Severity of intimate partner violence and occurrence and frequency of police calls

Cigarette Smoking in Women Victims of Police-Reported Intimate Partner Violence: The Role of Childhood Maltreatment, Type of Partner Abuse, and Psychological Distress Symptoms

Existing research on the relationship between intimate partner violence (IPV) and cigarette smoking primarily involves low-risk, physical IVP-focused studies on community women. As a result, the risks associated with cigarette smoking in women victims of severe IPV have not been fully explored. This study examined the association between exposure to different forms of childhood maltreatment, exposure to physical, psychological, and sexual IPV, and current psychological distress symptoms with cigarette smoking in a high-risk sample of women victims of police-reported severe IPV. Participants included 162 women victims of police-reported severe IPV recruited in shelters for domestic violence and Child Protective Services in Portugal. Participants provided self-reports on childhood maltreatment physical, psychological, and sexual violence), physical, psychological, and sexual IPV, psychological distress symptoms (anxiety, depressive, somatic, and posttraumatic stress disorder symptoms), and daily cigarette consumption. Results revealed significant associations between daily cigarette consumption and exposure to IPV, physical abuse during childhood, psychological IPV, and anxiety symptoms in women experiencing police-reported severe IPV. Childhood maltreatment may increase vulnerability for emotion dysregulation, promoting addictive behaviors to regulate distress. Smoking can be an unhealthy regulating strategy to reduce the distress related to chronic exposure to psychological IPV. Future effective health promotion interventions in women facing severe forms of IPV may target emotional regulation and incorporate a trauma-focused approach.

Intangible Identity Theft and Intimate Partner Violence

While tougher domestic violence laws and protective orders are frequently credited with attenuating intimate partner violence (IPV), one unexplored explanation for this observed reduction is that intimate partner abusers are shifting their abusive behavior to intangible identity theft to thwart legal mechanisms traditionally used to deter IPV. Unlike the monetary motive associated with document identity theft, intangible identity theft is committed by someone with a preexisting grievance against the victim because the theft's primary purpose is to tarnish the victim's reputation. Results from a multilevel analysis show that a woman has a lower probability of being a victim of an intimate rather than nonintimate partner crime in cities with a higher intangible identity theft rate. Such a finding suggests that intangible identity theft may be a form of intimate partner abuse with few adverse consequences for offenders because identity thieves are rarely arrested and prosecuted. Nevertheless, the current study is only preliminary. Further research is needed before our findings and conclusions can be universally accepted.

Urgent care-seeking and injury severity for intimate partner violence during COVID-19: a Canadian retrospective chart review

BACKGROUND

Early reports raised alarms that intimate partner violence (IPV) increased during the COVID-19 pandemic, but initial studies showed that visits to emergency departments (EDs) decreased. This study assessed the impact of the prolonged pandemic and its associated restrictions on both rates of urgent care-seeking and injury severity for IPV.

METHODS

Data from the Kingston Health Sciences Centre's (KHSC) ED were utilized to compare IPV presentations during 'Pre-COVID' (December 17, 2018 - March 16, 2020) and 'COVID' (March 17, 2020 - June 16, 2021), as well as three periods of heightened local restrictions: 'Lockdown-1' (March 17 - June 12, 2020), 'Lockdown-2' (December 26, 2020 - February 10, 2021) and 'Lockdown-3' (April 8 - June 2, 2021). The primary outcomes were incidence rate of IPV visits and injury severity, which was assessed using the Clinical Injury Extent Score (CIES) and Injury Severity Score (ISS).

RESULTS

A total of 128 individuals were included. This sample had mean age of 34 years, was comprised of mostly women (97%), and represented a variety of intimate relationship types. Some individuals presented multiple times, resulting in a total of 139 acute IPV presentations. The frequency of IPV visits during COVID was similar to the Pre-COVID time period (67 vs. 72; p = 0.67). Incidence rate was 13% higher during COVID, though this difference was non-significant (6.66 vs. 5.90; p = 0.47). IPV visit frequency varied across lockdown periods (11 in Lockdown-1, 12 in Lockdown-2 and 6 in Lockdown-3), with the highest incidence rate during Lockdown-2 (12.71). There were more moderate and severe injuries during COVID compared to Pre-COVID, but mean CIES was not statistically significantly different (1.91 vs. 1.69; p = 0.29), nor was mean ISS (11.88 vs. 12.52; p = 0.73).

CONCLUSIONS

During the 15-months following the start of COVID-19, there were small, but non-significant increases in both incidence rate and severity of IPV presentations to the KHSC ED. This may reflect escalation of violence as pandemic restrictions persisted and requires further investigation.

Associations between small-area sociodemographic characteristics and intimate partner violence in Montréal, Québec

Background

Intimate partner violence (IPV) affects many individuals and can have a significant impact on their health and well-being. In order to inform prevention strategies, several studies have focused on the determinants of IPV. However, knowledge on the association between neighbourhood characteristics and IPV remains scarce. The social disorganization theory posits that certain neighbourhood characteristics are associated with violent behaviours. This theory has been used to explain spatial variations in IPV, but most studies have been conducted in the United States. Little is known about the effect of neighbourhood factors in urban contexts outside of the United States.

Design and methods

Using police data from 2016 and 2017, this study estimated the association between sociodemographic characteristics of neighbourhoods (socioeconomic status, single-parenthood, residential instability and ethnocultural heterogeneity) and IPV victimization in Montréal, Québec.

Results

Results suggest a neighbourhood-level variation in IPV, and that neighbourhood-level characteristics are associated with IPV victimization. Specifically, the likelihood of IPV is higher in neighbourhoods with the lowest SES level (OR = 2.80, 95%CI: 2.47-3.17, p < 0.001) and the lowest level of residential instability (OR = 0.81, 95%CI: 0.70-0.93, p = 0.003) as well as the highest proportion of single-parent households (OR = 1.88, 95%CI: 1.65-2.15, p < 0.001).

