Stree

Domestic Abuse Risk Assessment Tool

Has the physical violence increased in frequency or severity over the past 6 months?



Have they ever used a weapon or threatened you with a weapon?



Do you believe they are capable of killing you?



Have you ever been beaten by them while you were pregnant?



Are they violently and constantly jealous of you?




Based on Intimate partner violence: development of a brief risk assessment for the emergency department. Snider C, Webster D, O'Sullivan CS, Campbell J. Acad Emerg Med 2009; 16(11):1208-16