"These Questions Have Everything That Happens to me": Analysis of a Femicide Risk Assessment Tool for Abused Women in Brazil

Purpose The purpose of this mixed-methods triangulation study was to assess the face validity and comprehension of a femicide risk assessment tool, the Danger Assessment-Brazil (DA-Brazil) among women seeking care in a one stop center for abused women in Curitiba, Brazil. Our secondary aim was to as...

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Veröffentlicht in:Journal of family violence 2022-05, Vol.37 (4), p.547-557
Hauptverfasser: Evans, Dabney P., Xavier Hall, Casey D., da Rocha, Raiza Wallace Guimarães, Prado, Sandra Marques, Signorelli, Marcos C.
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container_end_page 557
container_issue 4
container_start_page 547
container_title Journal of family violence
container_volume 37
creator Evans, Dabney P.
Xavier Hall, Casey D.
da Rocha, Raiza Wallace Guimarães
Prado, Sandra Marques
Signorelli, Marcos C.
description Purpose The purpose of this mixed-methods triangulation study was to assess the face validity and comprehension of a femicide risk assessment tool, the Danger Assessment-Brazil (DA-Brazil) among women seeking care in a one stop center for abused women in Curitiba, Brazil. Our secondary aim was to assess professionals' perceptions of feasibility for using the DA-Brazil in the same setting. Method Fifty-five women experiencing relationship violence completed the instrument and participated in cognitive interviews about their experience; professionals attending survivors were also interviewed. Results The vast majority of women described the DA-Brazil instrument as being easy to comprehend ( n  = 41, 73.2%). Nearly half of participants ( n  = 26, 46.4%) had some kind of question regarding the DA-Brazil calendar, a tool to visualize abuse frequency and severity. Queries aligned with five categories: recollection of dates, scale, relationship status, terminology, and discomfort. Professionals reported that the DA-Brazil instrument would support referral decision-making. Conclusion The overall face validity and comprehension of the DA-Brazil appears to be high. The majority of challenges were around the calendar activity. Professional perceptions of the DA-Brazil suggest a high degree of feasibility for its use in Brazilian healthcare settings. In order for the DA-Brazil to effectively be administered with facilitated support there is a need for training on the best use of the instrument. Accurate assessment of femicide risk is critical in a country like Brazil with high rates of femicide. The DA-Brazil provides a valid assessment of femicide risk and has the potential to trigger early intervention for those at risk.
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Our secondary aim was to assess professionals' perceptions of feasibility for using the DA-Brazil in the same setting. Method Fifty-five women experiencing relationship violence completed the instrument and participated in cognitive interviews about their experience; professionals attending survivors were also interviewed. Results The vast majority of women described the DA-Brazil instrument as being easy to comprehend ( n  = 41, 73.2%). Nearly half of participants ( n  = 26, 46.4%) had some kind of question regarding the DA-Brazil calendar, a tool to visualize abuse frequency and severity. Queries aligned with five categories: recollection of dates, scale, relationship status, terminology, and discomfort. Professionals reported that the DA-Brazil instrument would support referral decision-making. Conclusion The overall face validity and comprehension of the DA-Brazil appears to be high. The majority of challenges were around the calendar activity. Professional perceptions of the DA-Brazil suggest a high degree of feasibility for its use in Brazilian healthcare settings. In order for the DA-Brazil to effectively be administered with facilitated support there is a need for training on the best use of the instrument. Accurate assessment of femicide risk is critical in a country like Brazil with high rates of femicide. The DA-Brazil provides a valid assessment of femicide risk and has the potential to trigger early intervention for those at risk.