College Faculty Experiences With Student Disclosures of Victimization

Victimization of college students is widespread, and it is not uncommon for students to disclose these experiences to faculty. Given that how faculty respond to disclosures may have implications for students' psychosocial and academic outcomes, it is key to know more about disclosures to help faculty prepare a supportive response. This study used data from an online survey of members of two U.S.-based professional scholarly associations for criminal justice and criminology (N = 637) to look at the nature of student disclosure of victimization and which faculty are more likely to receive such disclosures. Disclosure to faculty was widespread (87% of faculty had received at least one disclosure of victimization from a student), and disclosures were mostly made in person. Over half the time (52.3%), participants thought the disclosure was prompted by an incident in class or another aspect of the course, and more than a quarter of the time (28.8%), the disclosure came from a student in a course that utilized trigger warnings. A faculty member's individual identities, such as gender or race and ethnicity, did not appear to render them more or less likely to receive student disclosures. However, faculty with victimization experiences who had links to victim services organizations, who were teaching in a Sociology department, or who had been teaching longer were more likely to have received a disclosure. Graduate student instructors were less likely to have received a disclosure, even controlling for years of teaching. This suggests widespread training of college-level instructors in how to respond to a student's disclosure of victimization may be warranted, at least for faculty teaching courses focusing on criminology and criminal justice.

Can This Provider Be Trusted? A Review of the Role of Trustworthiness in the Provision of Community-Based Services for Intimate Partner Violence Survivors

While there is a growing literature on intimate partner violence (IPV) survivors and service providers, it is limited by its largely atheoretical and descriptive nature, and its emphasis on individual-level survivors' help-seeking. We seek to broaden our understanding by shifting the focus onto organizations and service systems and introducing the concept of these providers' trustworthiness toward survivors. Provider trustworthiness in delivering services includes benevolence (locally available and caring), fairness (accessible to all and non-discriminatory), and competence (acceptable and effective in meeting survivors' needs). Guided by this conceptualization, we conducted an integrative review drawing on four databases: PsycINFO, PubMed, Web of Science, and Westlaw. We identified studies for inclusion that were published between January 2005 and March 2022, and we examined the trustworthiness of community-based providers serving adult IPV survivors in the United States, including domestic violence services, health and mental health care, the legal system, and economic support services (N = 114). Major findings include (1) many survivors live in communities with no shelter beds, mental health care, or affordable housing; (2) many services are inaccessible because they lack, for example, bilingual staff, sliding fees, or telehealth options; (3) too many providers are harmful or discriminatory toward survivors, especially those who are, for example, sexual or gender minorities, immigrants or non-English-speaking, poor, or Native, Black, or Latinx; (4) many providers appear to be incompetent, lack evidence-based training, and are ineffective in meeting survivors' needs. We call on researchers, advocates, and providers to examine provider trustworthiness, and we offer an introduction to measuring it.

Training Informal Supporters to Improve Responses to Victim-Survivors of Domestic Violence and Abuse: A Systematic Review

Informal supporters (friends, family, colleagues, and community members) play a crucial role in societal-wide responses to victim-survivors of domestic violence and abuse. Familial and social networks, however, report a sense of helplessness and difficulties in knowing how to respond. This mixed method systematic review examines the effectiveness, and perceived effectiveness, of training informal supporters to improve their responses to victim-survivors. A novel conceptual framework was developed to underpin the review. A systematic search of four electronic databases, specialist repositories, and websites were used to identify empirical research (in academic or gray literature). Eleven included studies examined educational interventions that aimed to improve responses from informal supporters. Quality appraisal was undertaken, and studies were judged to be "good enough" for synthesis. The studies in the review indicated that informal supporters recognized the value of training for building understanding and equipping them with the skills to respond to victim-survivors. The synthesis identified statistically significant improvements in the knowledge and attitudes of informal supporters in the immediate and short-term following training. Using a behavior change model to frame the evidence, the review found that training/educational activities prime informal supporters to respond to victim-survivors, as well as enhancing their capacity and motivation to do so. This increases the likelihood that informal supporters will take action to support victim-survivors of abuse. We don't know, however, what type of support they will provide and/or whether it would be judged to be helpful by victim-survivors.

Labeling Victimization Experiences and Self as Predictors of Service Need Perceptions and Talking to Police

Theoretical frameworks suggest that how victims of violence against women (VAW) label their experiences and selves shapes their help-seeking intentions and behaviors. Quantitative studies assessing this relationship have focused on sexual assault and have neglected self-labels, thus this study adds to the research by including multiple forms of VAW and both experience-labels (e.g., "abuse") and self-labels (e.g., "victim"). Data came from a community-based sample of 1,284 adult, female victims of physical intimate partner violence, sexual assault, and/or stalking. These women participated in a state-wide phone survey in 2020 to determine victimization prevalence and were selected for the present analyses based on their victimization experiences. Bivariate analyses and multivariate logistic regression models were used to determine whether experience- and self-labels predicted the likelihood of perceiving the need for legal services, victim services, shelter or safe housing, and/or medical care, as well as talking to police. Both applying a label to one's experiences with VAW and applying a label to oneself in relation to those experiences approximately doubled the odds of perceiving a need for formal services. The significance of self-labels seemed to be driven by the "survivor" label, as using a "victim" label was not related to need perceptions, but a "survivor" label doubled or tripled the odds of perceiving a need for formal services. Applying a label to one's experiences with VAW almost doubled the odds of talking to the police, and, again, use of the "survivor" self-label significantly increased the odds of talking to the police. These findings confirm the importance of labeling one's victimization experiences and self, and indicate that greater attention be paid to the labels that victims use and how the use of labels might be improved so that they are more likely to seek and attain meaningful help and services.

A Systematic Review and Meta-Synthesis of Barriers and Facilitators of Help-Seeking Behaviors in South Asian Women Living in High-Income Countries who Have Experienced Domestic Violence: Perception of Domestic Violence Survivors and Service Providers

There has been little research on domestic violence (DV) within ethnic minority communities in high-income countries. This study reports on the findings of a meta-ethnography that examined the barriers and facilitators of help-seeking behaviors in South Asian women living in high-income countries who have experienced DV to inform practice, understand the limits of the evidence, and identify research gaps. Qualitative studies were identified which were available in English by electronic databases. After an initial search, 2,465 articles were reviewed by title and abstract and 135 articles were reviewed for full text. Thirty-five papers were included for this review and were synthesized using meta-ethnography. Key findings included barriers and facilitators of help-seeking behaviors: (1) Socio-cultural norms to prohibit help-seeking behaviors, (2) Fear of negative consequences, (3) Negative aspects of immigration status, (4) Insufficient support from statutory, and voluntary agencies, (5) Safety strategies and facilitators for surviving. Although this review investigated the perceptions of two different populations (survivors and service providers) both groups had similar views about the barriers and facilitators of help-seeking behaviors. It is crucial for the government and non-government organizations to understand the barriers for women who are DV survivors to seek help from their organizations and also from South Asian ethnicities. The awareness and understanding of these barriers and facilitators may help support the development of interventions to encourage effective help-seeking amongst South Asian women affected by DV. Suggestions for research, practice, and policies are discussed.

Public Stigmatization of Women Victims of Intimate Partner Violence by Professionals Working in the Judicial System and Law Enforcement Agencies in Spain

Recent international literature has demonstrated that the public stigma suffered by women victims of intimate partner violence (IPV) makes them less likely to disclose the abuse and to seek help and has a negative influence on third-party responses, with professionals working in the judicial system and law enforcement agencies being particularly susceptible to its impact. The absence of theories explaining how this stigma works and the legal and cultural differences that exist between countries prompted us to explore the process by which professionals working in law enforcement and the judicial system in Spain stigmatize this specific group of victims. Constructivist grounded theory was used to establish meanings and relationships between the components and processes involved in stigmatization, based on the data collected from individual, semi-structured, in-depth interviews with 11 professionals working in the aforementioned fields. In addition to the stigmatization that the interviewees claimed to have observed in coworkers, we also analyzed the conscious and/or unconscious stigmatization that they themselves exercised, which became evident during the course of the interview. The results confirmed the existence of stigma among professionals, with the said stigma often being unintentional and implicit in nature. The theoretical model that emerged from the data comprised four broad categories linked to the origin of the stigma, stigmatizing myths about victims and IPV, stigmatizing responses to victims who are seeking help, and the consequences of the stigma for the victims. In the study, we outline the associations observed between these factors and the subcategories included in each, and highlight the need to design training programs for professionals who are designed to fight against the stigma and which include self-analysis exercises as well as theoretical contents. We also discuss other implications of the results for both research and practice.

