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J Natl Med Assoc. 2006 October; 98(10): 1663–1669.
PMCID: PMC2569753

Utility of STaT for the identification of recent intimate partner violence.


Intimate partner violence (IPV) is an important issue with far-reaching health consequences. This study investigates the utility of STaT, a three-question IPV screening tool, for recent IPV identification in a sample of adult women in an innercity urgent care clinic. STaT score was calculated as the total number of affirmative responses to the three questions. Efficacy of STaT as an IPV screen was estimated by computing the sensitivity and specificity at possible cut points, based on participant's STaT score, and using Index of Spouse Abuse scores as a comparison standard. The sensitivities of STaT were 94.9%, 84.8% and 62% with the cut points set at scores of 1, 2 and 3, respectively. Thus, with the criterion for a positive screen set at a cut-point score of 1, STaT can be used to facilitate the identification of abused women in busy public healthcare settings.

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  • Abbott J, Johnson R, Koziol-McLain J, Lowenstein SR. Domestic violence against women. Incidence and prevalence in an emergency department population. JAMA. 1995 Jun 14;273(22):1763–1767. [PubMed]
  • Dearwater SR, Coben JH, Campbell JC, Nah G, Glass N, McLoughlin E, Bekemeier B. Prevalence of intimate partner abuse in women treated at community hospital emergency departments. JAMA. 1998 Aug 5;280(5):433–438. [PubMed]
  • Ernst AA, Nick TG, Weiss SJ, Houry D, Mills T. Domestic violence in an inner-city ED. Ann Emerg Med. 1997 Aug;30(2):190–197. [PubMed]
  • Gin NE, Rucker L, Frayne S, Cygan R, Hubbell FA. Prevalence of domestic violence among patients in three ambulatory care internal medicine clinics. J Gen Intern Med. 1991 Jul-Aug;6(4):317–322. [PubMed]
  • McGrath ME, Hogan JW, Peipert JF. A prevalence survey of abuse and screening for abuse in urgent care patients. Obstet Gynecol. 1998 Apr;91(4):511–514. [PubMed]
  • McKenzie KC, Burns RB, McCarthy EP, Freund KM. Prevalence of domestic violence in an inpatient female population. J Gen Intern Med. 1998 Apr;13(4):277–279. [PMC free article] [PubMed]
  • Plichta SB, Falik M. Prevalence of violence and its implications for women's health. Womens Health Issues. 2001 May-Jun;11(3):244–258. [PubMed]
  • Bauer HM, Rodríguez MA, Pérez-Stable EJ. Prevalence and determinants of intimate partner abuse among public hospital primary care patients. J Gen Intern Med. 2000 Nov;15(11):811–817. [PMC free article] [PubMed]
  • Domino JV, Haber JD. Prior physical and sexual abuse in women with chronic headache: clinical correlates. Headache. 1987 Jun;27(6):310–314. [PubMed]
  • Drossman DA, Leserman J, Nachman G, Li ZM, Gluck H, Toomey TC, Mitchell CM. Sexual and physical abuse in women with functional or organic gastrointestinal disorders. Ann Intern Med. 1990 Dec 1;113(11):828–833. [PubMed]
  • Rapkin AJ, Kames LD, Darke LL, Stampler FM, Naliboff BD. History of physical and sexual abuse in women with chronic pelvic pain. Obstet Gynecol. 1990 Jul;76(1):92–96. [PubMed]
  • Kaslow Nadine J, Thompson Martie P, Okun Alexandra, Price Ann, Young Sharon, Bender Marnette, Wyckoff Sarah, Twomey Heather, Goldin Jennifer, Parker Ruth. Risk and protective factors for suicidal behavior in abused African American women. J Consult Clin Psychol. 2002 Apr;70(2):311–319. [PubMed]
