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J Interpers Violence. 2009 Apr;24(4):653-74. doi: 10.1177/0886260508317180. Epub 2008 Jul 30.

The danger assessment: validation of a lethality risk assessment instrument for intimate partner femicide.

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Johns Hopkins University, School of Nursing, Baltimore, MD 21205, USA.


The Danger Assessment (DA) is an instrument designed to assess the likelihood of lethality or near lethality occurring in a case of intimate partner violence. This article describes the development, psychometric validation, and suggestions for use of the DA. An 11-city study of intimate partner femicide used multivariate analysis to test the predictive validity of the risk factors on the DA from intimate partner femicide cases (N = 310) compared with 324 abused women in the same cities (controls). The results were used to revise the DA (four items added; one "double-barreled" item divided into two), and the calculated weights (adjusted odds ratios) used to develop a scoring algorithm with levels of risk. These levels of risk were then tested with an independent sample of attempted femicides (N = 194) with a final outcome of .90 of the cases included in the area under the receiver operating characteristic (ROC) curve.

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