Characteristics of Intimate Partner Violence and Survivor's Needs During the COVID-19 Pandemic: Insights From Subreddits Related to Intimate Partner Violence

Intimate partner violence (IPV) increased during the COVID-19 pandemic. Collecting actionable IPV-related data from conventional sources (e.g., medical records) was challenging during the pandemic, generating a need to obtain relevant data from non-conventional sources, such as social media. Social media, like Reddit, is a preferred medium of communication for IPV survivors to share their experiences and seek support with protected anonymity. Nevertheless, the scope of available IPV-related data on social media is rarely documented. Thus, we examined the availability of IPV-related information on Reddit and the characteristics of the reported IPV during the pandemic. Using natural language processing, we collected publicly available Reddit data from four IPV-related subreddits between January 1, 2020 and March 31, 2021. Of 4,000 collected posts, we randomly sampled 300 posts for analysis. Three individuals on the research team independently coded the data and resolved the coding discrepancies through discussions. We adopted quantitative content analysis and calculated the frequency of the identified codes. 36% of the posts (n = 108) constituted self-reported IPV by survivors, of which 40% regarded current/ongoing IPV, and 14% contained help-seeking messages. A majority of the survivors' posts reflected psychological aggression, followed by physical violence. Notably, 61.4% of the psychological aggression involved expressive aggression, followed by gaslighting (54.3%) and coercive control (44.3%). Survivors' top three needs during the pandemic were hearing similar experiences, legal advice, and validating their feelings/reactions/thoughts/actions. Albeit limited, data from bystanders (survivors' friends, family, or neighbors) were also available. Rich data reflecting IPV survivors' lived experiences were available on Reddit. Such information will be useful for IPV surveillance, prevention, and intervention.

Physical Intimate Partner Violence Concordance Rates in Couples: Does CTS2 Item Order Matter?

Intimate partner violence (IPV) concordance rates between partners are low across national, community, and clinical samples. Discordance between partners' IPV reports is problematic given that self-report questionnaires, such as the CTS2, are commonly used to assess IPV. Moreover, most research is based solely on the report of one partner. Some have attributed this discordance to how CTS2 items are presented. The CTS2 presents items inquiring on the frequencies of perpetration by oneself and then one's partner in pairs. The present study examined whether IPV concordance rates improve if couples are administered a version of the CTS2 where all items assessing their partner's behaviors are presented first, followed by items assessing the respondents' behaviors. Additionally, the present study examined whether correlations between self-reported and partner-reported perpetration and victimization differ depending on the order in which CTS2 items are presented. Two samples of heterosexual couples were recruited from a large metropolitan area in the United States. The first sample was administered the CTS2 in its usual format. The second sample was administered a version of the CTS2 that presented items on one's partners' behavior first, followed by self-reported behavior. Results revealed that concordance rates among violent couples were higher in the group administered the CTS2 in its altered format, particularly agreement on male IPV perpetration. However, when agreement on minor and severe IPV was examined separately, concordance rates between groups were relatively similar for severe IPV. These findings suggest that altering the item presentation of the CTS2 may improve the interrater reliability of the Physical Assault Scale of the CTS2. Additional results are discussed.

Help-Seeking for Severe Intimate Partner Violence Among Sexual and Gender Minority Adolescents and Young Adults Assigned Female at birth: A Latent Class Analysis

Sexual and gender minority adolescents and young adults assigned female at birth (SGM-AFAB) report high rates of intimate partner violence (IPV) victimization. Despite adverse health outcomes of IPV, many survivors, particularly SGM-AFAB, do not seek help. This study (1) examined the proportion of SGM-AFAB who reported severe IPV victimization who sought help; (2) elucidated patterns of help-seeking facilitators and barriers; and (3) identified associations between sociodemographic characteristics, IPV victimization types, and minority stressors and latent classes of help-seeking facilitators and barriers. Participants included 193 SGM-AFAB (Mage = 20.6, SD = 3.4; 65.8% non-monosexual; 73.1% cisgender; 72.5% racial/ethnic minority; 16.6% annual household income $20,000 or less). Most participants who experienced severe IPV did not seek help (62.2%). Having a person or provider who was aware of the participant's abusive relationship was the most common reason for seeking help (50; 68.5%). Minimizing IPV was the most common reason for not seeking help (103; 87.3%). Fewer than 5% of SGM-AFAB who experienced severe IPV and who did not seek help reported SGM-specific help-seeking barriers, including not wanting to contribute to negative perceptions of the LGBTQ community, not disclosing their SGM status, and perceiving a lack of tailored services. Help-seeking facilitators and barriers varied by sociodemographic characteristics. Three classes of help-seeking facilitators and two classes of help-seeking barriers emerged. SGM-AFAB subgroups based on sexual and gender identity, recent coercive control, and identity as IPV victims differed in latent classes. This study's findings confirm SGM-AFAB IPV survivors' low likelihood of seeking help. Our results also underscore the importance of continuing to bolster SGM-AFAB survivors' access to trauma-informed, culturally sensitive, and affirming support. Further, multilevel prevention and intervention efforts are needed to reduce minimization of abuse and anticipatory judgment and blame among SGM-AFAB who hold multiple marginalized identities, experience coercive control, and identify as IPV victims.

Black Men's Intimate Partner Violence Victimization, Help-Seeking, and Barriers to Help-Seeking

Guided by hegemonic masculinity and intersectionality theories, this descriptive, exploratory study examined Black men's intimate partner violence (IPV) victimization experiences, subsequent help-seeking decisions, and barriers to help-seeking. To begin exploring Black men's experiences, two research questions guided this study: (a) What are Black men's experiences of IPV-related help-seeking? (b) What barriers do Black men face when seeking IPV-related help and support? A total of 54 Black men participated in an online survey on their IPV experiences via the crowdsourcing platform Prolific. Overall, the men who participated in this study experienced relatively low levels of minor and severe physical and sexual violence victimization, as well as lower levels of coercive controlling violence in comparison to nationally representative data, suggesting this sample comprises men who experience situational couple versus coercive controlling violence. All but one participant utilized at least one help-seeking strategy. Informal strategies were most commonly utilized, whereas legal strategies were least commonly utilized. The degree to which participants perceived each strategy as helpful was quite variable, such that staying with friends or family was the most helpful strategy yet 47.8% found it unhelpful. The most common help-seeking barriers (e.g., wanting to solve the problem on their own) overlap with hegemonic masculinity and Black men's experiences with formal and legal systems, relating less to the internalized and anticipated stigma subscales created for women. Broadly, this study helps illustrate the need for researchers to focus on developing measures and interventions tailored to Black men and their experiences.

Development and Validation of the Scale of Attitudes about Seeking Formal Help in the Context of Intimate Partner Violence

Stigma plays a critical role in the decision-making process of intimate partner violence (IPV) survivors, particularly whether they disclose, initiate, and continue with care for the consequences of the violence. As such, this study developed and validated a scale to assess the manifestation of IPV stigma on survivors' attitudes toward accessing services, using a racially and ethnically diverse sample of women (N = 409). An exploratory factor analysis was conducted using a calibration subset (n = 206) to identify the factor structure of the newly developed scale. A confirmatory factor analysis was then performed using a validation subset (n = 203) to validate the hypothesized model. To assess language and Latina ethnic differences in the scale functioning, multiple indicators and multiple causes (MIMIC) modeling was applied. To test for construct validity, the scale's correlation with two conceptually relevant variables was estimated. The final exploratory factor analysis (EFA) model retained eight items across two factors, accounting for 58.63% of the variance. Factor 1 captures attitudes related to anticipated stigma, and factor 2 captures attitudes related to internalized stigma. Results from the CFA validated the hypothesized second-order, two-factor model of the scale of Attitudes About Seeking Formal Help. Overall, results from the MIMIC model indicated measurement invariance across English and Spanish-speaking and Latina and non-Latina survivors. Construct validity was supported. This scale provides a tool to help capture and understand IPV stigma in relation to accessing professional services. Specifically, practitioners will be able to identify survivors who endorse high negative attitudes about seeking formal help, potentially being at higher risk of service discontinuation. Such information could, in turn, help guide a targeted service plan. Practitioners may also use this tool with ongoing clients to inform their practices and determine whether specific IPV stigma should be the focus of intervention.