  • McCauley J, Kern DE, Kolodner K, Derogatis LR, Bass EB. Relation of low-severity violence to women's health. J Gen Intern Med. 1998 Oct;13(10):687–691. [PMC free article] [PubMed]
  • Frayne SM, Skinner KM, Sullivan LM, Tripp TJ, Hankin CS, Kressin NR, Miller DR. Medical profile of women Veterans Administration outpatients who report a history of sexual assault occurring while in the military. J Womens Health Gend Based Med. 1999 Jul-Aug;8(6):835–845. [PubMed]
  • Brokaw Jennifer, Fullerton-Gleason Lynne, Olson Lenora, Crandall Cameron, McLaughlin Steven, Sklar David. Health status and intimate partner violence: a cross-sectional study. Ann Emerg Med. 2002 Jan;39(1):31–38. [PubMed]
  • Coker AL, Smith PH, Bethea L, King MR, McKeown RE. Physical health consequences of physical and psychological intimate partner violence. Arch Fam Med. 2000 May;9(5):451–457. [PubMed]
  • Hathaway JE, Mucci LA, Silverman JG, Brooks DR, Mathews R, Pavlos CA. Health status and health care use of Massachusetts women reporting partner abuse. Am J Prev Med. 2000 Nov;19(4):302–307. [PubMed]
  • Bergman B, Brismar B, Nordin C. Utilisation of medical care by abused women. BMJ. 1992 Jul 4;305(6844):27–28. [PMC free article] [PubMed]
  • Kernic MA, Wolf ME, Holt VL. Rates and relative risk of hospital admission among women in violent intimate partner relationships. Am J Public Health. 2000 Sep;90(9):1416–1420. [PubMed]
  • Liebschutz JM, Mulvey KP, Samet JH. Victimization among substance-abusing women. Worse health outcomes. Arch Intern Med. 1997 May 26;157(10):1093–1097. [PubMed]
  • Ulrich Yvonne C, Cain Kevin C, Sugg Nancy K, Rivara Frederick P, Rubanowice David M, Thompson Robert S. Medical care utilization patterns in women with diagnosed domestic violence. Am J Prev Med. 2003 Jan;24(1):9–15. [PubMed]
  • Wisner CL, Gilmer TP, Saltzman LE, Zink TM. Intimate partner violence against women: do victims cost health plans more? J Fam Pract. 1999 Jun;48(6):439–443. [PubMed]
  • Randall T. ACOG renews domestic violence campaign, calls for changes in medical school curricula. JAMA. 1992 Jun 17;267(23):3131–3131. [PubMed]
  • Nelson Heidi D, Nygren Peggy, McInerney Yasmin, Klein Jonathan. Screening women and elderly adults for family and intimate partner violence: a review of the evidence for the U. S. Preventive Services Task Force. Ann Intern Med. 2004 Mar 2;140(5):387–396. [PubMed]
  • Ramsay Jean, Richardson Jo, Carter Yvonne H, Davidson Leslie L, Feder Gene. Should health professionals screen women for domestic violence? Systematic review. BMJ. 2002 Aug 10;325(7359):314–314. [PMC free article] [PubMed]
  • Lachs Mark S. Screening for family violence: what's an evidence-based doctor to do? Ann Intern Med. 2004 Mar 2;140(5):399–400. [PubMed]
  • Bradley Fiona, Smith Mary, Long Jean, O'Dowd Tom. Reported frequency of domestic violence: cross sectional survey of women attending general practice. BMJ. 2002 Feb 2;324(7332):271–271. [PMC free article] [PubMed]
  • Chamberlain Linda, Perham-Hester Katherine A. The impact of perceived barriers on primary care physicians' screening practices for female partner abuse. Women Health. 2002;35(2-3):55–69. [PubMed]
  • Friedman LS, Samet JH, Roberts MS, Hudlin M, Hans P. Inquiry about victimization experiences. A survey of patient preferences and physician practices. Arch Intern Med. 1992 Jun;152(6):1186–1190. [PubMed]
