual Violence against Women: Acting and Generating Evidence. Geneva: World Health Organization; 2010.  Back to cited text no. 11
Johnson M. Patriarchal terrorism and common couple violence: Two forms of violence against women. J Marr Fam 1995;57:283-94.  Back to cited text no. 12
Johnson MP. Violence and abuse in personal relationships: Conflict, terror and resistance in intimate partnerships. In: Vangelish AL, Perlman D, editors. The Cambridge Handbook of Personal Relationships. New York: Cambridge University Press; 2006. p. 557-8.  Back to cited text no. 13
Holtzworth-Munroe A, Stuart GL. Typologies of male batterers: Three subtypes and the differences among them. Psychol Bull 1994;116:476-97.  Back to cited text no. 14
World Health Organization. Global and Regional Estimates of Violence against Women: Prevalence and Health Effects of Intimate Partner Violence and Non-Partner Sexual Violence. Geneva, Switzerland: World Health Organization; 2013.  Back to cited text no. 15
García-Moreno C, Jansen HA, Ellsberg M, Heise L, Watts C. WHO Multi-Country Study on Women's Health and Domestic Violence against Women: Initial Results on Prevalence, Health Outcomes and Women's Responses. Geneva: World Health Organization; 2005.  Back to cited text no. 16
Kumar S, Jeyaseelan L, Suresh S, Ahuja RC. Domestic violence and its mental health correlates in Indian women. Br J Psychiatry 2005;187:62-7.  Back to cited text no. 17
Kimuna SR, Djamba YK, Ciciurkaite G, Cherukuri S. Domestic violence in India: Insights from the 2005-2006 National Family Health Survey. J Interpers Violence 2013;28:773-807.  Back to cited text no. 18
Heise LL, Pitanguy J, Germaine A. Violence against Women. The Hidden Health Burden. Discussion paper No. 225. Washington, DC: The World Bank; 1994. p. 46.  Back to cited text no. 19
Innocenti Digest. Domestic Violence against Women and Children. No. 6. June, 2000.  Back to cited text no. 20
Khosla AH, Dua D, Devi L, Sud SS. Domestic violence in pregnancy in North Indian women. Indian J Med Sci 2005;59:195-9.  Back to cited text no. 21
[PUBMED]  [Full text]  
Ramadugu S, Jayaram PV, Srivastava K, Chatterjee K, Madhusudan T. Understanding intimate partner violence and its correlates. Ind Psychiatry J 2015;24:172-8.  Back to cited text no. 22
[PUBMED]  [Full text]  
Gustafson R. Alcohol and aggression. J Offender Rehabil 1994;21:41-80.  Back to cited text no. 23
Giancola PR. Executive functioning and alcohol-related aggression. J Abnormal Psychol 2004;113:541-55.  Back to cited text no. 24
Smith CA, Elwyn LJ, Ireland TO, Thornberry TP. Impact of adolescent exposure to intimate partner violence on substance use in early adulthood. J Stud Alcohol Drugs 2010;71:219-30.  Back to cited text no. 25
Leonard KE. Drinking patters and intoxication in marital violence: Review, critique and future directions for research. US Department of Health and Human Services. Research Monograph 24: Alcohol and Interpersonal Violence: Fostering Multidisciplinary Perspectives. NIH Publication No. 93-3496. Rockville, MD: National Institutes of Health; 1993. p. 253-80.  Back to cited text no. 26
Leonard KE. Domestic violence and alcohol: What is known and what do we need to know to encourage environmental interventions? J Substance Use 2001;6:235-45.  Back to cited text no. 27
Shillington AM, Cottler LB, Compton WM, Spitznagel EL. Is there a relationship between heavy alcohol use and HIV high risk sexual behaviors among general population subjects? Int J Addict 1995;30:1453-78.  Back to cited text no. 28