Conclusion

Although neighbourhood-level interventions to reduce IPV are rare, our results highlight the importance of developing such preventive strategies. Prevention programs targeting high-risk neighbourhoods may prove effective in reducing IPV.

Self-Defense and Police Reporting of Intimate Partner Violent Victimization: A Comparison of White, Black, and Hispanic Women Victims

Although the use of self-defense is common in incidents of intimate partner violence (IPV), correlates of self-protective behaviors in IPV are less known. Furthermore, while research has examined the unintended consequence of dual arrest as a result of using self-defense in IPV incidents, research has not examined whether self-defense is associated with the likelihood of reporting the victimization to the police. The purpose of this study is to first examine the racial differences in the use of self-defense in incidents of IPV. Second, this study examines the relationship between the use of physical self-defense and formal help-seeking (i.e., calling the police) and whether those relationships vary across race/ethnicity for White, Black, and Hispanic women. Using a large nationally representative sample of IPV incidents in the United States, this study found that incidents with Black female victims were more likely to feature physical self-defense compared to incidents with White female victims. Furthermore, incidents with Black female victims were more likely to be reported to the police. There was a positive relationship between physical self-defense and reporting to the police for Black women and an inverse relationship between physical self-defense and reporting to the police for Hispanic women.

"Isn't There Any Other Way than Calling the Cops?": How Differences in Initiation of Police Intervention Influence Survivor Safety

As formal crisis responders, police are trained in de-escalation tactics that are expected to mitigate intimate partner violence and promote survivor safety. However, the alignment between expected and actual practice of police intervention varies, especially when the survivor does not initiate the call, police treat the survivor poorly, or provide an undesirable arrest outcome. At best, unsuccessful interventions do not change survivors' risk level, and at worse, elevate their risk of experiencing harm. The purpose of this qualitative study was to explore survivors' perspectives on the process of police intervention, specifically how variations in initiation, quality of engagement, and arrest influence survivors' safety. Twenty-four women whose partners were in a relationship violence intervention program were recruited to participate in the study. Results showed that many survivors described a range of ongoing, strategic violence perpetrated by their partners that required intervention; yet the complex nature of the violence often extended beyond police capacity. Either survivors called the police, or they were initiated externally by neighbors or strangers; some survivors had dual initiations. Whether survivors reported that police used safety practices during the intervention was related to who initiated the police. Arrests of abusive partners were inconsistent, and they varied based on number of previous calls to the police and visible signs of injury. Survivors of color, specifically Black women, self-initiated at higher rates, experienced fewer safety strategies used by police, and had fewer arrests. No matter the outcomes of police intervention, survivors actively engaged in strategies outside of formal systems to protect themselves and their families. Study results imply that police intervention may be ill-suited to support survivors' safety goals and highlight a need for alternative interventions focused on de-escalation and prevention.

Help-Seeking and Barriers to Care in Intimate Partner Sexual Violence: A Systematic Review

Intimate partner sexual violence (IPSV) is a prevalent phenomenon, yet an under-researched topic. Due to the complex nature of balancing love and fear, individuals who experience IPSV have unique needs and face unique barriers to seeking care. The purpose of this systematic review was to examine the literature on help-seeking and barriers to care in IPSV. Articles were identified through PubMed, CINAHL, PsycINFO, and Web of Science. Search terms included terms related to IPSV, intimate partner violence (IPV), domestic violence, sexual assault, and rape. The review was limited to the United States, and articles that were included needed to specifically measure or identify sexual violence in an intimate relationship and analyze or discuss IPSV in relation to help-seeking behaviors or barriers to care. Of the 17 articles included in this review, 13 were quantitative studies and four were qualitative studies. Various definitions and measurements of IPSV across studies included in this review make drawing broad conclusions challenging. Findings suggest that experiencing IPSV compared to experiencing nonsexual IPV (i.e., physical or psychological IPV) may increase help-seeking for medical, legal, and social services while decreasing help-seeking for informal support. Help-seeking can also reduce risk of future IPSV and decrease poor mental health outcomes. Barriers to seeking care in IPSV included social stigma, fear, and difficulty for individuals in identifying IPSV behaviors in their relationships as abuse. More inclusive research is needed among different populations including men, non-White individuals, nonheterosexual, and transgender individuals. Suggestions for research, practice, and policies are discussed.

A Mixed-Method Approach to Understand Themes of Love in Victims' Dismissals of Civil Protection Orders

Domestic violence protective orders are the most widely used intimate partner violence-related legal intervention in the United States, yet many victims later ask to have these orders dismissed. This article uses a mixed-methods approach to examine the conditions that help explain why victims of intimate partner violence dismiss their protection orders. Quantitative findings from 841 civil protection order cases show that victims who need protection the most are the most likely to seek dismissals. Victims who experienced recent or physical abuse were significantly more likely to dismiss their protection orders. Qualitative findings from 200 dismissal requests reveal that victims reference common themes of loving the abuser, that the abuser is a good parent, that the abuser is seeking treatment, or that they desire to save the relationship. Victims draw from broad romantic rationalizations when describing their decision to drop a protection order from the court. Building upon insights from constructs of romantic love, this study highlights how the rationalizations victims invoke in their dismissal requests are also associated with their experiences of abuse. A mixed methodological approach reveals a significant contrast between the language in victims' petitions and their dismissal requests. Victims voiced fear and violence in their petitions for protection orders, then employed meanings of romantic love, reconciliation, and change when requesting that these temporary protection orders be dropped. This contrast reflects the cyclical nature of abuse and suggests that greater attention must be paid to ensuring court officials have a strong understanding of the complexities of victim attrition.

