Intimate Partner Violence Intervention Research Articles

The Effect of Economic Reliance, Stress, and Women's Employment Status on Intimate Partner Violence Risk Among Partnered Women in Burkina Faso and Kenya.

Economic factors, such as economic reliance on male partners, and economic stressors such as household income or employment loss, play an important role in the risk of intimate partner violence (IPV) within romantic partnerships. To investigate these relationships, we used survey data from IPUMS Performance Monitoring for Action that were collected in 2020 and 2021. We assessed the relationship between several economic factors-(1) women's economic reliance on their partners, (2) household income loss, and (3) respondent's employment status over the past year-and experience of IPV in the past year in Burkina Faso (N = 2,646) and Kenya (N = 3,416). Women who reported being economically reliant on their partners were less likely to experience physical or psychological violence in Burkina Faso (Prevalence ratio [PR]: 0.41, 95% confidence interval [CI]: 0.26-0.64 and PR: 0.75, 95% CI: 0.59-0.94, respectively), and physical violence in Kenya (PR: 0.69, 95% CI: 0.52-0.90) compared to women who reported not being economically reliant. In Kenya, women in households that experienced a complete loss of income were more likely to experience IPV compared to households that did not experience income loss-1.9 times more likely to experience psychological violence, and three times more likely to experience sexual violence. In Burkina Faso, no significant relationship was found between household income loss and IPV. Our findings indicate that both relative economic empowerment and overall economic stress may act as important risk factors for IPV, particularly where patriarchal and gender inequitable norms are relevant. These findings reinforce the need for a nuanced and intersectional understanding of IPV risk and intervention development, with the relationships between economic dynamics and IPV varying across countries and contexts.

Perspectives of Male Service Providers on Responding to Intimate Partner Violence in Rural Zimbabwe: Findings From Qualitative Interviews

Despite efforts made in Zimbabwe to address intimate partner violence (IPV), critical gaps still exist regarding the efficacy of IPV service provision in rural areas. This study examines male service providers’ perceptions of IPV in Chimanimani Rural District in Zimbabwe to provide guidance for policy and practice on IPV intervention in rural areas. A qualitative study was conducted with six male service providers using in-depth interviews and thematic analysis. Our findings revealed how the intersection of social norms and the geographical location of rural areas influence service providers’ perceptions of IPV and service provision. Most of the service providers interviewed had a general understanding of IPV and regarded it as unacceptable social behavior. However, constraints to service delivery typical in rural areas negatively impacted their IPV intervention, including having limited intervention resources, limited male participation, and conflicting identities (professional versus cultural identity). We conclude that service provision in rural areas is essential to respond to and prevent the occurrence of IPV, yet how service providers perceive IPV affects the quality of services rendered to victims.

Predictors of veteran attendance in an intimate partner violence intervention.

This study examined session attendance data from 2,754 veterans who participated in a national implementation of a trauma-informed intimate partner violence intervention, Strength at Home, across the Veterans Affairs Healthcare System. Potential correlates of attendance were demographic characteristics, posttraumatic stress disorder (PTSD) symptom severity, alcohol use, court involvement, current military involvement, and intervention modality (in-person vs. virtual). Given the trauma-informed nature of the intervention, it was expected that trauma-relevant risk factors, specifically PTSD symptom severity and racial minority status, would be less strongly associated with attendance than barriers related to other demographic variables and higher alcohol use, intervention modality, and court involvement. Results indicated that age, education level, employment status, retirement status, PTSD symptom severity, alcohol use, and court involvement were associated with session attendance in the expected direction at the bivariate level. Only education level, employment status, retirement status, alcohol use, and court involvement emerged as unique predictors of attendance such that more educated, employed, retired, and court-mandated veterans with less alcohol use attended more sessions. These findings suggest the importance of a trauma-informed, coordinated community response to intimate partner violence intervention and integration of motivational components surrounding problematic alcohol use to enhance compliance and mitigate barriers to attendance. (PsycInfo Database Record (c) 2024 APA, all rights reserved).

Intimate Partner Violence Among Lesbian, Gay, and Bisexual Adults: A Cross-Sectional Survey in Hong Kong.