Informal Help-Seeking in Moments of Acute Danger: Intimate Partner Violence Survivors' Emergency Outreach Efforts and the Forces That Shape Them

Heightened attention to police brutality has created momentum for alternative, community-based responses to violence, including that inflicted by an intimate partner. But to build effective alternatives, we must know what survivors already do in moments of acute danger when they do not call the police. This study sought to explore these moments from an ecological perspective. Using a qualitative descriptive methodology, we conducted 25 interviews with a diverse sample of intimate partner violence (IPV) survivors. Each described the first, the worst, and the most recent IPV incident, whom they reached out to and why, the outcomes of their help-seeking, and the individual, interpersonal, and psychosocial influences on the process. Even in the face of severe violence, what participants most wanted was someone who would listen without judgment. Direct interpersonal factors that influenced their help-seeking included their partner's controlling behavior, as well as their network members' capacities, perspectives on IPV, and feelings about the survivor. Broader influential factors included the radiating effects of IPV and other forms of trauma in survivors' networks. Participants offered recommendations on how domestic violence (DV) programs could both strengthen survivors' networks and provide them with targeted community support in moments of grave danger. As we continue to develop community-based alternatives to police intervention, DV programs have a critical opportunity to build on survivors' own recommendations. This process must address the ongoing effects of trauma that hamper the ability of so many network members to support survivors in crisis.

"I Have to Fight to Get Out": African American Women Intimate Partner Violence Survivors' Construction of Agency

African American women survivors of intimate partner violence are disproportionately murdered and help-seeking is a critical variable to examine as it relates to it. There is an urgent need to develop culturally salient interventions that center African American women's ways of knowing. An initial step to doing so is identifying how they employ their sense of individual agency during help-seeking. This paper reflects findings from a study designed to do just that. We conducted 30 in-depth, semi-structured interviews with women who self-identified as African American. Constructivist grounded theory methodology was employed. Constructed agency emerged from the data. This nascent theory explicates four phases of African American women survivors' help-seeking: resistance, persistence, rejection, and resignation. Constructed agency provides practitioners and researchers with a theoretical model to examine African American women's nuanced help-seeking efforts when seeking informal supports and interventions from formal providers.

Legal System Disclosure Experiences of Young Adult Children Exposed to Domestic Violence

Children exposed to domestic violence (DV) disclose their experiences to a variety of people, including informal (e.g., peers), formal (e.g., doctors), and legal (e.g., police) support systems. Legal system disclosure is more common than formal system disclosure yet remains understudied leaving unanswered questions about the nature of those who choose to disclose and factors that influence their disclosure decision. Guided by communication privacy management theory and Johnson's typology of domestic violence (DV), this study addressed gaps in the CEDV literature through a theoretical thematic analysis of the DV exposure and legal system disclosure experiences of 25 young adults exposed to father-mother-perpetrated DV during their childhood. Findings from this study show that half of the participants had no legal system disclosure (n = 12; nondisclosers) and half had at least some legal system disclosure (n = 13; disclosers). Varying types of violence exposure and levels of exposure were factors that impacted youths' decisions to disclose to legal systems. Escalation of violence was a key factor that drove legal system disclosure, but other factors including how the young adults and their communities perceived their fathers, the match between the youth's goals for disclosure and the outcomes upon disclosing, along with family privacy norms and family boundaries were influential in guiding decision making over time. This study has implications for practitioners working with DV-exposed youth, as our findings unpack the conditions under which youth choose to (not) disclose, the factors influencing these decisions, and how the responses and reactions from legal support systems inform future disclosure decisions.

Prevalence and Predictors of Affirmations of Intimate Partner Violence in Germany: A First Nationwide Study on Victimization in Women and Men

Large-size studies on the prevalence of female intimate partner violence (IPV) victimization in Germany are rare and partly outdated; representative data on male IPV victimization are lacking altogether. The present survey addresses these gaps. For this study, the instrument of the WHO Multi-country study on women's health and domestic violence has been translated to German and adapted to be used with females and males. A random route procedure in selecting household addresses has been used to gather data on IPV in combination with an omnibus survey on (mental) health issues. A total 2,503 respondents with a minimum age of 14 years have participated (response rate=44.1%). The resulting distribution of age and gender was representative for the German population above the age of 14 years. A total of 57.6% of female participants and 50.8% of male participants have reported victimization by intimate partners during their lifespan; gender distribution differs significantly (Chi²=43.43; p<0.001). Out of the different documented subtypes, psychological IPV was most prevalent (53.6% in females, 48.0% in males). Other forms ranged between 15.2% (physical IPV) and 18.6% (sexual IPV) for females, and 5.5% (sexual IPV) and 10.8% (physical IPV) for males. All forms of victimization regularly coincided, both in females and males. Experiencing any IPV was not only significantly associated with female gender, but also with older age, periods of unemployment, poverty, and IPV perpetration. The findings highlight the still much needed global efforts to prevent IPV against women - and in general. They further support previous research in underlining that fighting poverty might also be instrumental in reducing the likelihood of IPV. The discussion further addresses the issues of reciprocity in IPV.

"I Am the One That Needs Help": The Theory of Help-Seeking Behavior for Survivors of Intimate Partner Violence

African American women survivors of intimate partner violence disproportionately experience homicide due, in part, to the racism and racial discrimination they experience during their help-seeking process. Yet, existing scholarship neglects to examine how this multiply-marginalized population of women navigate sociocultural barriers to obtain crisis services and supports from the domestic violence service provision system. Fundamental to developing culturally-salient interventions is more fully understanding their help-seeking behavior. We conducted 30 in-depth, semi-structured interviews with women who self-identified as African American. Constructivist grounded theory methodology was employed. Sensitizing concepts from the Transtheoretical Model of Change and Intersectionality theories, along with Agency framework were conceptually bound. The Theory of Help-Seeking Behavior emerged from the data. This nascent theory provides practitioners and researchers with a theoretical model to examine African American women's nuanced help-seeking efforts.

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.

Barriers to Men's Help Seeking for Intimate Partner Violence

Evidence suggests that male victims of intimate partner violence (IPV) are less likely to seek help for their victimization than female victims. Studies exploring barriers to help seeking are relatively scarce in the United Kingdom (UK) and those that have been undertaken across Europe, United States, Canada, and Australia have tended to rely on small samples of help-seeking men who have self-identified as victims of IPV. With a view to include more male victim voices in the literature, an anonymous qualitative questionnaire was distributed via social media. In total, 147 men (85% from the UK) who self-identified as being subject to abuse from their female partners, completed the questionnaire. The data was subjected to a deductive thematic analysis and one superordinate and two overarching themes were identified. The superordinate theme was stigmatized gender and the two overarching themes (subthemes in parentheses) were barriers prohibiting help seeking (status and credibility, health and well-being) and responses to initial help seeking (discreditation, exclusion/isolation, and helpfulness). The findings are discussed in the context of Overstreet and Quinn's (2013) interpersonal violence and stigma model and findings from previous research. The conclusions and recommendations promote education and training and advocate a radical change to policy.

"They Aren't Going to Do Jack Shit": Text-Based Crisis Service Users' Perceptions of Seeking Child Maltreatment-Related Support From Formal Systems

Many of the children reported to child protective services (CPS) exhibit signs and symptoms that allow others to recognize their abuse or neglect and intervene; others, especially adolescents, must disclose their experiences to be identified. Relatively little is known about young people's disclosure experiences, but individual, interpersonal, and cultural factors appear to influence when and how young people disclose. Technology-facilitated approaches, such as text- or chat-based hotlines or crisis services, may be one way to help young people share their maltreatment experiences and seek help. The current study contributes to the small body of literature that includes nonsexual maltreatment disclosures and sheds some light on how to support young people during their disclosures. We conducted a qualitative content analysis of all conversations from a text-based crisis service that resulted in a report to CPS (n = 244). Many of the texters had previously sought support from their peers or parents, and some had engaged with more formal systems. Many young people were hesitant to reach out to formal systems in the future, in part because of negative experiences during past disclosure experiences. Young people may be more likely to seek support through their preferred communication medium, so providing text- and chat-based communication may be one way to encourage and facilitate disclosure. As these resources become increasingly available, determining best practices for receiving disclosures through technology-facilitated platforms will be critical.

