Intimate Partner Violence (IPV) Screen
STaT (Slapped, Threatened, and Throw) – physician administered Intimate Partner Violence (IPV) Screen [select name="Q1" value="no=0|YES=1"] <-- Have you ever been in a relationship where your partner has pushed or slapped you? [select name="Q2" value="no=0|YES=1"] <-- Have you ever been in a relationship where your partner threatened you with violence? [select name="Q3" value="no=0|YES=1"] <-- Have you ever been in a relationship where your partner has thrown, broken, or punched things? Total Score --> [calc memo="result" value="score=(Q1)+(Q2)+(Q3)"] out of 3 Interpretation --> [calc memo="interpretation" value="score2=(Q1)+(Q2)+(Q3);score2>0?'Positive Screen, consider performing risk assessment at https://www.dangerassessment.org/DA.aspx':'Negative Screen'"] [checkbox memo="display/hide references" name="footnotes" value=""][conditional field="footnotes" condition="(footnotes).isNot('')"] reference: [url link="https://www.ncbi.nlm.nih.gov/pubmed/12804354" memo="#1"] Paranjape A, Liebschutz J. STaT: a three-question screen for intimate partner violence. J Womens Health (Larchmt). 2003 Apr;12(3):233-9.[/conditional]
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Sandbox Metrics: Structured Data Index 1, 5 form elements, 79 boilerplate words, 1 checkboxes, 1 drop downs, 2 calculations, 1 conditionals, 2 total clicks
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