McCord J. Consideration of causes in alcohol related violence. In: Martin SE, editor. Alcohol & Interpersonal Violence; Fostering Multidisciplinary Perspectives. Vol. 24. NIAAA Research Monograph; 1993. p. 71-9.  Back to cited text no. 29
Tjaden P, Thoennes N. Full Report of the Prevalence, Incidence and Consequences of Violence Against Women: Research Report. Washington, DC; National Institute of Justice; 2000. NCJ 183781.  Back to cited text no. 30
Jaffe PG, Wolfe DA, Wilson SK. Children of Battered Women. Developmental Clinical Psychology and Psychiatry. Vol. 21. California: Sage Publications; 1990.  Back to cited text no. 31
Abeyratne R, Jain D. Domestic Violence Legislation in India: The Pitfalls of a Human Rights Approach to Gender Equality. J Gender Soc Policy Law 2012;21:(2).  Back to cited text no. 32
Seema Durrany. The Protection of Women from Domestic Violence Act, 2005; Indian Social Institute, New Delhi, 2006.  Back to cited text no. 33
Weinsheimer RL, Schermer CR, Malcoe LH, Balduf LM, Bloomfield LA. Severe intimate partner violence and alcohol use among female trauma patients. J Trauma 2005;58:22-9.  Back to cited text no. 34
D'Costa G, Nazareth I, Naik D, Vaidya R, Levy G, Patel V, et al. Harmful alcohol use in Goa, India, and its associations with violence: A study in primary care. Alcohol Alcohol 2007;42:131-7.  Back to cited text no. 35
The Commonwealth Fund National Survey. First Comprehensive National Survey of American Women finds them at Significant Risk. New York: Commonwealth Fund; 1993.  Back to cited text no. 36
Fogarty CT, Burge S, McCord EC. Communicating with patients about intimate partner violence: Screening and interviewing approaches. Fam Med 2002;34:369-75.  Back to cited text no. 37
Rodriguez MA, Quiroga SS, Bauer HM. Breaking the silence. Battered women's perspectives on medical care. Arch Fam Med 1996;5:153-8.  Back to cited text no. 38
Rodríguez MA, Sheldon WR, Bauer HM, Pérez-Stable EJ. The factors associated with disclosure of intimate partner abuse to clinicians. J Fam Pract 2001;50:338-44.  Back to cited text no. 39
Elliott L, Nerney M, Jones T, Friedmann PD. Barriers to screening for domestic violence. J Gen Intern Med 2002;17:112-6.  Back to cited text no. 40
US Bureau of Justice Statistics. Highlights from 20 Years of Surveying Crime Victims: The National Crime Victimization Survey, 1973–1992. Washington, DC: US Department of Justice; 1993.  Back to cited text no. 41
Berrios DC, Grady D. Domestic violence: Risk factors and outcome. West J Med 1991;155:133-5.  Back to cited text no. 42
Koss MP, Woodruff WJ, Koss PG. Relation of criminal victimization to health perceptions among women medical patients. J Consult Clin Psychol 1990;58:147-52.  Back to cited text no. 43
Nicolaidis C. The voices of survivors' documentary. Using patient narrative to educate physicians about domestic violence. J Gen Intern Med2002;17:117-24.  Back to cited text no. 44
McFarlane J, Parker B, Soeken K, Silva C, Reel S. Safety behaviors of abused women after an intervention during pregnancy. J Obstet Gynecol Neonatal Nurs 1998;27:64-9.  Back to cited text no. 45
Sullivan CM, Bybee DI. Reducing violence using community-based advocacy for women with abusive partners. J Consult Clin Psychol 1999;67:43-53.  Back to cited text no. 46
Saunders DG, Hamberger LK, Hovey M. Indicators of woman abuse based on a chart review at a family practice center. Arch Fam Med 1993;2:537-43.  Back to cited text no. 47
Wasson JH, Jette AM, Anderson J, Johnson DJ, Nelson EC, Kilo CM, et al. Routine, single-item screening to identify abusive relationships in women. J Fam Pract 2000;49:1017-22.  Back to cited text no. 48