Contextualizing the Experiences of Black Women Arrested for Intimate Partner Violence in Canada

This qualitative study was informed by critical race feminism and explored Black women's experiences with the police with a particular focus on how issues of race, racism, oppression, and subordination inform their experiences. It sought to answer three research questions: (1) What is known about Black women's experiences with the police in the context of intimate partner violence? (2) Given their experiences with the police, what is their perception of the police? and (3) To what extent do women construct counter-narratives of their experiences with the police and what does that involve? The sample was comprised of 25 participants, 15 of whom were arrested. The women were over the age of 18 and lived in the Greater Toronto Area and surrounding areas. Most women expressed that they had negative encounters with the police, which was influenced by the police's negative perceptions of them. Black women who called the police to intervene in an intimate partner violence incident were subjected to great scrutiny and vulnerable to racialized and gendered police violence. Consequently, women were fearful and distrustful of the police and were less likely to seek help from them in the future. The study answers the call for research that examines Black women's experiences with the police from their perspective. It has implications for social service providers and provides strategies to improve future police interactions with Black communities.

Reporting to police by intimate partner violence victim-survivors during the COVID-19 pandemic

There is evidence from around the world that rates of intimate partner violence (IPV) recorded by police have been impacted by the COVID-19 pandemic. However, not all studies or data sources have shown a consistent increase, and it is not clear how these observed trends may have been influenced by changes in the propensity of victim-survivors to contact police during the pandemic. We use data from a large survey of women in Australia drawn from a national online research panel to examine correlates of police reporting and barriers to help-seeking among a subset of respondents who had experienced physical or sexual IPV during the period of the first national lockdown. Victim-survivors were less likely to have contacted police following the most recent incident if the time spent at home with their partner had increased. They were also more likely to say they were unable to safely seek advice or support on at least one occasion. Police were more likely to be contacted by the victim-survivor if they or their partner had lost their job or taken a pay cut, but there was no relationship with changes in financial stress. Results suggest containment measures introduced in response to COVID-19 may have influenced help-seeking behavior among IPV victim-survivors. This needs to be considered when conducting or interpreting studies on the impact of the pandemic on IPV using police data. Proactive responses to support IPV victim-survivors are needed during current and future restrictions and periods of reduced mobility.

Should we be paying more attention to firearm threats in ex-partner stalking cases?

This study examined relationship abuse, firearm threats, and threat credibility factors as well as help-seeking for (ex)partner-stalking victims with partners who did (n = 153) and did not own guns (n = 263). Victims with (ex)partners who owned guns experienced increased coercive control and physical violence, a longer duration of stalking, and more threats during the relationship and during the course of stalking. Victims reported that (ex)partner gun owners had more extremist beliefs and other risk factors, and more of them believed their (ex)partner was extremely capable of harming them. Most, regardless of partner gun ownership, turned to informal sources of help, while about one-quarter of victims whose partners did not own guns tried to obtain a protective order or talked to police, compared to about 40% of stalking victims with abusers who owned guns. Fear of harm from guns, coercive control during the relationship, and believing their partner was capable of harming harm them were all associated with an increased number of help-seeking sources whereas being threatened with a firearm and abuser gun ownership were not.

Complexities of the Police Response to Intimate Partner Violence: Police Officers' Perspectives on the Challenges of Keeping Families Safe

Through interviews with police officers (n = 15), the present study examined police perspectives toward their response to intimate partner violence (IPV). Qualitative analyses indicated several challenges police officers face in responding to IPV, including barriers at the systemic, organizational, and individual levels. Police officers in the current study also identified recommendations toward overcoming barriers. Overall, results continue to underscore a lack of police consistency toward addressing IPV, including inconsistent approaches to assessing and managing risk posed to families. Conversely, qualitative results point to several recommendations that heavily involve collaboration between community and justice partners. Implications for future research and practice include further examination of the identified recommendations, a continued focus on developing training that addresses the risk posed to high-risk families, and further development of collaborative approaches toward the prevention and intervention of IPV.

Alcohol-Involved Family and Domestic Violence Reported to Police in Australia

Family and domestic violence (FDV) is a significant social issue that causes major harm across Australia. Alcohol has been identified as a contributing factor to FDV, and as such increased understanding of the role of alcohol in police-reported FDV incidents may provide the basis for developing specific clinical and forensic approaches. This study aims to identify the key correlates of alcohol-related FDV within police-reported FDV incidence. Data sourced from several states and territories across Australia were used to profile demographic and personal factors involved in police-reported FDV incidents, and to identify the types of incidents involving alcohol. For each state, three separate binary regressions were conducted for family violence, intimate partner violence, and FDV incidents in which alcohol was involved. Between 24% and 54% of FDV incidents reported to police were classified as alcohol-related. Although there appeared to be an association between relative socioeconomic disadvantage and an incident being alcohol-related, this association varied across states. Where victim and offender data were available, offenders were significantly more likely to be alcohol-affected than victims. Alcohol-related FDV incidents were also twice as likely to involve severe physical violence including injuries that were life threatening, as well as an increased likelihood of recidivism. This study demonstrates that alcohol plays a substantial role in police-reported FDV across Australia. It also demonstrates that other factors such as drug use, breach of orders, and repeat offending are associated with alcohol involvement across family violence and intimate partner violence.

Battered Immigrant Women and the Police: A Canadian Perspective

Since the 1970s, the state response to intimate partner violence (IPV) has increasingly become one of criminalization-particularly police intervention. Little is known, however, about marginalized women's experiences with the police within a context of intimate partner violence in Canada. Drawing on interviews with 90 battered immigrant women, this study examines which women contact the police, why some do not, and what characterizes their experiences when the police are involved in an IPV incident. This study demonstrates that while the women who called the police were demographically similar to those who did not call, the women who called reported much greater levels of physical abuse. Findings indicate that general fear of the police and fear of police being racist or culturally insensitive continue to be important reasons why women do not call the police. Notably, the majority of women who had contact with the police reported the encounter as positive.

