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Show this report (Rodriguez & McLoughlin. 2001; Houry, Feldhaus & Abbott, 2000; Hyman, Schillinger & Lo, 1995). This study has several important limitations. First, screening efforts are nearly always imprecise measurement methods. Study personnel missed interviewing 66 eligible women, and 104 eligible women refused participation. The absence of this group of women may have affected the rates and demographic characteristics of the survey results. Additionally, the ED at LDS Hospital has privacy and acoustic limitations that may have caused some participants to refuse the survey or to answer incorrectly. There are additional limitations associated with the self-reporting method of the survey. Second, the Partner Violence Screen (PVS) may not be the optimal instrument to identify actual and potential victims of IPA. The ED is not well suited to screening tools such as the CTS and ISA, and therefore refinement of the PVS will likely continue. Third, this study excluded women with critical medical illness or primary psychiatric complaints. We therefore, may have missed some women with important presentations of IPA or suicide attempts and/or thoughts. Fourth, this study should be seen as a survey of ED patients only. Patients who present to our ED may have unique social and medical characteristics that affect our results. The rates of one-year or lifetime IPA, and suicidal ideation in this survey may not therefore, generalize to the population of Utah at large. This phenomenon may explain why our rates of suicidal thoughts were higher than anticipated. Finally, this study should be recognized as an initial attempt to define the scope of the local problem with IPA and present options for further study. A cohort or case-control longitudinal study is the next step and will provide additional valuable information. A team approach to IPA with distinct care-protocols can then be more appropriately developed. It is possible that computerization of a screening method, and care protocols, will allow us to realize the goal of universal screening and to adhere to IPA care protocols more exactly. The results of this study show that IPA is a significant health risk for Utah women, just as it is throughout the nation. Every health care provider should educate themselves and their staff about domestic violence and methods by which screening can be most effective. Health care personnel are in a unique position to identify, recognize, and treat victims of IPA. Protocols for the care of the IPA victim that involve a team approach should be prepared and utilized. With an increased emphasis on recognition, treatment, and prevention the cycle of violence can perhaps be stopped. REFERENCES Abbott, J., Johnson, R., Koziol-McLain, J. & Lowenstein, S.R. (1995) Domestic violence against women. Incidence and prevalence in an emergency department population. JAMA,273(22): 1763-7. Atwood JD. (1991). 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