Purpose: This study investigated the prevalence rates of various types of intimate partner violence (IPV) among lesbian, gay, and bisexual (LGB) adults in Hong Kong and examined the associations between IPV and different addictive behavior and mental health problems. Methods: A total of 759 LGB adults completed an online cross-sectional survey between November 2021 and February 2022. Data on past-year IPV and LGB-specific tactics (whether perpetrated or experienced by participants), addictive behavior, anxiety, depression, and demographics were collected and analyzed with descriptive statistics and logistic regressions. Results: Psychological aggression was the most common type of IPV within an LGB relationship (22.1%), followed by physical assault (10.8%) and IPV-related injury (4.1%). LGB-specific tactics were experienced by 39.0% of the LGB adults. Depression, anxiety, and frequent gambling were significantly associated with specific types of IPV and LGB-specific tactics. Conclusion: IPV was prevalent in the LGB population. Findings on correlates provided insights for future development of IPV detection and intervention.

Intimate Partner Violence Among Bisexual-Spectrum Cisgender Undergraduate Women and Their Heterosexual Counterparts: A Preliminary Investigation

This study examined intimate partner violence (IPV) and identity abuse (i.e., partner violence targeting someone’s sexual orientation) among bisexual-spectrum and heterosexual cisgender undergraduate women in relation to their mental health and academic adjustment. Participants were first- and second-year bisexual-spectrum (n = 81) and heterosexual (n = 243) undergraduate cisgender women at a large, public university in the Midwest. IPV was prevalent in the sample, but bisexual-spectrum cisgender women who had been in relationships were significantly more likely to report IPV than their heterosexual counterparts (77.44% vs. 44.44% respectively). Over half of bisexual-spectrum cisgender women in dating relationships reported identity abuse. Most participants that experienced identity abuse indicated the perpetrator was heterosexual and/or a cisgender man. Sexual orientation did not moderate the relationship between IPV and depression, anxiety, or negative academic adjustment outcomes. Universities should integrate education on LGBTQ oppressions into their primary prevention programs, while also continuing to bolster IPV prevention and intervention efforts.

Psychosocial interventions for migrants with experiences of sexual violence and intimate partner violence (CINAHL).

Abstract Psychosocial interventions for sexual violence and intimate partner violence are defined as interpersonal or informational activities, techniques, or strategies be offered to survivors of sexual violence and intimate partner violence with the aim of improving mental health and well-being.

Gender, Sexism, and Police Attitudes Toward Policing Intimate Partner Violence in China.

This study examines the impact of gender and sexism on police officers' attitudes toward policing intimate partner violence (IPV). Data were collected from 826 Chinese police officers through online questionnaires. A hierarchical multiple regression analysis found that male police officers and those with sexist attitudes believe that handling IPV cases is illegitimate; they tend to perceive that the police are not morally bound to regulate such cases. Meanwhile, policewomen are less likely to consider that IPV interventions are difficult and resource-intensive. Findings indicate the need to amend policies and practices concerning gender and sexism among police officers to control IPV.

Psychosocial interventions for migrants with experiences of sexual violence and intimate partner violence (PubMed).

Abstract Psychosocial interventions for sexual violence and intimate partner violence are defined as interpersonal or informational activities, techniques, or strategies be offered to survivors of sexual violence and intimate partner violence with the aim of improving mental health and well-being.

A Social Network Analysis of a Multi-sector Service System for Intimate Partner Violence in a Large US City

About one in four women in the US report having experienced some form of intimate partner violence (IPV) during their lifetime and an estimated 15.5 million children live in families in which IPV occurred in the past year. Families of young children with IPV experiences often face complex needs and require well-coordinated efforts among service providers across social and health sectors. One promising partnership aims to support pregnant and parenting IPV survivors through coordination between IPV agencies and community-based maternal and early childhood home visiting programs. This study used social network analysis (SNA) to understand the interconnectedness of the system of IPV prevention and intervention for families with young children in a large US city. The SNA included 43 agencies serving this population across various service domains spanning IPV, legal, maternal and child health, and public benefit programs. An SNA survey collected data on four forms of collaboration between agencies, including formal administrative relationship, referral reciprocity, case consultation, and shared activities in community committees/organizing bodies. Density and centrality were the primary outcomes of interest. A community detection analysis was performed as a secondary analysis. The overall level of interconnectedness between the 43 responding agencies was low. Making referrals to each other was the most common form of collaboration, with a network density of 30%. IPV agencies had the highest average number of connections in the networks. There was a high level of variation in external collaborations among home visiting agencies, with several home visiting agencies having very few connections in the community but one home visiting program endorsing collaborative relationships with upwards of 38 partner agencies in the network. In serving families at risk for IPV, home visiting agencies were most likely to have referral relationships with mental health provider agencies and substance use disorder service agencies. A community detection analysis identified distinct communities within the network and demonstrated that certain agency types were more connected to one another while others were typically siloed within the network. Notably, the IPV and home visiting communities infrequently overlapped. Sensitivity analyses showed that survey participants’ knowledge of their agencies’ external collaborations varied by their work roles and agencies overall had low levels of consensus about their connectedness to one another. We identified a heterogeneous service system available to families of young children at-risk for or experiencing IPV. Overall inter-agency connectedness was low, with many siloed agencies and a lack of shared knowledge of community resources. Understanding current collaborations, silos, and centrality of agencies is an effective public health tool for allocating scarce resources across diverse service sectors to efficiently improve the system serving families experiencing IPV.