The Contextual Influences of Police and Social Service Providers on Formal Help-Seeking After Incidents of Intimate Partner Violence

Police notification and social service acquisition are two forms of formal help-seeking linked to improved outcomes among survivors of intimate partner violence (IPV), including better socio-emotional health, improved physical health, and, importantly, increased safety. The majority of research devoted to the study of formal help-seeking among survivors of IPV focuses on incident- and individual-level factors and their relationship with formal resource utilization. Much less is known about community-level factors. Using a nationally representative sample of incidents of IPV from the National Crime Victimization Survey (2006-2016), this work explores how law enforcement and social service resources in a community are related to police notification and survivor acquisition of a victim service after an incident of IPV, net of incident- and individual-level factors. Logistic regression models indicate that the number of law enforcement personnel per 1,000 residents in a county is positively associated with police notification after an incident of IPV, and it exerts an indirect effect on survivor service acquisition through police notification. Additional analyses reveal that the race/ethnicity of the survivor of IPV is a key demographic in the explanation of this relationship, as incidents of IPV involving White and Hispanic survivors of IPV are more likely to come to the attention of police as the number of law enforcement personnel increases. The reverse is true for incidents involving Black survivors of IPV. No differences across survivor sex emerged. Potential reasons to account for varying effects across race/ethnicity are discussed as well as the importance of additional funding for police and social service agencies to serve survivors of IPV and meet the dual goals of offender accountability and survivor safety and well-being.

Patterns and Usefulness of Safety Behaviors Among Community-Based Women Survivors of Intimate Partner Violence

Women who experience intimate partner violence (IPV) use a variety of safety strategies to reduce the frequency and severity of violence, including both informal and formal help-seeking. The purpose of this study was to identifying patterns of engagement in safety behaviors by U.S. women from outside of formal service settings, examine which factors are associated with different patterns of use, and examine the perceived usefulness of safety strategies among women who used them. Cross-sectional data from 725 women experiencing IPV were used for these analyses. A cluster analysis revealed three clusters of safety behavior use among the IPV survivors: Exploring Safety Options, Avoiding the Justice System, and Trying Everything. The trying everything cluster had high rates of use across all of the safety behaviors; they also reported the highest levels of physical, sexual, and psychological IPV. The exploring safety options cluster used the fewest safety behaviors and had the lowest level of IPV. Higher violence was related to a higher likelihood of finding safety planning helpful and a lower likelihood of finding leaving home helpful. Women who were currently living with their partner were less likely to find talking with a professional, making a safety plan, or leaving home helpful. Higher decisional conflict-uncertainty about what safety decisions would be best-was almost universally related to greater likelihood of not finding safety behaviors helpful. The study findings reinforce the importance of working with survivors to tailor safety plans with strategies that reflect their situation, and provide insights into for which tailoring of resource recommendations may be made.

Intimate Partner Violence, Police Involvement, and Women's Trauma Symptoms

This study examined whether police involvement in intimate partner violence (IPV) incidents is associated with women's trauma symptoms. Participants were 95 women recruited from domestic violence shelters. Women reported on their trauma symptoms, the frequency of IPV victimization, the use of a weapon during IPV, and police involvement over the year following shelter departure. Police involvement in IPV was associated with higher levels of reexperiencing trauma symptoms 1 year after shelter departure, even after controlling for baseline trauma symptoms, the frequency of IPV, and the use of a weapon during IPV. Women's race and ethnicity did not moderate the results. These findings suggest police involvement in IPV incidents may be associated with higher levels of trauma symptoms experienced by women. Further investigation into law enforcement practices and policies to help reduce women's distress is needed.

Experiences of Intimate Partner Violence Victims With Police and the Justice System in Canada

Legal responses to intimate partner violence (IPV) can determine whether and how those exposed to IPV seek help. Understanding the victim's perspective is essential to developing policy and practice standards, as well as informing professionals working in policing and the justice system. In this survey study, we utilized a subset of 2,831 people who reported experiencing IPV to examine (a) rates of reporting to the police; (b) experiences with, and perceived helpfulness of, police; (c) rates of involvement with the criminal and family law systems, including protection orders; and (d) experiences with, and perceived helpfulness of, the justice system. Data were analyzed using descriptive statistics for closed-ended survey questions and content analysis of text responses. More than 35% of victims reported a violent incident to the police, and perceptions of helpfulness were mixed. Fewer victims were involved with the criminal and family law systems, and their satisfaction also varied. Text responses provided insight into possible reasons for the variability found in experiences, for example, the proposed role of victim and system expectations, and respondents' perception that getting help depends on "being lucky" with the officials encountered.

Pathways to Police Contact for Spousal Violence Survivors: The Role of Individual and Neighborhood Factors in Survivors' Reporting Behaviors

Rational choice theory proposes that spousal violence survivors engage in a cost-benefit analysis when determining whether to contact the police in the aftermath of violence. Feminist intersectional frameworks contend that the perceived costs and benefits of police intervention differ among survivors based on their intersecting social identities. Normative theory further posits that it is not solely individual factors but also social norms derived from one's neighborhood context that may be related to reporting practices. Consistent with these perspectives, this study assessed the association between spousal violence survivors' sociodemographic, violence, and neighborhood characteristics and (a) police contact, (b) pathways to police contact, (c) motivations for contacting the police, and (d) motivations for not contacting the police. Data were drawn from the 2009 Canadian General Social Survey-Victimization main file, and included male and female survivors (N = 890). Survivors most commonly contacted the police to stop the violence (89.4%) and most commonly did not contact the police because they did not believe it was important enough (35.3%). Results of multivariate regression analysis indicate that survivors who were visible minority, those who feared for their lives, and those who were injured were significantly more likely to self-report violence to police. Survivors were more likely to say the violence was not important enough to report if there was a police station in their neighborhood, and were less likely to say that violence was not important enough to report if they had experienced multiple incidents of violence. Implications for policing and criminal justice system engagement with spousal violence survivors are provided.

