Issues in the identification of all members of a family affected by intimate partner violence in primary care

BACKGROUND: Intimate partner violence (IPV) is a common health issue, and members of families affected by violence frequently present to primary care. There are, however, barriers to general practitioners (GPs) identifying survivors, their children and those who use IPV. 

OBJECTIVE: This article explores the challenges of identifying family members affected by IPV in primary care. It also provides GPs with practical strategies in identifying IPV so that they can support affected families within their clinics. 

DISCUSSION: Survivors of IPV and their children might present to primary care with psychological, physical and social health issues. People who use violence might be less noticeable in the primary care setting. It is recommended that all family members presenting with potential indicators of IPV be asked about IPV, if safe to do so. A trauma- and violence-informed approach is recommended with a non-judgemental attitude, addressing confidentiality, safety and sensitivity.