Intimate Partner Violence Detected during Abortion-Related Visits: A Systematic Review of Screenings and Interventions.

To perform a systematic review of screening tools and interventions focused on reducing adverse health outcomes associated with intimate partner violence (IPV) at abortion-related visits. Studies were eligible if they included individuals seeking pregnancy options health care services in the United States, screening for or implementation of an intervention for IPV, and were published in English after the year 2000. The primary outcomes were to summarize screening tools, interventions studied, and if interventions led to individuals being connected to IPV-related resources. Secondary outcomes included patient responses to the IPV-related interventions and any other outcomes reported by the studies (PROSPERO #42021252199). Among 4,205 abstracts identified, nine studies met inclusion criteria. The majority (n = 6) employed the ARCHES (Addressing Reproductive Coercion in Health Settings) tool for identification of IPV. Interventions included provider-facilitated discussions of IPV, a safety card with information about IPV and community-based resources, and referral pathways to directly connect patients with support services. For the primary outcome, IPV-related interventions were shown to better inform patients of available IPV-related resources as compared to no intervention at all. For the secondary outcomes, screening and intervening on IPV were associated with improvements in patient perception of provider empathy (i.e., caring about safety) and safer responses by patients to unhealthy relationships. Screening for and intervening on IPV at abortion-related visits are associated with positive outcomes for patient safety and the patient-provider relationship. However, data on effective tools for identifying and supporting these patients are extremely limited. This review emphasizes the unmet need for implementation and evaluation of IPV-specific interventions during abortion-related clinical encounters. · The abortion visit offers a crucial setting to address IPV among a highly affected population.. · This study reviews others that analyzed interventions and associated outcomes for IPV at abortion-related visits.. · Appropriate interventions for IPV can improve patient-provider relationships and connect patients to essential resources..

Health system barriers to access to quality sexual and reproductive health and rights in relation to family planning and contraception

Background: Access to reproductive health information and services is critical to health, well-being, and the ability to achieve personal and corporate life and work goals. Within the context of sexual and reproductive health rights (SRHR), the health system should adopt a life course approach to achieve a continuum of care. This spectrum needs to span from conception to the care of the aging woman across all contexts and must encompass humanitarian crises, climate change, and environmental exposures while embracing the ongoing digital transformation narrative. Current challenges relating to family planning and contraception (FPC) within the Kenyan context typically arise from highly prevalent unfavorable sociocultural norms and traditions.
 Selected SRHR intervention programs: Programs that promote girls’ education and enhance community engagement to effect sociobehavioral change programing have high transformative potential. Some of these programs include the provision of contraception, adolescent, and youth-friendly programs (AYFS), intimate partner violence intervention programs, HIV prevention, use of multipurpose product technologies (MPT), prevention of abortion-related mortality, provision of access to maternity care, and continuous improvement of quality of care.
 Conclusion: Obstetricians and gynecologists must commit to governance leadership that focuses on SMART advocacy, the establishment of health system resilience to provide access, effective coverage, and rights-based approaches. These are vital to the provision of optimal FPC care in Kenya.

Relationships among intimate partner violence, unfair treatment, depressive symptoms, and family support: A community-based study of Gujarati women in the Midwestern USA.