Help-Seeking Behaviors and Barriers Among Black Women Exposed to Severe Intimate Partner Violence: Findings From a Nationally Representative Sample

This article examined general help-seeking utilization and barriers among U.S. Black women reporting severe physical intimate partner violence (IPV). Data from the National Survey of American Life (NSAL), the largest and most detailed survey on Blacks residing in the United States, were analyzed. Among U.S. Black women reporting severe physical IPV, many sought the help of a psychiatrist (13.8%) or other mental health professionals (14.0%). Multivariate findings revealed associations between help-seeking utilization and sociodemographic factors. Queries from open responses suggested potential cultural and ethnic differences between African American and Caribbean Black women reporting intimate partner violence in relation to barriers to help-seeking.

Training medical students: victim's perceptions of selectively screening women for intimate partner violence in health care settings

BACKGROUND

Routine IPV screening is a controversial topic and there is no evidence to suggest that it improves the health outcomes of women. Consequently, understanding the socio-cultural dimensions, becomes essential to ensure that victims receive appropriate and local support. This study was conducted to gather the perceptions of victims of IPV on the relevance of raising the topic at health care facilities and to determine specific categories of women to target for screening by medical personnel. It also explored how the information gathered could support victims and whether medical students should be trained on issues relating to IPV.

METHODS

Thirty-three key informant interviews were conducted among women attending clinics from three teaching hospitals in the Lagos, Oyo and Osun States of South West Nigeria. The hospitals offer antenatal, emergency, primary care and community outreach clinics which are well-attended by women. A six-item questionnaire assessed eligibility for participation in the study and participants were then purposively sampled. Interviews were conducted using a semi-structured guide. Ethical approval and gatekeepers' permissions were obtained, and each participant signed informed consent. Data was collected between June and November 2017. The data was entered into Excel and analysed deductively to answer each objective.

RESULTS

Most (n = 24) participants stated that medical practitioners should ask all women who present to health care facilities, about their experiences of IPV. Physically, medically and socially vulnerable women, including those in relationships with men in risky occupations, were identified as needing special attention and possible follow-up. They supported the use of the information within and outside of the health care facility, depending on the need of the woman. The majority (n = 24) indicated a need to train medical students about IPV and 19 participants suggested for the topic to be curriculated. Most victims favoured the inclusion of a multidisciplinary team in teaching medical students about IPV.

CONCLUSIONS

Victims of IPV were in support of initiatives to discuss the topic among some groups of female patients in health care settings. They thought it would enhance the quality of care (medical, psychological, legal and social) to victims. They identified an inter-professional team of stakeholders to include when training medical students about IPV.

From Victim to Offender: How Nuisance Property Laws Affect Battered Women

Nuisance property laws, which fine people for excessive 911 calls, have become increasingly popular in cities of all sizes. However, research into how these laws affect battered women is still in its early stages. This research study was designed to address the question of whether nuisance property laws harm battered women and, if so, how. Using a qualitative research design, in-depth semi-structured interviews were conducted with 27 primarily low-income African American battered women in St. Louis metropolitan area who had come into contact with a nuisance property law because of domestic violence. Interviews addressed circumstances of contact with a nuisance law, the response of law enforcement officials, and how the law affected the participant's housing, ability to call 911, sense of safety, finances, access to health care, and family stability. Using a multi-stage qualitative analytic procedure, each transcript was coded for themes and then descriptive categories developed for each theme. The data demonstrate that nuisance property laws harm victims of domestic violence in several ways, including by hindering their access to safe and secure housing, discouraging them from calling 911, increasing their vulnerability to violence, and compounding the trauma of the intimate partner violence. This research also reveals ways in which nuisance laws reinforce gender, race, and class inequality. The findings show that nuisance property laws enhance the abuser's power over his victim, hold victims accountable for the abuse, exacerbate the class- and race-based risks many battered women already face, and obscure the real crime of domestic violence. Policy makers need to be informed of these consequences so that they can take action to reform nuisance laws.

Intervenção em situações de violência doméstica: Atitudes e crenças de polícias

Objetivo

O presente estudo visa perceber quais as crenças dos polícias relativamente ao fenómeno da violência doméstica contra a mulher e avaliar de que forma estas podem estar relacionadas com o seu modo de atuação.

Método

A amostra foi constituída por 453 polícias do Comando Metropolitano da Polícia de Segurança Pública do Porto, aos quais foram administradas a Escala de Crenças sobre Violência Conjugal (E.C.V.C.) e a Escala de Intervenção que integra as Escalas de Atitudes da Polícia (E.A.P.).

Resultados

Os resultados revelaram uma maior discordância quanto ao conjunto de mitos legitimadores da violência conjugal e uma maior percentagem de sujeitos orientados para executar diligências de serviço (atuação incondicional, independentemente de a vítima querer denunciar o crime), sobretudo quando estão perante situações de violência física. Os resultados correlacionais sugerem que níveis mais elevados de crenças legitimadoras da violência conjugal estão associados a uma atuação policial mais condicionada. A análise comparativa de dois grupos com mais ou menos crenças legitimadoras da violência contra a mulher revelou que não há uma diferenciação estatisticamente significativa quanto ao tipo da ação dos polícias em situações de violência doméstica.

Conclusão

Os resultados apoiam a associação entre crenças sobre o fenómeno da violência doméstica e a atuação da polícia nestes casos.