Ramsay J, Richardson J, Carter YH, Davidson LL, Feder G. Should health professionals screen women for domestic violence? Systematic review. BMJ 2002;325:314.  Back to cited text no. 49
Glass N, Dearwater S, Campbell J. Intimate partner violence screening and intervention: Data from eleven Pennsylvania and California community hospital emergency departments. J Emerg Nurs2001;27:141-9.  Back to cited text no. 50
Thompson RS, Rivara FP, Thompson DC, Barlow WE, Sugg NK, Maiuro RD, et al. Identification and management of domestic violence: A randomized trial. Am J Prev Med 2000;19:253-63.  Back to cited text no. 51
Bergman B, Brismar B. A 5-year follow-up study of 117 battered women. Am J Public Health 1991;81:1486-9.  Back to cited text no. 52
Fanslow JL, Norton RN, Spinola CG. Indicators of assault-related injuries among women presenting to the emergency department. Ann Emerg Med 1998;32:341-8.  Back to cited text no. 53
Muelleman RL, Lenaghan PA, Pakieser RA. Battered women: Injury locations and types. Ann Emerg Med 1996;28:486-92.  Back to cited text no. 54
Drossman DA, Leserman J, Nachman G, Li ZM, Gluck H, Toomey TC, et al. Sexual and physical abuse in women with functional or organic gastrointestinal disorders. Ann Intern Med 1990;113:828-33.  Back to cited text no. 55
McFarlane J, Christoffel K, Bateman L, Miller V, Bullock L. Assessing for abuse: Self-report versus nurse interview. Public Health Nurs 1991;8:245-50.  Back to cited text no. 56
Canterino JC, VanHorn LG, Harrigan JT, Ananth CV, Vintzileos AM. Domestic abuse in pregnancy: A comparison of a self-completed domestic abuse questionnaire with a directed interview. Am J Obstet Gynecol 1999;181:1049-51.  Back to cited text no. 57
Sherin KM, Sinacore JM, Li XQ, Zitter RE, Shakil A. HITS: A short domestic violence screening tool for use in a family practice setting. Fam Med 1998;30:508-12.  Back to cited text no. 58
Paranjape A, Rask K, Liebschutz J. Utility of STaT for the identification of recent intimate partner violence. J Natl Med Assoc 2006;98:1663-9.  Back to cited text no. 59
Coker AL, Pope BO, Smith PH, Sanderson M, Hussey JR. Assessment of clinical partner violence screening tools. J Am Med Womens Assoc (1972) 2001;56:19-23.  Back to cited text no. 60
Peedicayil A, Sadowski LS, Jeyaseelan L, Shankar V, Jain D, Suresh S, et al. Spousal physical violence against women during pregnancy. Int J Obst Gynecol 2004;111:682-7.  Back to cited text no. 61
Straus HE, Rydman RJ, Roberts RR, Guonjian EH, Couture E, Kampe LM. A three months prospective outcomes study of recently abused women. Acad Emerg Med 2001;8:461.  Back to cited text no. 62
Gerbert B, Caspers N, Milliken N, Berlin M, Bronstone A, Moe J, et al. Interventions that help victims of domestic violence. A qualitative analysis of physicians' experiences. J Fam Pract 2000;49:889-95.  Back to cited text no. 63
Campbell JC. Nursing assessment for risk of homicide with battered women. ANS Adv Nurs Sci 1986;8:36-51.  Back to cited text no. 64
Holt VL, Kernic MA, Lumley T, Wolf ME, Rivara FP. Civil protection orders and risk of subsequent police-reported violence. JAMA 2002;288:589-94.  Back to cited text no. 65

Correspondence Address:
Prof. Jyoti Prakash
Department of Psychiatry, Command Hospital, Eastern Command, Alipore Road, Kolkata - 700 027, West Bengal
Login to access the Email id

Source of Support: None, Conflict of Interest: None

DOI: 10.4103/psychiatry.IndianJPsychiatry_74_17

Rights and Permissions