Nancy Glass ^1*, Nancy Perrin ², Ginger Hanson ², Tina Bloom ³, Emily Gardner ⁴, Jacquelyn C. Campbell ¹

¹ Johns Hopkins University School of Nursing
² Oregon Helath & Science University School of Nursing
³ Center for Health Disparities Research, Oregon Health & Science University
⁴ Bradley Angle House

^* To whom correspondence should be addressed. E-mail: nglass1{at}son.jhmi.edu.

	Abstract

Objectives. We revised the Danger Assessment to predict reassault in abusive female same-sex relationships and then evaluated the revised instrument (DA-R) with survivors.

Methods. We used focus groups and interviews to evaluate the assessment tool and identify new risk factors and telephone interviews at baseline and at 1-month follow-up to evaluate the revised assessment.

Results. The new assessment tool comprised 8 original and 10 new items. Predictors included increase in physical violence (relative risk ratio [RRR]=1.95; 95% confidence interval [CI]=0.84, 4.54), constant jealousy or possessiveness of abuser (RRR=4.07; 95% CI=0.61, 27.00), cohabitation (RRR=1.96; 95% CI=0.54, 7.12), threats or use of gun by abuser (RRR=1.93; 95% CI=0.79, 4.75), alcoholism or problem drinking of abuser (RRR=1.47; 95% CI=0.79, 2.71), illegal drug use or abuse of prescription medications by abuser (RRR=1.33; 95% CI=0.72, 2.46), stalking by abuser (RRR=1.39; 95% CI=0.70, 2.76), failure of individuals to take victim seriously when she sought help (RRR=1.66; 95% CI=0.90, 3.05), victim’s fear of reinforcing negative stereotypes (RRR=1.42; 95% CI=0.73, 2.77), and secrecy of abuse (RRR=1.72; 95% CI=0.74, 3.99). Both unweighted (P<.005) and weighted (P<.004) versions of the revised assessment were significant predictors of reassault.

Conclusions. The revised Danger Assessment accurately assesses risk of reassault in abusive female relationships.

Key Words: Injury/Emergency Care/Violence, Lesbian/Gay/Bisexual/Transgender Persons, Prevention, Women's Health