Intimate partner violence (IPV) and unfair treatment can negatively affect the health and well-being of many women, especially women of color. Few studies have investigated the mental health impact of both forms of victimization together. Unlike most research on Asian Indian women, which has used aggregated samples of women of various Asian Indian or South Asian descent, this study focused on a specific group of Asian Indians. Data were collected from a probability sample of Gujarati residents, aged 18-65 years, in a midwestern state of USA via computer-assisted telephone interviews. One third of married women reported having experienced IPV and two thirds received unfair treatment during the previous 6 months. Respondents overall reported a low level of depressive symptoms. Analyses using negative binomial regression models found that while both IPV and unfair treatment were positively associated with depressive symptoms, their interaction effect was not statistically significant. When IPV victimization and support from family were included in the model, the incidence rate ratio for unfair treatment became nonsignificant, but the significant effect of IPV remained. Findings suggest that practitioners not only in mental health and IPV programs but also in alternative settings frequented by Gujarati women should inquire about these types of interpersonal victimization and assist women in connecting with and cultivating supportive networks. More research on the mental health impact of IPV and other types of interpersonal victimization is needed for underresearched yet growing population groups to inform socioculturally responsive assistance programs. (PsycInfo Database Record (c) 2024 APA, all rights reserved).

Preparing to Intervene in Intimate Partner Violence: An Interprofessional Safety Planning and Assessment Simulation

ABSTRACT Within the healthcare system, identification and intervention for intimate partner violence (IPV) are critical, yet often hindered by siloed operations among healthcare workers. Effective interprofessional collaboration is pivotal for timely and appropriate interventions. This article describes an interprofessional educational simulation involving nursing and social work students. Pairs engaged in risk assessment and safety planning for IPV. In the pilot run with 140 nursing and 137 social work students, post-simulation results increased confidence (t = 5.25, p = .001) and positive evaluation of IPV knowledge (t = 63.22, p = .001). Focus groups underscored team synergy, communication skills, and prior experiences as critical elements. Future projects should expand simulation scopes to address diverse situations and include additional professions interacting with survivors.

Development of a family-based treatment for co-occurring intimate partner violence and child maltreatment: the MST-IPV model.

Intimate partner violence (IPV) is a significant global problem that affects the health of children, parents/caregivers and extended family. The effects can be lifelong and span generations. Treatments for IPV are focused largely on individual work with men as the primary aggressor. Even when the situation includes child maltreatment, generally all family members are referred to a host of providers for varied treatments. Traditionally, couples and family work does not occur. In this article, we detail the development and practice of a comprehensive treatment model for complex cases of co-occurring IPV and child maltreatment that is inclusive of the family and couple. Of particular note, the development of this model, Multisystemic Therapy for Intimate Partner Violence (MST-IPV), involved input from the IPV stakeholder community.

The psycho-social factors that escalate intimate partner violence (IPV) among South Asian women in North America: An intersectional approach and analysis

ABSTRACT South Asian (SA) women, immigrant, and non-immigrant, living in the United States (US) and Canada make up a unique population for social research, specifically as it relates to intimate partner (IPV) or gender-based violence (GBV). Despite an increase in study of GBV or IPV including in the current pandemic situation, research on IPV for South Asian women in North America remains inadequate. There is a disconnect in the literature about how multiple psycho-social factors including socio-cultural, socio-demographic, and individual factors intersect and intensify IPV victimization of South Asian women in the North American context. Factors, like collectivism, patriarchy, and family honor are essential to this discussion. To better understand this gap and mobilize knowledge, this paper seeks to assess, evaluate, and examine the current state of literature on IPV among South Asian women in North America (Canada and US) in an effort to determine the associated psycho-social factors that exacerbate South Asian women’s abuse experiences. Additionally, Kimberlé Crenshaw’s intersectional approach is used to explain how South Asian women’s overlapping multiple identities escalate the IPV experience. The results of this paper identify and articulate several psycho-social factors including individual factors (ethnicity, gender role, young age, education, religion, immigrant identity, English fluency, and economic dependency); social/community factors (acculturation which intersect with limited family support and change of gender roles; patriarchy; family primacy (collectivism and family honor); and limited community support); and the (lack of) service/technology knowledge can affect one’s experiences of violence. Educational and policy recommendations for better intervention and/or prevention of IPV for South Asian women residing in the West is also considered.