Victim and Perpetrator Acknowledgement of Intimate Partner Violence and Victim Psychopathology

The present study assesses differences between acknowledged and unacknowledged victims in post-victimization psychopathology, abuse disability and coping. Few studies have examined abuse acknowledgment among intimate partner violence (IPV) victims. To our knowledge, this study is the first to use an experimental manipulation to assess changes in acknowledgment among IPV victims. Female undergraduate students currently in dating relationships completed demographic, coping and psychopathology questionnaires, and the Conflict Tactics Scale (CTS). They then watched a video of an IPV perpetrator who either acknowledged abuse or did not acknowledge abuse. Following the video, participants completed a psychopathology questionnaire and a post-video acknowledgment assessment. Approximately 38% of the sample reported IPV victimization. Only 7.89% acknowledged victimization. Acknowledged IPV victims had the highest mean victimization score but reported psychopathology similar to nonvictims on all subscales except phobic anxiety. Unacknowledged victims reported greater psychopathology, depression, anxiety, and hostility than nonvictims and were more symptomatic overall. Unacknowledged victims reported more frequent use of avoidant coping strategies than nonvictims. These strategies included substance use, self-blame, and behavioral disengagement. Acknowledged and unacknowledged victims reported greater abuse disability than nonvictims, and acknowledged victims reported greater life restriction than unacknowledged victims. Following the video, the number of acknowledged victims nearly doubled, and acknowledged victims reported increased depression. On the basis of these findings, clinicians and researchers should carefully consider acknowledgment as a potential factor in post-victimization mental health and explore ways to increases victim acknowledgment.

Understanding the Profile and Needs of Abused Men: Exploring Call Data From a Male Domestic Violence Charity in the United Kingdom

Current understandings on service engagement by male victims of domestic violence and abuse (DVA) within the United Kingdom (UK) have generally been captured by qualitative research. As such, large-scale quantitative data detailing the profile, needs and outcomes of abused men, upon both presentation and use of services, is currently lacking. The present study analyzed the client data of 719 callers to a domestic abuse helpline for men in the UK. Findings showed that the overwhelming majority of callers reported they were abused by female perpetrators, most of whom were still their current partner, and that many of the men were fathers. Vulnerable populations (GBTQ+ and disabled men) were under-represented in the sample. Most men were seeking emotional support, along with a range of practical advice and signposting to other services. The confidentiality of the helpline was crucial for many men, and almost half had struggled to access the service (suggesting a severe lack of resourcing). Findings are discussed in relation to the need for gender-inclusive services, which cater for the unique challenges and barriers experienced by abused men.

Intimate Partner Violence and its Mental Health Implications Amid COVID-19 Lockdown: Findings Among Nigerian Couples

Intimate partner violence (IPV) has been identified as a global health problem with increasing mental health consequences. During the COVID-19 pandemic lockdown in Nigeria, couples were compelled to spend more time together, regardless of their pre-existing challenges. Our study aims to determine the prevalence of IPV, its forms, and mental health implications among Nigerian households amid the COVID-19 lockdown. A cross-sectional study was implemented which used the snowball sampling technique to recruit 474 participants across 31 states in Nigeria. A semi-structured online questionnaire was distributed using the WhatsApp platform. The relationship between IPV, its forms, and associated factors were analyzed using descriptive analysis and logistic regression with significant value at p ≤ .05 and confidence interval of 95%. Majority (98.1%) of the participants had at least a college degree and 90.1% were employed. Overall prevalence of IPV ranged from 7.2% to 13.5%. Using the lockdown as the landmark, higher prevalence was found before than during the lockdown across physical, emotional, financial, and sexual forms of IPV. Emotional form had the highest prevalence both before and during the lockdown with 11.4% and 3.8% respectively. Furthermore, 22.6% of participants reported that the lockdown affected their mental health. Hopelessness, feelings of failure, being irritable, and constantly under strain were psychological symptoms significantly associated with IPV amid the lockdown. Decreased prevalence of IPV were found in the early phase of the pandemic, suggesting that couples can experience less partner violence during periods of confinement. Our study supports existing evidence that forms of IPV have negative mental health consequences on abused partners.

Injury Patterns and Associated Demographics of Intimate Partner Violence in Older Adults Presenting to U.S. Emergency Departments

Intimate partner violence (IPV) is a global public health issue and occurs in intimate relationships regardless of age or sexual orientation. Several studies, most of them relying on small-scale samples, have explored the prevalence and risk factors of IPV in older adults. Still, none have focused on the demographics and injury patterns in older adult victims. Using the National Electronic Injury Surveillance System (NEISS) All Injury Program (AIP) data, we performed a retrospective analysis from 2005 through 2015 of the demographics and injuries of older adult IPV patients (>60 years old) presenting to emergency departments (EDs) compared to younger adult IPV patients (<60 years old). IPV accounted for 2,059,441 ED visits (.61%) with 37,534 (1.8%) visits in the older adults. Older adults were more frequently male (36.1% vs 16.8%), White (65.3% vs 52.8%), sustained fewer neck/head injuries (47.6% vs 59.4%), fewer contusions/abrasions (34.6% vs 47.2%), had more trunk fractures (38.4% vs 11.9%), trunk strains/sprains (39.5% vs 15.4%) and more hospital admissions (15.7 vs 4.2%), compared to younger IPV patients. Within the older adult cohort, females were more commonly White (71.2% vs 56.0%) while males were more commonly Black (36.3% vs 19.0%). Injuries in older adult males were more commonly lacerations (40.6% vs 14.2%%) and less commonly contusions/abrasions (33.8% vs 43.5%) compared to elderly females. Older adult females had more internal organ injuries than older adult males (18.9% vs 12.9%) and nearly all involved the head. Knowledge of these injury patterns in older adults can equip the health care providers when to be more suspicious of unexplained or suspicious injuries as the victim's symptoms at the presentation might not be directly related to violence.

Asking the Right Questions: Screening Men for Partner Violence

With lifetime intimate partner violence (IPV) victimization rates for self-identified men between 14% and 20%, and an expanding understanding of gender as a nonbinary construct, practitioners in some clinical environments have expressed interest in screening all patients for IPV. Yet, few IPV screening instruments have been validated for use in nonfemale populations. This research tests the appropriateness and acceptability of a screening instrument developed for use with women.A literature review was completed to determine the current state of research into IPV screening practices tailored to men. Next, cognitive interviews were conducted to test a 9-question IPV screening instrument with men considered at average and elevated risk for experiencing partner violence. Participants were read the questions aloud and asked about item comprehension and question appropriateness and acceptability.The literature review uncovered no published reports describing routine clinic based IPV screening of men, and only two screening instruments had been validated with men. Twenty men participated in cognitive interviews from a variety of settings in a large urban center. All participants accurately described the intended meaning of each question and verified the appropriateness of asking the questions.This work addresses the gap in research on routine IPV screening with men, building on efforts to screen individuals and support improved health and response to violence to those across the gender spectrum.

Factors Associated With Willingness To Report Intimate Partner Violence (IPV) to Police in South Korea

Intimate partner violence (IPV) is a serious social problem in South Korea, but the IPV reporting rate to the police is not high enough. To reduce violence and further victimization, it is important for IPV (potential) victims to report to police. Thus, this study aimed to examine the factors associated with willingness to report IPV to police if they experience it using the 2013 Korean National Domestic Violence Survey data. A representative sample of 5,000 Korean participants, of whom 1,668 were males and 3,332 were females, were recruited using a stratified multistage sampling design. We found that the willingness to report IPV to the police was statistically significant when the participants were young, had strong knowledge of IPV-related laws, had lower levels of acceptance of violence, had lower levels of conservative gender role values, and when the seriousness of violence was higher for both male and female participants. However, having children and having experienced child abuse only affected women's willingness to report IPV to the police. Based on this study's findings, we then discussed policy implications to prevent further victimization, focusing on factors that are associated with willingness to report violence to the police.