Factors Associated With Women's Reporting of Intimate Partner Violence in Spain

In Spain, in 2013, the 20% of women who were murdered by their partner had reported him previously. We analyze the 2011 Spanish-Macrosurvey on Gender Violence to identify and analyze the prevalence of and the principal factors associated with reporting a situation of intimate partner violence (IPV) and the main reasons women cite for not filing such reports, or for subsequently deciding to withdraw their complaint. Overall, 72.8% of women exposed to IPV did not report their aggressor. The most frequent reasons for not reporting were not giving importance to the situation (33.9%), and fear and lack of trust in the reporting process (21.3%). The main reasons for withdrawing the complaint were cessation of the violence (20.0%), and fear and threats (18.2%). The probability of reporting increased among women with young children who were abused, prevalence ratio (95% confidence interval [CI]): 2.14 [1.54, 2.98], and those whose mother was abused, prevalence ratio (95% CI): 2.25 [1.42, 3.57]. Always focusing on the need to protect women who report abuse, it is necessary to promote the availability of and access to legal resources especially among women who use them less: women who do not have children and women who do not have previous family exposure to violence.

It's (Not) Over: Relationship Instability and Recovery Between Victims and Detained Domestic Abusers

We used an innovative data set involving audio-recorded conversations between abusers and victims to explore the interactional patterns that occur within violent relationships, following severe violence and the abuser's detainment. Using micro-level conversational data, our analysis sequenced the hopes/desires that victims and abusers expressed around their expectations for continuing or discontinuing a connection with each other. Conversations commonly included an expressed statement to end the relationship. Although it was common for both victims and abusers to express hope of ending the relationship, victims were most likely to initiate this desire. In response, abusers used multiple strategies to regain connection, including 1) challenging the victim, 2) declaring love or a desire to continue the relationship, 3) appealing for sympathy or help from the victim, and 4) mirroring or accepting the victim's desire to end the relationship (when other strategies were unsuccessful). Abusers' responses served to cultivate additional conflict in the relationship while at the same time maintained communication and facilitated relationship recovery following threats of dissolution. These findings contribute to an increased theoretical understanding of the dynamics of domestic violence in the sensitive period involving the couple's physical separation.

Are Abused Women’s Protective Actions Associated With Reduced Threats, Stalking, and Violence Perpetrated by Their Male Intimate Partners?

Victims of intimate partner violence may take various actions to protect themselves from their partner. This research examined the association between abused women’s ( N = 755) protective strategies at baseline and her partner’s threats, stalking, and moderate and severe violence 8 months later. Emergency domestic violence shelter and orders of protection significantly reduced subsequent abuse. Receiving medical treatment was associated with a significant increase in violence, and security devices (e.g., mace, changing locks) with an increase in stalking. Safety planning and other strategies had no statistical association with abuse at follow-up. Future research should continue to examine the efficacy of safety strategies.

Intimate Partner Violence and Patterns of Safety Strategy Use Among Women Seeking Temporary Protective Orders: A Latent Class Analysis

This study examined use of safety strategies, experience of violence, and perception of danger from intimate partner violence (IPV) among 197 women seeking temporary protective orders against their abusive partners/ex-partners. Latent class analysis was used to group women into classes based on their use of safety strategies. Five classes of strategy use were identified: two high-activity classes, two moderately active classes, and one low-activity class. More severe abuse, increased perception of danger, and unemployment were associated with being in the higher activity classes. More effective interventions and outreach tools are needed to help women in IPV situations.

Does Type of Child Risk Affect Whether Mothers Seek Assistance for Intimate Partner Violence From Civil or Criminal Court?

We examined whether risks to children of intimate partner violence survivors affected the type of legal assistance accessed. We hypothesized that the level and type of perceived child risk would be associated with whether women sought a protection order in civil court or filed charges against a current or former intimate partner in criminal court. Using data from a sample of predominantly African American women (N=293), we found that some forms of child risk were positively associated with seeking a civil order of protection but negatively associated with pressing criminal charges. Implications for practice, policy, and future research are presented.

When Women Tell

We analyze how victim perceptions of mandatory arrest policies, perpetrator substance use, and presence of children are related to decisions to invoke law enforcement assistance. Logistic regression was used on survey responses from women receiving care in domestic violence shelters. Results suggest that as victim support for mandatory arrest increases, the odds of law enforcement notification of the abuse also increase. Accordingly, mandatory arrest may simply be reducing the probability of reporting intimate partner violence (IPV) among those who do not support the policy, instead of reducing IPV. Results also suggest that perpetrator substance use plays a significant role in law enforcement notification.

Intimate partner violence and neighborhood income: a longitudinal analysis

This investigation used a longitudinal design to examine the relationship between neighborhood-level income, individual-level predictors, and police-reported intimate partner violence in 5,994 urban couples followed over 2 years. At the baseline abuse incident, intimate partner violence rates were highest in the poorest neighborhoods (13.8 per 1,000 women in the lowest income quartile, followed by 12.1, 8.2, and 5.0 in the respective higher income quartiles). However, in the longitudinal analysis, weapon use at the baseline abuse event was a much stronger predictor of repeat abuse (incident rate ratios ranging from 1.72 for physical abuse to 1.83 for non-physical abuse) than neighborhood income.

The association between protective actions and homicide risk: findings from the Oklahoma Lethality Assessment Study

This study focuses on the relationship between women's risk of homicide as measured by the Danger Assessment and 13 protective actions. Participants (N = 432) experienced an incident of police involved intimate partner violence (IPV) and subsequently completed a structured telephone interview. Most women in this sample experienced severe violence and were classified as being at high risk for homicide. Participants engaged in an average of 3.81 (SD = 2.73) protective actions. With the exception of the use of formal domestic violence services, women in the high-risk category were significantly more likely than women in the lower risk category to have used each of the protective actions examined. Implications for research and practice are discussed.

Gay and Bisexual Men's Perceptions of Police Helpfulness in Response to Male-Male Intimate Partner Violence

Introduction Despite several recent studies documenting high rates of intimate partner violence (IPV) among gay and bisexual men (GBM), the literature is silent regarding GBM's perceptions of IPV within their community. We examine GBM's perceptions of same-sex IPV: its commonness, its severity, and the helpfulness of a hypothetical police response to a GBM experiencing IPV.