Psychopathic Traits Partly Explained the Reduced Vagal Tone of Batterers Coping with Acute Stress

ABSTRACT The importance of psychopathy for perpetration and maintenance of intimate partner violence (IPV) has been speculated. However, less is known about whether psychopathy would explain a psychophysiological response (cardiorespiratory and electrodermal) of IPV perpetrators dealing with acute stressors. Therefore, we first aimed to assess whether IPV perpetrators (n = 58) showed differences in psychopathic traits and their psychophysiological response to acute stress compared to nonviolent men (n = 53). Second, we examined in both groups whether psychopathic traits would explain a psychophysiological response when dealing with acute laboratory stress. Our results revealed that IPV perpetrators differed from controls in all the psychopathic traits, scoring higher on all psychopathy scales. Moreover, IPV perpetrators showed lower total respiratory sinus arrhythmia (RSA) levels than controls. Finally, regarding high total psychopathy scores, factor 1 and affective facet entailed low RSA levels in both groups and scoring high in lifestyle facet of factor 2 explained reduced heart rate (HR) changes in response to acute stress in both groups. All these results highlighted that a reduced vagal tone could be characteristic of psychopathic traits, especially for the affective facet of psychopathy. Therefore, it would be important to incorporate biological markers in combination with psychological measurements to clearly diagnose IPV perpetrators before starting intervention programs. This would increase our ability to improve IPV intervention therapeutic targets and reduce risk of recidivism.

Associations of history of intimate partner violence with mental ill-health and lifestyle factors in middle-aged and older men and women in South Africa

ObjectivesThe aim of this study was to assess the association between history of intimate partner violence (IPV) exposure and mental and lifestyle factors among middle-aged and older men and women in rural South Africa. MethodsThe analysis utilized data from wave 3 of the longitudinal Health and Ageing in Africa: A Longitudinal Study of an INDEPTH Community in South Africa (HAALSI) (n = 3,707, median age 66 years, range 46–118 years). History of IPV was assessed with five questions on physical, sexual, psychological, and economic IPV. Logistic regression was used to assess the association between history of IPV exposure and mental and lifestyle factors. ResultsAmong men 7.8% and among women 10.9% reported a history of IPV. In terms of mental health outcomes, in the final adjusted model, among men, exposure to 1 and/or 2–4 types of IPV were associated with depressive symptoms, insomnia symptoms, PTSD, and loneliness, while among women, exposure to 1 and/or 2–4 types of IPV was associated with insomnia symptoms and PTSD. In terms of lifestyle outcomes, in the final adjusted model, among men, 2–4 types of IPV were associated current tobacco use, current heavy alcohol use, inadequate fruit intake, and food insecurity, and among women, 1 and/or 2–4 types of IPV were associated with soft drink intake, and food insecurity. ConclusionWe found that lifetime exposure to IPV was associated with several mental and lifestyle factors in middle-aged and older men and women. Enhanced screening and treatment of IPV may reduce poor mental and health risk behavior among this aging male and female population in South Africa.

Intimate partner violence and antenatal care utilization predictors in Uganda: an analysis applying Andersen’s behavioral model of healthcare utilization

BackgroundOptimal utilization of antenatal care (ANC) services improves positive pregnancy experiences and birth outcomes. However, paucity of evidence exists on which factors should be targeted to increase ANC utilization among women experiencing intimate partner violence (IPV) in Uganda.ObjectiveTo determine the independent association between IPV exposure and ANC utilization as well as the predictors of ANC utilization informed by Andersen’s Behavioral Model of Healthcare Utilization.MethodsWe analyzed 2016 Uganda Demographic and Health Survey data that included a sample of 1,768 women with children aged 12 to 18 months and responded to both ANC utilization and IPV items. Our outcome was ANC utilization, a count variable assessed as the number of ANC visits in the last 12 months preceding the survey. The key independent variable was exposure to any IPV form defined as self-report of having experienced physical, sexual and/or emotional IPV. Covariates were grouped into predisposing (age, formal education, religion, problem paying treatment costs), enabling (women’s autonomy, mass media exposure), need (unintended pregnancy, parity, history of pregnancy termination), and healthcare system/environmental factors (rural/urban residence, spatial accessibility to health facility). Poisson regression models tested the independent association between IPV and ANC utilization, and the predictors of ANC utilization after controlling for potential confounders.ResultsMean number of ANC visits (ANC utilization) was 3.71 visits with standard deviation (SD) of ± 1.5 respectively. Overall, 60.8% of our sample reported experiencing any form of IPV. Any IPV exposure was associated with lower number of ANC visits (3.64, SD ± 1.41) when compared to women without IPV exposure (3.82, SD ± 1.64) at p = 0.013. In the adjusted models, any IPV exposure was negatively associated with ANC utilization when compared to women with no IPV exposure after controlling for enabling factors (Coef. -0.03; 95%CI -0.06,-0.01), and healthcare system/environmental factors (Coef. -0.06; 95%CI -0.11,-0.04). Predictors of ANC utilization were higher education (Coef. 0.27; 95%CI 0.15,0.39) compared with no education, high autonomy (Coef. 0.12; 95%CI 0.02,0.23) compared to low autonomy, and partial media exposure (Coef. 0.06; 95%CI 0.01,0.12) compared to low media exposure.ConclusionAddressing enabling and healthcare system/environmental factors may increase ANC utilization among Ugandan women experiencing IPV. Prevention and response interventions for IPV should include strategies to increase girls’ higher education completion rates, improve women’s financial autonomy, and mass media exposure to improve ANC utilization in similar populations in Uganda.