  • Hamberger LK, Saunders DG, Hovey M. Prevalence of domestic violence in community practice and rate of physician inquiry. Fam Med. 1992 May-Jun;24(4):283–287. [PubMed]
  • Rodriguez MA, Bauer HM, McLoughlin E, Grumbach K. Screening and intervention for intimate partner abuse: practices and attitudes of primary care physicians. JAMA. 1999 Aug 4;282(5):468–474. [PubMed]
  • Elliott Lorrie, Nerney Michael, Jones Theresa, Friedmann Peter D. Barriers to screening for domestic violence. J Gen Intern Med. 2002 Feb;17(2):112–116. [PMC free article] [PubMed]
  • Garimella Ramani N, Plichta Stacey B, Houseman Clare, Garzon Laurel. How physicians feel about assisting female victims of intimate-partner violence. Acad Med. 2002 Dec;77(12 Pt 1):1262–1265. [PubMed]
  • Sugg NK, Inui T. Primary care physicians' response to domestic violence. Opening Pandora's box. JAMA. 1992 Jun 17;267(23):3157–3160. [PubMed]
  • Brown JB, Lent B, Schmidt G, Sas G. Application of the Woman Abuse Screening Tool (WAST) and WAST-short in the family practice setting. J Fam Pract. 2000 Oct;49(10):896–903. [PubMed]
  • Feldhaus KM, Koziol-McLain J, Amsbury HL, Norton IM, Lowenstein SR, Abbott JT. Accuracy of 3 brief screening questions for detecting partner violence in the emergency department. JAMA. 1997 May 7;277(17):1357–1361. [PubMed]
  • McFarlane J, Parker B, Soeken K, Bullock L. Assessing for abuse during pregnancy. Severity and frequency of injuries and associated entry into prenatal care. JAMA. 1992 Jun 17;267(23):3176–3178. [PubMed]
  • 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 Jul-Aug;30(7):508–512. [PubMed]
  • Paranjape Anuradha, Liebschutz Jane. STaT: a three-question screen for intimate partner violence. J Womens Health (Larchmt) 2003 Apr;12(3):233–239. [PubMed]
  • Lutenbacher Melanie, Cohen Alison, Mitzel Julia. Do we really help? Perspectives of abused women. Public Health Nurs. 2003 Jan-Feb;20(1):56–64. [PubMed]
  • Anderson Deborah K, Saunders Daniel G. Leaving an abusive partner: an empirical review of predictors, the process of leaving, and psychological well-being. Trauma Violence Abuse. 2003 Apr;4(2):163–191. [PubMed]
  • Mayfield D, McLeod G, Hall P. The CAGE questionnaire: validation of a new alcoholism screening instrument. Am J Psychiatry. 1974 Oct;131(10):1121–1123. [PubMed]
  • Saitz R, Lepore MF, Sullivan LM, Amaro H, Samet JH. Alcohol abuse and dependence in Latinos living in the United States: validation of the CAGE (4M) questions. Arch Intern Med. 1999 Apr 12;159(7):718–724. [PubMed]
  • Campbell DW, Campbell J, King C, Parker B, Ryan J. The reliability and factor structure of the index of spouse abuse with African-American women. Violence Vict. 1994 Fall;9(3):259–274. [PubMed]
  • Mushlin AI, Kouides RW, Shapiro DE. Estimating the accuracy of screening mammography: a meta-analysis. Am J Prev Med. 1998 Feb;14(2):143–153. [PubMed]
  • Gielen AC, O'Campo PJ, Campbell JC, Schollenberger J, Woods AB, Jones AS, Dienemann JA, Kub J, Wynne EC. Women's opinions about domestic violence screening and mandatory reporting. Am J Prev Med. 2000 Nov;19(4):279–285. [PubMed]
  • Nicolaidis Christina. Screening for family and intimate partner violence. Ann Intern Med. 2004 Jul 6;141(1):81–82. [PubMed]
  • Nelson John C, Johnston Carden. Screening for family and intimate partner violence. Ann Intern Med. 2004 Jul 6;141(1):81–82. [PubMed]

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