METHODS

We drew data from a 2011 survey of venue-recruited GBM (n=989). Respondents were asked to describe the commonness of IPV, severity of IPV, and helpfulness of a hypothetical police response to IPV among GBM and among heterosexual women. We fitted a logistic model for the outcome of viewing the police response to a gay/bisexual IPV victim as less helpful than for a female heterosexual IPV victim. The regression model controlled for age, race/ethnicity, education, sexual orientation, employment status, and recent receipt of physical, emotional, and sexual IPV, with key covariates being internalized homophobia and experiences of homophobic discrimination.

RESULTS

The majority of respondents viewed IPV among GBM as common (54.9%) and problematic (63.8%). While most respondents had identical perceptions of the commonness (82.7%) and severity (84.1%) of IPV in GBM compared to heterosexual women, the majority of the sample (59.1%) reported perceiving that contacting the police would be less helpful for a GBM IPV victim than for a heterosexual female IPV victim. In regression, respondents who reported more lifetime experiences of homophobic discrimination were more likely to have this comparatively negative perception (odds ratio: 1.11, 95% confidence interval: 1.06, 1.17).

CONCLUSION

The results support a minority stress hypothesis to understand GBM's perceptions of police helpfulness in response to IPV. While IPV was viewed as both common and problematic among GBM, their previous experiences of homophobia were correlated with a learned anticipation of rejection and stigma from law enforcement. As the response to same-sex IPV grows, legal and health practitioners should ensure that laws and policies afford all protections to GBM IPV victims that are afforded to female IPV victims, and should consider methods to minimize the negative impact that homophobic stigma has upon GBM's access of police assistance.

Child maltreatment victimization and subsequent perpetration of young adult intimate partner violence: an exploration of mediating factors

This study examined whether young adults with documented histories of child maltreatment had higher records of documented severe intimate partner violence (IPV) perpetration than an income-matched control group. It also examined whether this association was mediated by juvenile violent delinquency, problematic substance use, or mental health problems. Study data came from one state's administrative public sector records of child welfare, juvenile court, mental health, income maintenance, and birth records. The study employed a prospective longitudinal design to follow children for 16 years (N = 5,377). The IPV was measured by police arrests and temporary restraining order petitions. Multiple group path analysis was used to examine mediation hypotheses and determine whether they differed by gender. The study found that IPV perpetration rates were higher among maltreated than control participants and higher in maltreated men than in women. For men, maltreatment had both direct and mediated effects on IPV perpetration through violent delinquency. For women, maltreatment did not directly or indirectly predict IPV perpetration, though low power makes these findings tentative. The study highlights the importance of child maltreatment prevention as a way to reduce violence later in life and suggests that the juvenile justice system may also provide a point of intervention for the maltreated youth.

Factors influencing resource use by African American and African Caribbean women disclosing intimate partner violence

Many victims of intimate partner violence (IPV) do not access services. Education and severity of physical violence have previously been shown to predict resource utilization, but whether these hold true specifically among women of African descent is unknown. This article furthers our understanding of the relationship between IPV and resource use, considering sociodemographics and aspects of IPV by presenting results from a study conducted with African American and African Caribbean women in Baltimore, Maryland, and the U.S. Virgin Islands. Of the 545 women included in this analysis, 95 (18%) reported emotional abuse only, 274 (50%) reported experiencing physical abuse only, and 176 (32%) had experienced both physical and sexual abuse by an intimate partner. Resource utilization was relatively low among these women, with only 57% seeking any help. Among those who did, 13% sought medical, 18% DV, 37% community, and 41% criminal justice resources. Generalized linear model results indicated that older age and severe risk for lethality from IPV and PTSD were predictive of certain types of resource use, while education, insurance status, and depression had no influence. Perceived availability of police and shelter resources varied by site. Results suggest that systems that facilitate resource redress for all abused women are essential, particularly attending to younger clients who are less likely to seek help, while building awareness that women accessing resources may be at severe risk for lethality from the violence and may also be experiencing mental health complications. In addition, greater efforts should be made on the community level to raise awareness among women of available resources.

Effect of type and severity of intimate partner violence on women's health and service use: findings from a primary care trial of women afraid of their partners

Intimate partner violence (IPV) has major affects on women's wellbeing. There has been limited investigation of the association between type and severity of IPV and health outcomes. This article describes socio-demographic characteristics, experiences of abuse, health, safety, and use of services in women enrolled in the Women's Evaluation of Abuse and Violence Care (WEAVE) project. We explored associations between type and severity of abuse and women's health, quality of life, and help seeking. Women (aged 16-50 years) attending 52 Australian general practices, reporting fear of partners in last 12 months were mailed a survey between June 2008 and May 2010. Response rate was 70.5% (272/386). In the last 12 months, one third (33.0%) experienced Severe Combined Abuse, 26.2% Physical and Emotional Abuse, 26.6% Emotional Abuse and/or Harassment only, 2.7% Physical Abuse only and 12.4% scored negative on the Composite Abuse Scale. A total of 31.6% of participants reported poor or fair health and 67.9% poor social support. In the last year, one third had seen a psychologist (36.6%) or had 5 or more general practitioner visits (34.3%); 14.7% contacted IPV services; and 24.4% had made a safety plan. Compared to other abuse groups, women with Severe Combined Abuse had poor quality of life and mental health, despite using more medications, counseling, and IPV services and were more likely to have days out of role because of emotional issues. In summary, women who were fearful of partners in the last year, have poor mental health and quality of life, attend health care services frequently, and domestic violence services infrequently. Those women experiencing severe combined physical, emotional, and sexual abuse have poorer quality of life and mental health than women experiencing other abuse types. Health practitioners should take a history of type and severity of abuse for women with mental health issues to assist access to appropriate specialist support.

