HITS: The Hurt, Insult, Threaten, and Scream Inventory
How often does your partner...
... physically hurt you? [select name="variable_1" value="Never (1 point)=1|Rarely (2 points)=2|Sometimes (3 points)=3|Fairly often (4 points)=4|Frequently (5 points)=5"]
... insult or talk down to you? [select name="variable_2" value="Never (1 point)=1|Rarely (2 points)=2|Sometimes (3 points)=3|Fairly often (4 points)=4|Frequently (5 points)=5"]
... threaten you with harm? [select name="variable_3" value="Never (1 point)=1|Rarely (2 points)=2|Sometimes (3 points)=3|Fairly often (4 points)=4|Frequently (5 points)=5"]
... scream or curse at you? [select name="variable_4" value="Never (1 point)=1|Rarely (2 points)=2|Sometimes (3 points)=3|Fairly often (4 points)=4|Frequently (5 points)=5"]
Score --> [calc memo="number" value="score=(variable_1)+(variable_2)+(variable_3)+(variable_4)"] out of 20 points
Interpretation --> [calc memo="number" value="score=(variable_1)+(variable_2)+(variable_3)+(variable_4);score>10?'Intimate partner violence is likely and further assessment is warranted':'Negative screen'"]
[checkbox memo="display/hide references" name="footnotes" value=""][conditional field="footnotes" condition="(footnotes).is('')"]
reference:
[link url="//www.ncbi.nlm.nih.gov/pubmed/9669164" memo="#1"] Sherin KM, Sinacore JM, Li XQ, Zitter RE, Shakil A. HITS: a short domestic violence screening tool for use in a family practice setting. Fam Med. 1998 Jul-Aug;30(7):508-12.
[/conditional]