Characteristics Associated With Being Asked About Violence Victimization in Health Care: A Swedish Random Population Study

Recommendations to routinely question patients about violence victimization have been around for many years; nonetheless, many patients suffering in the aftermath of violence go unnoticed in health care. The main aim of this study was to explore characteristics associated with being asked about experiences of violence in health care and thereby making visible victims that go unnoticed. In this study, we used cross-sectional survey data from 754 men (response rate 35%) and 749 women (response rate 38%) collected at random from the Swedish population, age 25-85. Questions were asked about experiences of emotional, physical, and sexual violence from both family, partner, and other perpetrators. Only 13.1% of those reporting some form of victimization reported ever being asked about experiences of violence in health care. Low subjective social status was associated with being asked questions (adj OR 2.23) but not with victimization, possibly indicating prejudice believes among providers concerning who can be a victim of violence. Other factors associated with increased odds of being asked questions were: being a woman (adj OR 2.09), young age (24-44 years, adj OR 6.90), having been treated for depression (adj OR 2.45) or depression and anxiety (adj OR 2.19) as well as reporting physical violence (adj OR 2.74) or polyvictimization (adj OR 2.85). The main finding of the study was that only few victims had been asked questions. For example, among those reporting ≥4 visits to a primary care physician during the past 12 months, 43% reported some form of victimization but only 6% had been asked questions. Our findings underline the importance of continuing to improve the health care response offered to victims of violence.

What Helps and Hinders Students' Intervening in Incidents of Dating Violence On Campus? an Exploratory Study Using Focus Groups

Dating violence is a problem occurring on college campuses that requires unique prevention and intervention needs. Despite the widespread prevalence and pervasive impact of dating violence victimization, formal disclosure and utilization of on-campus support services for student survivors remain low and often survivors who do tell someone disclose to an informal source of support, most often a friend. Many current educational efforts on college campuses regarding dating violence, including bystander intervention programming, fail to increase students' understanding of how to safely address a situation where a peer is experiencing an abusive relationship or to provide students with information about their role as potential responders to disclosures of violence from friends. In the present exploratory study, a series of qualitative focus groups were conducted to better understand students' perspectives on dating violence on campus. Data were analyzed according to processes of thematic analysis to examine how students' understanding and knowledge of dating violence impact their decision about whether to intervene as prosocial bystanders within their social networks using focus groups. Emergent findings reveal that students undergo a multistage process of intervening that relies heavily on their existing knowledge and attitudes toward dating violence. The findings from this article are consistent with Banyard's Action Coils model. Suggestions for future research are also discussed.

"So Why Should I Call Them?": Survivor Support Service Characteristics as Drivers of Help-Seeking in India

Women in South Asia face the highest lifetime prevalence of intimate partner violence in the world, which is just one form of violence against women (VAW). In India, few women seek help after experiencing violence, particularly from formal resources, such as physicians or the police. While many studies have investigated the impact of survivor characteristics and patterns of violence on help-seeking behaviors, there is scant research on support service characteristics and their impact on help-seeking. The introduction of a novel crisis helpline in Gujarat, India provided an opportunity to better understand how successful help-seeking can be driven by the perceived and experienced characteristics of the helpline. We conducted in-depth interviews with helpline users to identify factors and pathways that promoted or discouraged help-seeking in general, help-seeking from a formal source, and help-seeking from this particular helpline. We analyzed 32 interviews of women who used the helpline. Participants were from eight districts across the state, representing a diverse range of sociodemographic backgrounds. After conducting a thematic analysis, we found that action-oriented service, timeliness, and women-focused staff influenced (positively and negatively) participants' feelings of safety, empowerment, and trust in the helpline, which ultimately impacted their decision to seek help from the helpline or even to seek help at all. This study illuminates how service characteristics, in and of themselves, can influence the likelihood that survivors will seek help, emphasizing the need for survivors to have a voice in the growth and refinement of VAW support services. Consequently, these areas must be a focus of future research and initiatives to improve help-seeking by VAW survivors.

Encouraging Asian Immigrant Women to Disclose Intimate Partner Violence in Primary Care Settings

Risks of intimate partner violence (IPV) often are higher among immigrant women, due to dependency, language barriers, deportation fears, cultural beliefs, and limited access to services. In the United States, Asian immigrant women experiencing IPV often are reluctant to disclose abuse. Viewing videos that depict IPV survivors who have successfully obtained help might encourage disclosure. After conducting formative research, we created brief videos in four Asian languages (Korean, Mandarin Chinese, Thai, and Vietnamese) for use in primary care clinic consultation rooms. We then conducted in-depth interviews with 60 Asian immigrant women in California to get their perspectives on how helpful the videos might be in achieving disclosure. Most participants believed the videos would promote disclosure in clinics, although those who had been abused seemed more skeptical. Many had stereotyped views of victims, who they felt needed to be emotive to be credible. Videos should be upbeat, highlighting the positive outcomes of escaping violence and showing clearly each step of the process. Various types of IPV should be described, so that women understand the violence is not exclusively physical. Victims would need reassurance that they will not be arrested, deported, or forced to leave their abusers. Discussing the benefits of escaping violence to children could be influential. Victims also must be convinced that providers are trustworthy, confidential, and want to help. To assist immigrant populations to disclose IPV to a health provider, videos need to be culturally relevant, explain various types of violence, allay fears, and show clear processes and benefits.

"I Have Guys Call Me and Say 'I Can't Be the Victim of Domestic Abuse'": Exploring the Experiences of Telephone Support Providers for Male Victims of Domestic Violence and Abuse

While previous studies have begun to provide evidence on the experiences of male victims of domestic violence and abuse (DVA), current understanding in this area is still limited, and subject to narrow methods of inquiry. Moreover, little is known regarding the challenges of providing support to men in abusive relationships, and how barriers to effective service engagement are experienced by both men and service practitioners. This is an important area for exploration, as the gender-specific experiences and needs of men have been historically overlooked within academic research and service provision. The present study therefore had two principal aims: first, to provide more detailed information regarding the nature and context of abuse toward, and help-seeking experiences of, male victims, and second, to explore the experiences of those supporting abused men. Semi-structured interviews were conducted with four call handlers at a U.K. domestic abuse charity supporting male victims. Transcribed interviews were subjected to thematic analysis, revealing a superordinate theme of stereotypes and expectations of men which affected all the other three overarching and eight subthemes, including those detailing the range and severity of abuse suffered, the role of family and friends, barriers to reporting for abused men, and challenges in supporting them. Implications for services working with male victims of DVA are discussed: centered around the need for recognition, increased awareness, increased resourcing, and the provision of gender-inclusive services catering for the gender-specific needs of men.

Intimate Partner Violence Experiences Among Puerto Rican Mothers

This qualitative, transcendental, phenomenological study explored the subjective experiences of Puerto Rican mothers, aged 18 and older, who experienced intimate partner violence (IPV) and their perceptions of how provider and law enforcement approaches to screening impacted disclosure. Participant recruitment was coordinated with gatekeepers, and community and domestic violence organizations, who posted bilingual flyers. A total of nine Puerto Rican woman aged 18 and older who experienced IPV participated and agreed to consent to audio-recorded interviews. Data analysis integrated content and thematic procedures, including transcribing, reading, auditing, and coding the interviews based on statements, quotes, and sentences, then grouped into themes that captured the essence of their lived experiences. The IPV was perpetrated primarily by the children's biological fathers and escalated over time. Four of the eight participants (one was lost to follow-up) had been screened while seeking medical care for IPV-related injuries, two disclosed their IPV, and one of the two was provided with a referral for IPV resources. All had multiple previous encounters with law enforcement but were afraid and ashamed to disclose the IPV. Lack of disclosure was associated with Hispanic cultural values and norms that included collectivism or keeping group cohesiveness, familism that socially emphasizes the family unit, marianismo as an ascribed female gender role of self-sacrifice and caregiving, and threats that their children would be removed from the home. Most of the women did not have knowledge of resources available to them and wanted to keep the family unit together. All believed they would be blamed for the incidents. Major implications include the need for multilanguage and multimedia campaigns to improve access to information, transparency with IPV screenings that may influence IPV disclosure, and systemwide education that addresses mother-blaming.