Characteristics Related to Protection Order Use Among Victims of Intimate Partner Violence

One increasingly important resource for victims of intimate partner violence (IPV) is domestic violence civil protection orders (POs). Using a transdisciplinary framework, this article critically examines the use of POs by IPV victims seeking shelter services. Previous contact with police and medical professionals are the strongest predictors of having obtained a PO; education level, income, age, race, and having children in the shelter are also significant predictors of having obtained a PO. These findings are discussed in the context of previous research on help-seeking behaviors and the growing body of transdisciplinary research on violence against women.

Racial and ethnic disparities in police-reported intimate partner violence perpetration: a mixed methods approach

The objectives of this study were to examine racial and ethnic disparities in perpetrator and incident characteristics and discrepancies between police charges and reported perpetrator behaviors in police-reported intimate partner violence (IPV). This cross-sectional study used standardized police data and victim narratives of IPV incidents reported to the police in Dallas, Texas in 2004. The sample included non-Hispanic White, non-Hispanic Black, and Hispanic male perpetrators who were residents of Dallas (N = 4470). Offense charges were prioritized in descending order: sexual assault, aggravated assault, simple assault, kidnapping, robbery, and intimidation. Textual data from the victim narratives were coded, based on the revised Conflict Tactics Scales (CTS), and categorized in descending order of priority: sexual (severe, minor), physical (severe, minor), and psychological (severe, minor) assault. Perpetrators were more likely to be Black and Hispanic. Perpetrator and incident characteristics varied significantly by race/ethnicity, particularly age, age difference between partners, marital status, injury, and interracial relationships. Qualitative data revealed that greater proportions of Black and Hispanic men perpetrated severe physical, but not sexual violence, compared with White men. The greatest disparity between CTS categories and police charges occurred among those cases identified by the CTS as severe physical IPV; 84% were charged with simple assault. Significant differences by race/ethnicity were found only for simple assault charges, which were coded as severe physical as opposed to minor physical IPV more often among Black (69% and 31%) compared with White (62% and 38%) men. The disparities revealed in this study highlight the need to enhance primary and secondary prevention efforts within Black and Hispanic communities and to increase linkages between police, community, and public health organizations.

Women’s Perceptions of Safety and Risk Following Police Intervention for Intimate Partner Violence

Police intervention is a primary response to intimate partner violence (IPV) but does not guarantee a victim’s future safety. This study sought to identify factors associated with IPV survivors’ perceptions of safety and risk of revictimization following police intervention. One hundred sixty-four women completed a questionnaire, and 11 of those women also took part in qualitative interviews. The findings revealed that feeling unsafe and perceiving oneself to be at risk of future violence is associated with experiencing particular forms of IPV, including battering, lethality threats, and sexual violence. Having support from others and distance from the partner helps women feel safe.

Factors influencing help-seeking behavior among battered Korean women in intimate relationships

In total, 123 battered Korean women who used domestic violence agencies were asked where they had turned for assistance in response to intimate partner violence. This study examined the factors related to use of formal and informal resources by these women. Formal resources included police, medical, legal, and shelter; informal were family or neighbors. Findings revealed that (a) the women studied used a variety of resources and that (b) income, violence-related injuries, and partner child abuse were related to whether they contacted police. Injury and partner child abuse were related to contacting a medical doctor/medical facility. Income, relationship status, and partner child abuse were related to approaching family or neighbors. The key finding was that partner child abuse increased the likelihood of battered Korean women seeking help from formal service resources and informal networks. This suggests the need for integrative services that link women's and children's protective services in order to meet the needs of both victims and children.

Collaborating With Police Departments: Recruitment in the Oklahoma Lethality Assessment (OK-LA) Study

In a study to evaluate a collaborative police and social service intervention, researchers asked police officers to recruit intimate partner violence victims at the scene of domestic violence incidents. This article reviews the process of building successful partnerships with police departments as well as the strategies developed with collaborating police departments to create successful recruitment methods and enhance officer and department engagement with recruitment procedures. Over a period of 298 days, 800 victims were referred to the research study. Of these referrals, we were unable to contact 41.3%; of those contacted ( n = 471), we conducted interv iews with 67.73%.

Intimate partner violence at the scene: incident characteristics and implications for public health surveillance

Using data that, to our knowledge, have not been used before for this purpose, we examined 9,231 opposite-sex intimate partner violence (IPV) calls for law enforcement assistance recorded in the Compstat system of a large U.S. city. Although women were the predominant victims, injuries were documented more often for men. Only about 1% of incidents were considered a restraining order violation, although many orders were active in the city at the time. The data appeared to be of good quality and just a few changes in recording procedures would increase Compstat's usefulness for public health in U.S. cities.

Reports of police calls for service as a risk indicator for intimate partner violence

OBJECTIVES

The purpose of this study was to evaluate the utility of asking female emergency department (ED) patients about police calls for service as a possible indicator of intimate partner violence (IPV).

METHODS

Trained research assistants screened female, adult, English-speaking patients presenting to an urban university ED 7 am to midnight, 7 days per week during the 2006-2007 academic year. Patients were asked two commonly used IPV screening questions regarding past-year experience with physical violence or threat by an intimate partner and whether or not the police had been called due to a fight between themselves and a male partner.

RESULTS

Of the 4,984 patients screened, 3.9% screened positive for an IPV-related police call in the past 12 months; more than one-third (37.8%) of those screened negative for IPV on the traditional screening questions. The question about an IPV-related police call for service identified an additional 74 cases of possible IPV, representing 1.5% of the overall sample or a 30.8% increase over those identified with the traditional IPV screening questions.

CONCLUSIONS

Adding an additional question regarding police calls to standard IPV screening could alert healthcare providers to possible IPV risk.