P36 Domestic abuse and/or violence (DA/V) reporting by service users (SUs) of a regional online sexually transmitted infection (STI) testing service (e-service), during the COVID-19 pandemic

Abstract

<h3>Introduction</h3> <h3>DA/V increased over the pandemic</h3> Our e-service widened access during the crisis and introduced three questions to adult SUs enquiring about DA/V. An analysis of SUs triggering these questions is provided. <h3>Method</h3> E-notes review of SUs who triggered question(s) about current DA/DV, whilst ordering a kit between 17.8.21-28.2.22. SUs that trigger are automatically offered access to supportive online information. The e-service team don’t directly contact these SUs unless there’s another reason (e.g. relaying positive STI results). If safe to do so, the triggers are discussed during these calls and further support/counselling offered. <h3>Results</h3> 3846/231460(1.7%) SU triggered DA/V question(s) between 17.8.21-28.2.22. The first 202 SU e-notes were reviewed: median age 28yrs (18-73yrs); 66%(134/202) female; 72%(145/202) heterosexual; 75%(152/202) UK born. 264 triggers were selected: 27%(55/202) physical/emotional abuse, 81%(164/202) coercive control, and 22%(45/202) sexual abuse. Ten (5%) SUs triggered three DA/V questions, 42(21%) two and 150(74%) one. STI positivity was 4%. 77%(156/202) engaged in high-risk activity. 26%(52/202) had never visited a clinic. Telephonic discussion with the e-service took place in 10%(20/202) SUs: 50%(10/20) received counselling/signposting; 10%(2/20) referred to independent DA/V advocate, 30%(6/20) stated historic abuse, 10%(2/20) mistakenly triggered, 5%(1/10) declined support for current abuse and 5%(1/10) disengaged. Of 29%(58/202) SUs who ordered further e-kit(s) 38%(22/58) continued to trigger and 9%(5/58) disclosed sexual assault. <h3>Discussion</h3> 1.7% SUs reported current DA/V. After attempted contact a supportive DA/V discussion was accepted by 80% SUs. Despite providing online support 38% continued to disclose abuse. Efforts to explore/evaluate safe methods of engaging and supporting DA/V survivors using e-services are required.