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The Recommendation Statement from the Canadian Task Force on Preventive Health Care (CTFPHC) on the prevention of violence against women was published in the Sept. 16, 2003, issue of the Canadian Medical Association Journal. 1 It does not recommend for or against screening for intimate partner violence (IPV), due to insufficient evidence. Although this may seem like a blow to women’s advocacy groups and health organizations, the CTFPHC recommendation gives emergency physicians and nurses some direction based on existing evidence; it suggests we should not expend limited emergency department (ED) resources on IPV screening until it is clear that such screening does more good than harm. Partner violence is a serious heath and social problem but, for a variety of reasons, EDs deal with it less effectively than with other health problems. There are many IPV screening tools — some are even validated in ED settings — but like most screening tests, these have falsepositives and false-negatives that may lead to adverse consequences. 2

Intimate partner violence against women: To screen or not to screen in the emergency department?