How do you screen for intimate partner violence in a sensitive and safe manner?

• A. Ignore privacy concerns and ask in presence of partner.
• B. Ensure privacy; use validated tools (HITS or STaT); ask direct, nonjudgmental questions; assess safety and resources; document carefully and provide referrals.
• C. Rely solely on partner's report.
• D. Do not screen.

Answer: (B)

Screening for intimate partner violence should be conducted in a private, safe environment so patients can disclose abuse without fear of their partner overhearing or retaliating. Using validated tools like HITS or STaT provides consistent prompts that help identify IPV reliably. Ask direct, nonjudgmental questions and frame the inquiry as a routine part of care to foster trust and honesty. After disclosure, or even if no disclosure occurs, assess safety by exploring immediate risk, plans, access to means, and potential danger, then discuss safety options and resources such as hotlines, shelters, legal support, and community services. Document the conversation clearly and nonjudgmentally, with careful, objective notes and any direct quotes, and arrange appropriate referrals. This approach prioritizes patient safety, supports autonomy, and connects patients with help, whereas screening in the partner’s presence, relying only on the partner’s report, or not screening can miss or worsen harm.