abuse_assessment_screen: Abuse Assessment Screen (AAS)

In cliot: Clinical Indices and Outcomes Tools

Abuse Assessment Screen (AAS)

Description

Implements the Abuse Assessment Screen (AAS), a 5-item screening tool designed to detect domestic abuse (intimate partner violence) in pregnant and non-pregnant women in healthcare settings. It assesses emotional, physical, and sexual abuse, as well as fear of a partner.

Usage

abuse_assessment_screen(ever_abused, past_year_physically_hurt,
                        forced_sexual_activities, afraid_of_partner,
                        pregnant_and_hurt = 0)

Arguments

ever_abused	Numeric (0 or 1). Question 1: "Have you ever been emotionally or physically abused by your partner or someone important to you?" (1 = Yes, 0 = No).
past_year_physically_hurt	Numeric (0 or 1). Question 2: "Within the last year, have you been hit, slapped, kicked, or otherwise physically hurt by someone?" (1 = Yes, 0 = No).
forced_sexual_activities	Numeric (0 or 1). Question 3: "Within the last year, has anyone forced you to have sexual activities?" (1 = Yes, 0 = No).
afraid_of_partner	Numeric (0 or 1). Question 4: "Are you afraid of your partner or anyone you listed above?" (1 = Yes, 0 = No).
pregnant_and_hurt	Numeric (0 or 1). Question 5 (If applicable): "Since you've been pregnant, have you been slapped, kicked, or otherwise physically hurt by someone?" (1 = Yes, 0 = No). Defaults to 0 if not pregnant or not applicable.

Value

A list containing:

Screen_Result	"Positive" or "Negative".
Interpretation	Clinical interpretation of the result.
Recommendation	Suggested clinical actions based on the screen.
Questions_Affirmed	A list indicating which specific questions were answered affirmatively.

References

McFarlane J, Parker B, Soeken K, Bullock L. Assessing for abuse during pregnancy. Severity and frequency of injuries and associated entry into prenatal care. JAMA. 1992;267(23):3176-3178.

Examples

# Example 1: Positive Screen
# Patient reports being afraid of partner
abuse_assessment_screen(0, 0, 0, 1, 0)

# Example 2: Negative Screen
# No affirmative answers
abuse_assessment_screen(0, 0, 0, 0, 0)

cliot documentation built on Dec. 1, 2025, 1:06 a.m.