Screening for intimate partner violence and caregiver abuse of older or vulnerable adults: US Preventive Services Task Force recommendation statement

Published in JAMA. Here is a link to the article.

Regenstrief Institute authors: Sarah Wiehe, MD, MPH

The U.S. Preventive Services Task Force (USPSTF) has released updated guidance on screening for intimate partner violence (IPV) and abuse in older or vulnerable adults. IPV, including abuse by trusted individuals or caregivers, continues to affect millions across the lifespan and is often underrecognized. These forms of abuse can lead to serious injury, long-term health consequences, or death.

Following a commissioned systematic review, the USPSTF concludes there is a moderate net benefit to screening women of reproductive age, including those who are pregnant or postpartum, for IPV. When such screening is followed by referral to appropriate multicomponent interventions, health outcomes improve. Based on this evidence, the Task Force issues a “B” recommendation for clinicians to conduct routine IPV screening in this population.

In contrast, for older or vulnerable adults without signs or symptoms of abuse, the evidence remains insufficient. The USPSTF found inadequate data to determine whether the benefits of screening outweigh potential harms in these groups. Accordingly, the Task Force issues an “I” statement, indicating that more research is needed before formal recommendations can be made regarding screening for abuse or neglect by caregivers in these populations.

This update reflects the Task Force’s ongoing evaluation of preventive practices to support the health and safety of all individuals across age groups.

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