A Pilot Evaluation of an Intervention to Improve Social Reactions to Sexual and Partner Violence Disclosures

The purpose of this study was to evaluate an intervention (Supporting Survivors and Self [SSS]) created to increase positive social reactions and decrease negative social reactions to sexual assault and partner violence disclosures among informal support disclosure recipients. Participants were 1,268 college students from a medium-sized New England university who completed an online baseline survey and were assigned to either the treatment or control condition. The SSS intervention trained potential informal supports on what to say and not to say to disclosure recipients. Six months after the SSS intervention, participants in both conditions completed the follow-up survey online. Although intentions to provide positive social reactions significantly increased among participants in the treatment group compared with the control group and there were marginally significant effects in the anticipated directions for alcohol-specific intended social reactions, no overall difference was observed across conditions in actual social reactions provided. Moderation analyses suggested that, in general, the SSS intervention was more effective on various outcomes for students who were younger, male, non-White, sexual minorities, and/or non-victims. Moderation analyses also suggested that the intervention varied in efficacy depending on the circumstances of the disclosure. Despite the mixed outcomes of the SSS intervention, these data suggest that the SSS intervention was effective in improving social reactions for some students and under some circumstances. Future research is needed to further refine the SSS intervention to bolster its effectiveness in reducing negative social reactions and increasing positive social reactions for all students.

Predictors of Disclosure Recipients' Social Reactions to Victims' Disclosures of Dating and Sexual Violence: A Longitudinal Study of College Students

Dating violence (DV) and sexual violence (SV) are pernicious issues among college students that lead to deleterious outcomes, which are more likely when victims receive more negative social reactions (e.g., blaming the victim) and fewer positive social reactions to disclosure (e.g., providing emotional support). Most research studies have examined victims' reports of social reactions to their assault disclosures, with only a few cross-sectional studies of predictors of disclosure recipients' provision of positive and negative social reactions to victims. The purpose of the current study was to address these gaps in the literature. Participants were 481 college students (76.4% women, 89.2% White/Non-Hispanic) who reported being a disclosure recipient during the past six months (measured at Time 2 to cross-sectionally and longitudinally predict their social reactions to victims' disclosures). Results suggested that both victim and disclosure recipient characteristics (e.g., gender, race), disclosure recipient perceptions of victims (e.g., empathy for victim, blame of victim, victims' coping) and both disclosure recipient and victim behavior at the time of disclosure (e.g., drinking, distress) were related to disclosure recipient social reactions. These findings underscore the need for programs for potential informal disclosure recipients that target psychological variables (e.g., post-traumatic stress disorder) and behavior at the time of disclosure, as well as their perceptions of victims more generally, in addition to improving their knowledge and ability to respond with positive social reactions and avoid negative social reactions.

Intimate Partner Violence Dynamics and Help Seeking Among Mexican Women: Results From a 2016 National Household Survey

Using the recent 2016 National Survey on Household Dynamics (N = 98,768 heterosexual Mexican women currently married, cohabiting, separated, divorced, or dating with a noncohabiting partner), this study has three objectives: first, to assess the prevalence of different intimate partner violence (IPV) dynamics, including situational couple's violence (SCV), intimate terrorism (IT), and violent resistance (VR); second, to empirically operationalize VR; and, third, to study women's help-seeking behaviors in public institutions, whether these are associated with violent dynamics and the type of responses offered by public institutions. Descriptive and multivariate logistic analyses show that, in the year prior to the survey, 5.8% of women experienced SCV, 1.2% IT and 0.6% VR. SCV is the most prevalent, but separated and divorced women are involved in IT and VR to a greater extent. Only 8.3% of females involved in IPV sought formal help from public institutions. Help seeking from public institutions is contingent upon violent dynamics and sociodemographic characteristics. Law enforcement and public security institutions fail to accept all IPV complaints and investigate them (especially in the case of VR), perhaps because women who seek help do not meet the social representation of battered women. The need to educate civil servants and service providers on the different dynamics of IPV, and recommendations for guaranteeing women greater access to public institutions that might be instrumental in putting an end to the violence are discussed in the Mexican context.

Midwives Perceiving and Dealing With Violence Against Women: Is It Mostly About Midwives Actively Protecting Women? A Modified Grounded Theory Study

Violence against women (VAW) affects pregnancy, birthing, and puerperium. In this sense, domestic violence (DV) or intimate partner violence (IPV) may increase during pregnancy, sexual child abuse may affect the birthing process, and obstetric violence may occur during birthing. Thus, consideration of violence during pregnancy and puerperium is essential to providing optimal care for women. This implies that midwives should be able to identify women affected by VAW. Therefore, this study explored VAW as perceived by midwives in one region of Austria. Interviews with 15 midwives (mean age 38.7 years) were conducted in Tyrol, Austria, between December 2014 and December 2015. Data were analyzed with a modified version of Grounded Theory. The core category "protecting but walking on eggshells" showed the caution with which midwives approached VAW and in particular DV or IPV. Including VAW in midwifery was connected to midwives being active protectors of women in their care. This meant being an intuitive, sensible, guiding, and empowering midwife to the woman. Staying active was necessary to fulfill the protective role also with regard to DV. However, this was influenced by the visibility of the connection between VAW, pregnancy, childbirth, and puerperium. The key to including VAW and particularly DV was midwives' professional role of actively protecting women. Neglecting DV during pregnancy, labor, and puerperium meant further silencing DV, and keeping it hidden. Considering these aspects in planning and implementing actions to prevent VAW is expected to support sustainability and motivation to ask women about all forms of violence during and after pregnancy.

Sharing Personal Experiences of Accessibility and Knowledge of Violence: A Qualitative Study

In North America, the most common societal response to intimate partner violence (IPV) has been the establishment of women's shelters for temporary housing and security. Rurality further compounds the challenges women experiencing IPV face, with unique barriers from their urban counterparts. This study sought to explore the intersection of rural women's health care experiences within the context of IPV. Eight rural women living in Southwestern Ontario, who had experienced IPV, had used women's shelter services, and who had accessed health care services in the preceding 6 months were interviewed. Using a feminist, intersectional lens, we collected and analyzed qualitative data using an interpretive description approach. Findings demonstrated that women were able to identify strengths and opportunities from their experiences, but significant challenges also exist for rural women seeking health care who experience IPV. Our findings underscore the need for filling of policy gaps between health care and the services women use. We propose that further research is needed on alternative, integrated models of shelter services that address health care needs for women experiencing IPV.

Severity of Victimization and Formal Help Seeking Among Men Who Experienced Intimate Partner Violence in Their Ongoing Relationships

This study examined the severity of intimate partner violence (IPV) experienced by men in their ongoing relationships and their help-seeking behavior with the criminal justice system and other professional agencies. This study also examined the extent to which socio-demographic variables predicted formal help seeking among male victims of IPV. Data were drawn from 2009 and 2014 cycles of the Canadian General Social Survey on Victimization with a nationally representative sample of 52,400 respondents. It is estimated that about 655,400 men in Canada reported having experienced physical and/or sexual victimization due to IPV in married/common-law relationships at the time of the surveys between 2004 and 2014. The latent class analysis generated four types of IPV victimization among men. Among male victims of physical and/or sexual IPV, about 64,000 men experienced the most severe type of IPV characterized by chronic and severe physical and psychological violence with a high probability of injuries and negative emotional effects of IPV. Although most of the male victims of IPV did not seek formal help (e.g., did not contact the police and IPV services), the severity of experienced violence was associated with the increased use of formal services. Some structural factors, such as being unemployed and residing with young children, were found to be substantial barriers to contacting formal agencies for help. Our findings highlight the need for the development of gender-inclusive and gender-sensitive public policy and intervention programs that help all victims of IPV regardless of victim gender.

The Impact of Intimate Partner Violence in the Workplace: Results of a Saskatchewan Survey

The present study adds to the small body of research that illustrates that when individuals are experiencing intimate partner violence (IPV) at home, they are impacted at work. Data were collected using an anonymous web-based self-report survey of workers in Saskatchewan, Canada. Survey results demonstrate that IPV is prevalent among the workers surveyed. Half of all survey respondents reported that they had experienced IPV, and for 83%, it impacted them in work in at least one way. Some respondents had lost a job as a result of the abuse. In addition, the survey found that some respondents who had experienced IPV did not identify as having experienced IPV, demonstrating the need for increased public awareness about IPV. Recommendations for workplace responses to IPV are offered.