High-risk Victims of Intimate Partner Violence: An Examination of Abuse Characteristics, Psychosocial Vulnerabilities and Reported Revictimization

Abstract Purpose To support service provision, we sought to advance the existing evidence base about the characteristics of—and potential predictors of reported revictimization for—women identified as being at high risk of experiencing ongoing intimate partner violence (IPV). Method Our sample included 165 high-risk IPV cases with a female victim and a male aggressor managed by the Integrated Safety Response in New Zealand. Based on police and multi-agency risk assessment information, we (a) described the characteristics of these cases, focusing on victims’ abuse experiences and psychosocial vulnerabilities; (b) examined rates of reported recurrence and physical recurrence; and (c) explored which variables predicted these two outcomes across a 12-month follow up, using the Nested Ecological Model as an organizing framework. Results In addition to experiencing harmful patterns of IPV, victims had relatively high rates of mental health issues, drug use, housing instability and unemployment. Reported revictimization was common: 62.8% of cases involved (at least one) recurrence, and 35.8% of cases involved physical recurrence. Most variables did not predict either outcome, and only two variables consistently predicted rates of recurrence and physical recurrence: strangulation and a victim’s initial engagement with IPV interventions. Conclusions As predicted, reported revictimization rates were high. Victims also experienced other psychosocial vulnerabilities, confirming their need for wide-ranging support. However, this study raises questions about whether these needs are relevant to predicting reported revictimization within high-risk cohorts, and highlights the difficulties of empirically validating treatment targets that could minimize further IPV harm for this group.

Screening for Intimate Partner Violence Experience and Use in the Veterans Health Administration

The practice of screening women for intimate partner violence (IPV) in health care settings has been a critical part of responding to this major public health problem. Yet, IPV prevention would be enhanced with detection efforts that extend beyond screening for IPV experiences to identifying those who use violence in relationships as well. To determine rates of IPV experiences and use (ie, among perpetrators of IPV) and factors associated with disclosures among adult patients seeking mental health services at the Veterans Health Administration. This cross-sectional study used electronic medical record data drawn from a quality improvement initiative at 5 Veterans Health Administration medical centers conducted between November 2021 and February 2022 to examine IPV disclosures following concurrent screening for IPV experience and use. Participants included patients engaged in mental health services. Data were analyzed in April and May 2023. Mental health clinicians were trained to screen for IPV experience and use concurrently and instructed to screen all patients encountered through routine mental health care visits during a 3-month period. Outcomes of interest were past-year prevalence of IPV use and experience, sociodemographic characteristics, and clinical diagnoses among screened patients. A total of 200 patients were offered IPV screening. Of 155 participants (mean [SD] age, 52.45 [15.65] years; 124 [80.0%] men) with completed screenings, 74 (47.7%) denied past-year IPV experience and use, 76 (49.0%) endorsed past-year IPV experience, and 72 (46.4%) endorsed past-year IPV use, including 67 participants (43.2%) who reported IPV experience and use concurrently; only 9 participants (5.8%) endorsed unidirectional IPV experiences and 5 participants (3.2%) endorsed unidirectional IPV use. Patients who reported past-year IPV experience and use were younger than those who denied IPV (experience: mean difference, -7.34 [95% CI, 2.51-12.17] years; use: mean difference, -7.20 [95% CI, 2.40-12.00] years). Patients with a posttraumatic stress disorder diagnosis were more likely to report IPV use (43 patients [59.7%]) than those without a posttraumatic stress disorder diagnosis (29 patients [40.3%]; odds ratio, 2.14; [95% CI, 1.12-4.06]). No other demographic characteristics or clinical diagnoses were associated with IPV use or experience. In this cross-sectional study of IPV rates and associated factors, screening for IPV found high rates of both IPV experience and use among patients receiving mental health care. These findings highlight the benefit of screening for IPV experience and use concurrently across gender and age. Additionally, the associations found between PTSD and IPV use underscore the importance of strengthening and developing additional targeted treatment for IPV.