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Validation and Adaptation of the Danger Assessment-5 A Brief Intimate Partner Violence Risk Assessment

NCJ Number
Journal of Advanced Nursing Volume: 73 Issue: 12 Dated: 2017 Pages: 3220-3230
Date Published
11 pages
This study assessed the predictive validity of the DA-5 with the addition of a strangulation item in evaluating the risk of an intimate partner violence (IPV) victim being nearly killed by an intimate partner.

Researchers interviewed a heterogeneous sample of 1,081 women recruited by police between 2009-2013 at the scene of a domestic violence call; 619 (57.3 percent) were contacted and re-interviewed after an average of 7 months. The predictive validity of the DA-5 was assessed for the outcome of severe or near lethal IPV re-assault, using sensitivity, specificity, and ROC curve analysis techniques. The original DA-5 was found to be accurate (AUC = .68), equally accurate with the strangulation item from the original DA substituted (AUC = .68), and slightly more accurate (but not a statistically significant difference) if multiple strangulation is assessed. The researchers recommend that the DA-5 with the strangulation item be used for a quick assessment of homicide or near homicide risk among IPV survivors. A protocol for immediate referral and examination for further injury from strangulation should be adopted for IPV survivors at high risk. (publisher abstract modified)

Date Published: January 1, 2017