Experiences of Abused Muslim Women With the Australian Criminal Justice System

The confidence of intimate partner violence (IPV) survivors/victims in the criminal justice system (CJS) is important to consider when exploring intervention and prevention strategies toward deterring IPV. Information on the experiences of IPV survivors/victims with the justice system is greatly lacking. This issue is even more so for IPV survivors/victims for minority communities such as Australian-Muslims. The lack of cultural and religious sensitivity that many immigrant women experience with the CJS deters them from accessing the CJS. In addition, the contrast between the mediation processes in courts and those of religious requirements may make the mediation processes ineffective if they do not include the perpetrators in the mediation process. Furthermore, for many migrant women, their lack of knowledge about their rights under the Australian legal system renders them powerless to undertake active action against IPV in their relationships. Due to the lack of research on Muslim women's experiences, it is difficult to ascertain how the justice system response can effectively address IPV issues for Australian Muslim women. It is therefore necessary to solicit Muslim women's views and explore past experiences with the justice system to inform future reforms that will better meet the justice response needs of Muslim women in Australia. This article explores Muslim women's positive and negative experiences with the justice system in response to their IPV victimization. It also investigates the constraints that have deterred Muslim women from seeking assistance from the Australian criminal justice system (ACJS), particularly in the reporting of intimate partner violence. The findings of this research give voice to Muslim women's past experiences with the CJS. It is expected that the findings will influence practical outcomes that can facilitate strategies by the CJS to promote inclusiveness among Muslim women to increase their confidence in the CJS.

Toward an Effective Workplace Response to Intimate Partner Violence

This qualitative study adds to the relatively small body of research on the workplace impact of intimate partner violence (IPV), provides further insight into the various ways that IPV impacts survivors at work, and offers recommendations for improving the workplace response to IPV. Twenty-seven participants (survivors of IPV, workers, managers, union employees, and human resources professionals) took part in focus groups or one-on-one interviews. Three themes emerged from the data: the workplace impact of IPV, interventions in the workplace, and IPV policy suggestions for organizations. Recommendations for improving workplace response to IPV are offered, including legislative and policy changes, workplace leaves, and workplace accommodations for workers impacted by IPV. Findings illustrate the need for workplace training and information on how to recognize IPV, how to respond, and referral sources. This article offers suggestions of steps that workplaces can take to support employees who experience IPV as well as improving workplace safety, functionality, and productivity.

A Demographic Profile of Mothers and Their Children Who Are Victims of Family and Domestic Violence: Using Linked Police and Hospital Admissions Data

The aim of this study was to examine the key sociodemographic characteristics of Australian mothers and their children who were victims of family and domestic violence (FDV) that resulted in the male perpetrator being criminally charged for the offense or the mother being hospitalized. A population-based retrospective cohort study using de-identified linked health and police data of mothers with children born 1987-2010 who were victims of FDV 2004-2008 was utilized. Results indicate that mothers who were identified in police data are different demographically from those identified in health data and differed again from mothers identified in both health and police data. Within Western Australia, 3% of the population identify as Aboriginal; however, 44% of mothers identified as victims in police data and 73% within the health data were Aboriginal. Of the mothers identified in police data, 30% were under 25 years of age at their first assault recorded in police data compared with 21% in those identified in both police and hospital data. Most mothers identified as victims of FDV in police data had children present at their assault (60.6%). Prevalence of FDV exposure, identified in police data, was significantly different in Aboriginal children compared with non-Aboriginal children. Aboriginal children had a 19-fold (p < .0001) increased difference in prevalence of exposure compared with their non-Aboriginal counterparts. The study reveals the challenges in identifying victims of FDV when relying on a single data source for research and highlights the need for multiple datasets when investigating FDV. The overrepresentation of Aboriginal mothers and children should be taken in the context of the long-lasting impact of colonization. As such, prevention and early intervention strategies need to be underpinned by Aboriginal communities' cultural authority.

Relationship Power Imbalance and Known Predictors of Intimate Partner Violence in Couples Planning to Get Married: A Baseline Analysis of the AMAR Cohort Study

The increased interest on measuring violence in romantic relationships has led to the identification of some risk factors for intimate partner violence (IPV) in its different forms. Some of them are often present from the onset of the relationships. However, little attention has been paid to the engagement period. This might be, in part, due to the cognitive dissonance that hinders partners reporting intimate violence when they are planning their wedding. The purpose of our study is to test the association between the individual perception of relationship power imbalance (RPI)-a possible indirect measure of intimate violence-and known predictors of IPV. To test this hypothesis, a total of 254 premarital couples taking part in a dynamic prospective cohort study completed a questionnaire with questions about the perception of RPI and referred predictors of IPV. Results showed a positive correlation between the perception of RPI and known predictors of IPV. These findings suggest that RPI is a powerful indirect measure to detect situations that might imply a mild form of IPV and that could evolve into stronger presentations of violence later in marriage. Noticing the presence of RPI before marriage could encourage the prevention and development of personal and relational strategies to avoid the consolidation of violent dynamics within the marital relationship.

Intimate Partner Violence: Barriers to Action and Opportunities for Intervention Among Health Care Providers in São Paulo, Brazil

Health care providers (HCPs) who directly interact with women play a critical role in intimate partner violence (IPV) prevention and response. The aim of this study was to identify the structural and interpersonal barriers to IPV response among HCPs working in public health clinics in Santo André, Brazil. Eligible participants included all HCPs providing direct care to individuals at three public health clinics. Participants self-administered an adapted Knowledge, Attitudes, and Practices survey on IPV. Data were analyzed using Epi Info 7 and SAS 9.4. 114 HCPs completed surveys. Less than half of HCPs (41%, n = 34) reported ever having asked a woman about abuse in the past year. HCPs who perceived fewer barriers were more likely to report asking about IPV. The top three reported barriers to asking women about IPV included the following: few opportunities for one-on-one interaction (77%, n = 65), a lack of privacy (71%, n = 60), and fear of offending women (71%, n = 60). Fewer providers who perceived the barriers of lack of privacy asked about IPV (50.8%, n = 33 compared with 84.2%, n = 16; p < .05); less providers who perceived few opportunities for private patient interactions asked about IPV (48.3%, n = 29 compared with 75.0%, n = 18; p < .05). Our results support the need for a systems approach of institution-wide reforms altering the health care environment and avoiding missed opportunities in IPV screening and referring women to appropriate resources or care. Two of the most frequently reported barriers to asking IPV were structural in nature, pointing to the need for policies that protect privacy and confidentiality. Within the Brazilian context, our research highlights the role of HCPs in the design and implementation of IPV interventions that both strengthen health systems and enable providers to address IPV.

". . . The Forgotten Heroes": A Qualitative Study Exploring How Friends and Family Members of DV Survivors Use Domestic Violence Helplines

Many women who experience domestic violence (DV) seek support from friends, relatives, colleagues, and neighbors. There are substantial knock-on effects for informal supporters, and they may seek help themselves. Tailored services for this group are rare, but DV helplines can provide listening and signposting support. The aim of this exploratory study was to understand which informal supporters contact DV helplines and what form these calls take. Three focus groups, following a topic guide, were conducted with staff and volunteers for DV helplines during autumn 2015. Discussions were digitally recorded, transcribed verbatim, and imported into NVivo10 software. Transcripts were coded line-by-line, and a thematic analysis carried out. All participants were female, aged between 22 and 54 years, with between 2 months' and 8 years' experience of taking helpline calls. Findings indicate that people with broad ranging connections to a survivor call a helpline. Calls can be triggered by disclosures, abuse escalation, witnessing incidents, feeling overwhelmed, and media highlighting of DV. Informal supporters respond to survivors, and experience impacts, in differing ways, often associated with their gender and their relationship with the survivor. Frequently, they feel a sense of responsibility and a desire to rescue the survivor, often calling a helpline to reduce feelings of helplessness and to seek a "magic" solution. Many people are concerned about the legitimacy of their involvement and seek reassurance about the validity of their own help-seeking. Helpline workers feel that informal supporters would benefit from opportunities to reduce isolation, have their predicament acknowledged, and learn from peers. DV helplines have an important role in helping informal supporters of survivors. The help requested is predominantly to equip and empower the informal supporter, so that they feel more adept at coping themselves and, are thus, better able to offer support to the survivor.