</description><identifier>ISSN: 0885-7482</identifier><identifier>EISSN: 1573-2851</identifier><identifier>DOI: 10.1007/s10896-021-00313-1</identifier><identifier>PMID: 34493898</identifier><language>eng</language><publisher>New York: Springer US</publisher><subject>Abused women ; Calendars ; Clinical Psychology ; Cognitive interviews ; Comprehension ; Criminology and Criminal Justice ; Decision making ; Discomfort ; Domestic violence ; Early intervention ; Evaluation ; Feasibility ; Femicide ; Gender-based violence ; Health aspects ; Health care ; Health services ; Homicide ; Law and Psychology ; Management ; Medicine ; Medicine &amp; Public Health ; Methods ; Murders &amp; murder attempts ; Original ; Original Article ; Perceptions ; Prevention ; Professionals ; Psychological aspects ; Psychotherapy and Counseling ; Public health ; Quality of Life Research ; Risk assessment ; Social aspects ; Terminology ; Triangulation ; Women</subject><ispartof>Journal of family violence, 2022-05, Vol.37 (4), p.547-557</ispartof><rights>The Author(s) 2021</rights><rights>The Author(s) 2021.</rights><rights>COPYRIGHT 2022 Springer</rights><rights>The Author(s) 2021. 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Our secondary aim was to assess professionals' perceptions of feasibility for using the DA-Brazil in the same setting. Method Fifty-five women experiencing relationship violence completed the instrument and participated in cognitive interviews about their experience; professionals attending survivors were also interviewed. Results The vast majority of women described the DA-Brazil instrument as being easy to comprehend ( n  = 41, 73.2%). Nearly half of participants ( n  = 26, 46.4%) had some kind of question regarding the DA-Brazil calendar, a tool to visualize abuse frequency and severity. Queries aligned with five categories: recollection of dates, scale, relationship status, terminology, and discomfort. Professionals reported that the DA-Brazil instrument would support referral decision-making. Conclusion The overall face validity and comprehension of the DA-Brazil appears to be high. The majority of challenges were around the calendar activity. Professional perceptions of the DA-Brazil suggest a high degree of feasibility for its use in Brazilian healthcare settings. In order for the DA-Brazil to effectively be administered with facilitated support there is a need for training on the best use of the instrument. Accurate assessment of femicide risk is critical in a country like Brazil with high rates of femicide. 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Our secondary aim was to assess professionals' perceptions of feasibility for using the DA-Brazil in the same setting. Method Fifty-five women experiencing relationship violence completed the instrument and participated in cognitive interviews about their experience; professionals attending survivors were also interviewed. Results The vast majority of women described the DA-Brazil instrument as being easy to comprehend ( n  = 41, 73.2%). Nearly half of participants ( n  = 26, 46.4%) had some kind of question regarding the DA-Brazil calendar, a tool to visualize abuse frequency and severity. Queries aligned with five categories: recollection of dates, scale, relationship status, terminology, and discomfort. Professionals reported that the DA-Brazil instrument would support referral decision-making. Conclusion The overall face validity and comprehension of the DA-Brazil appears to be high. The majority of challenges were around the calendar activity. Professional perceptions of the DA-Brazil suggest a high degree of feasibility for its use in Brazilian healthcare settings. In order for the DA-Brazil to effectively be administered with facilitated support there is a need for training on the best use of the instrument. Accurate assessment of femicide risk is critical in a country like Brazil with high rates of femicide. The DA-Brazil provides a valid assessment of femicide risk and has the potential to trigger early intervention for those at risk.</abstract><cop>New York</cop><pub>Springer US</pub><pmid>34493898</pmid><doi>10.1007/s10896-021-00313-1</doi><tpages>11</tpages><orcidid>https://orcid.org/0000-0002-2201-5655</orcidid><oa>free_for_read</oa></addata></record>
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subjects Abused women
Calendars
Clinical Psychology
Cognitive interviews
Comprehension
Criminology and Criminal Justice
Decision making
Discomfort
Domestic violence
Early intervention
Evaluation
Feasibility
Femicide
Gender-based violence
Health aspects
Health care
Health services
Homicide
Law and Psychology
Management
Medicine
Medicine & Public Health
Methods
Murders & murder attempts
Original
Original Article
Perceptions
Prevention
Professionals
Psychological aspects
Psychotherapy and Counseling
Public health
Quality of Life Research
Risk assessment
Social aspects
Terminology
Triangulation
Women
title "These Questions Have Everything That Happens to me": Analysis of a Femicide Risk Assessment Tool for Abused Women in Brazil
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