Help-Seeking Experiences of Immigrant Domestic Violence Survivors in Australia: A Snapshot of Muslim Survivors

There has been significant research on women's experiences of domestic violence (DV) as well as on the women's help-seeking behaviors when living with partner abuse. Most of the Australian literature has focused on nonimmigrant women. We know that help seeking can include informal sources such as family, friends, religious leaders, and colleagues or formal assistance from police, doctors, social workers, counselors, and DV agencies. The current study aims to contribute to the literature on help seeking by looking at what has been found concerning immigrant DV survivors and complementing that with interview material from a sample of 14 Muslim immigrant DV survivors in New South Wales. First, we look at barriers that these women may encounter in seeking help and the non-help-seeking strategies they may employ. We then see what may trigger seeking help (including before and after leaving the abusers). Next, we look at how the two types of help seeking are used to better understand the positives and negatives of these pathways. This article ends with some suggestions for developing more appropriate and targeted strategies to assist abused immigrant DV survivors and their children.

"Being Married Doesn't Mean You Have to Reach the End of the World": Safety Planning With Intimate Partner Violence Survivors and Service Providers in Three Urban Informal Settlements in Nairobi, Kenya

Intimate partner violence (IPV) harms women physically, sexually, and psychologically. Safety strategies, or harm reduction techniques implemented by women undergoing recurrent violence, may help mitigate the negative health, economic, and social consequences of IPV. This study aimed to understand recommended and utilized safety strategies among three urban informal settlements in Nairobi, Kenya. Semi-structured key informant discussions (KIDs; n = 18) with community-based service providers and focus group discussions (FGDs; n = 49) with IPV survivors were conducted. All interviews were audio-recorded, transcribed, and translated verbatim from Swahili to English. Inductive thematic analysis was used to structure codes. Convergence matrices were used to analyze emergent strategies by data source (service providers vs. IPV survivors). Women preferred safety strategies that they could implement unassisted as first line of harm reduction. Strategies included removing stressors, proactive communication, avoidance behaviors, sexual and reproductive health (SRH), economic, leaving partner for safety, child safety, and securing personal property. Strategies recommended by service providers and utilized by IPV survivors differed, with clear divergence indicated for leaving the abusive relationship, SRH, and personal property strategies. Innovative strategies emerged from IPV survivors for safeguarding property. Similar to upper-income and other low and middle-income contexts, women experiencing IPV in urban informal settlements of Nairobi actively engage in behaviors to maximize safety and reduce harm to themselves and their families. Integration of strategies known to be helpful to women in these communities into community-based prevention and response is strongly encouraged. Increased synergy between recommended and implemented safety strategies can enhance programming and response efforts.

Brief Intimate Partner Violence Perpetration Screening Tools: A Scoping Review

Recent research findings indicate that patients are willing to disclose their use of violence to health-care providers if asked. Health-care providers have a unique opportunity to screen their patients for intimate partner violence (IPV) perpetration; however, given the time constraints and limited personnel within medical offices and emergency-care facilities, instrument brevity is critically important. The development and evaluation of tools to screen for IPV perpetration in health-care settings, particularly brief instruments, is limited by the lack of adequate guidelines, clear institutional policies for screening, and reviews of the available literature. Given the need for validated measurement tools, we assessed the psychometric properties of measurement tools designed to quickly detect IPV perpetration by conducting a scoping review. Our search identified five measures meeting eligibility requirements. Inclusion criteria required that study information be published in a peer-reviewed journal, be published in English or Spanish languages, contain 10 or less items, report psychometric testing results, require no additional information, and be designed to detect IPV perpetration. We searched subject-specific databases and the bibliographies of relevant publications to identify studies. As part of appraising and synthesizing the evidence, we found most measures to have good reliability and validity. Most measures contained 2-5 items. Most studies were conducted in the United States and utilized an adequate sample size. There were considerable differences in how each of the measures determined a positive or negative screening. Gaps in the literature and areas for future research pertained to sample diversity, invariance testing, and practice guidelines for implementation.

Fighting Against Intimate Partner Violence With Hairstylists: A Pilot Study of Korean Immigrants in New York City

This study aims to explore the potential role of hairstylists in helping intimate partner violence (IPV) victims in the Korean immigrant communities using a cross-sectional survey design that includes open- and close-ended survey questions. In all, 47 Korean hair salon stylists were surveyed on their experience with their clients related to IPV. The findings of this study reveal that a high percentage of clients disclosed their and their friends' IPV victimization to the hair salon stylists. Some of the hair salon stylists' characteristics, such as years of working and the length of residence in the United States, were statistically associated with IPV disclosure among their clients. Most hair salon stylists were willing to help their clients in general, but they were not well-prepared to help IPV victims due to a lack of resources and knowledge. We conclude that hair salons have a great potential to increase IPV-related knowledge in immigrant communities (including the Korean community) and help IPV victims pending appropriate training aimed at improving their knowledge and competencies regarding IPV identification and intervention.

Victims of Severe Intimate Partner Violence Are Left Without Advocacy Intervention in Primary Care Emergency Rooms: A Prospective Observational Study

Intimate partner violence (IPV) is a common cause of musculoskeletal injury. Although serious injuries are relatively rare, IPV is one of the leading causes of homicide. IPV victims seeking help in health care are known to be at specific risk of re-abuse. Previous studies of IPV victims in emergency room (ER) settings have focused on injury patterns, but little is known about the violence behind bruises and fractures. The aim of this study was to examine how violence severity and known risk factors for lethal re-abuse in IPV victims attending ERs are associated with injury severity, different patient groups, and referral to advocacy services. This was a prospective, observational, multicenter study of 146 self-reporting IPV victims in two Level IV trauma centers in Helsinki from October 2012 to November 2013. In our sample, serious injuries were rare, but patients had typically suffered severe violence, and half had at least one risk factor for lethal re-abuse. Both sexes and all age groups were represented among the patient profiles, and 88% attended ERs outside common working hours. Only 19% were referred to advocacy, and severe violence or risk factors for lethal re-abuse did not affect prevalence of referrals. Our results show that IPV victims in primary care ERs have typically either experienced severe violence or are at serious risk of re-abuse and even death. The resulting injuries do not usually require medical aftercare, and victims typically present outside common working hours. In the absence of a clear follow-up protocol, most IPV victims are left without any advocacy intervention.

"It Doesn't Freak Us Out the Way It Used to": An Evaluation of the Domestic Violence Enhanced Home Visitation Program to Inform Practice and Policy Screening for IPV

The Domestic Violence Enhanced Home Visitation (DOVE) intervention used in the Perinatal Nurse Home Visiting Intervention Enhanced With mHealth Technology (RCT: R01HD071771) is a nurse-lead evidenced-based intervention that has been shown to decrease violence overtime. This summative mixed-methods impact evaluation is intended to provide insight to enhance the DOVE IPV protocol for screening and intervention by (a) identifying which core aspects of DOVE facilitated or inhibited its success and what was most critical to optimal IPV (intimate partner violence) screening and intervention practices, (b) informing how DOVE IPV screening and intervention were influenced by the experiences of home visitor (HV), and (c) identifying policy considerations and best practice recommendations for the DOVE protocol. Participants were HVs and managers (N = 13) in rural/urban home visiting programs delivering DOVE across three states. The sample had a mean age of 48.76. Three fourths were baccalaureate-prepared nurses with an average of 10.5 years of home visiting experience. The method used in this study was one-to-one qualitative in-depth interviews with HVs. Data were interpretively analyzed using Nvivo 10 to generate three themes. Participants endorsed screening women for IPV with DOVE being the approach of choice to facilitate IPV screening and intervening with women. HVs found DOVE helped enhance their IPV knowledge, screening, and intervening capabilities while filling an existing void in this type of preparation of HV nurses. Establishing a relationship with the women before initiating screening was an important aspect in delivering DOVE as was the training, support, and increased comfort level in addressing IPV. The evidence offers an understanding of which core aspects of DOVE contributed to its success and what was most critical to optimal IPV screening and intervention practices. Furthermore, this evaluation provided multilevel insights into how best to advance home visiting practices and policies when screening and intervening with perinatal women exposed to IPV.