Purpose

The purpose of this mixed-methods triangulation study was to assess the face validity and comprehension of a femicide risk assessment tool, the Danger Assessment-Brazil (DA-Brazil) among women seeking care in a one stop center for abused women in Curitiba, Brazil. Our secondary aim was to assess professionals' perceptions of feasibility for using the DA-Brazil in the same setting.

Method

Fifty-five women experiencing relationship violence completed the instrument and participated in cognitive interviews about their experience; professionals attending survivors were also interviewed.

Results

The vast majority of women described the DA-Brazil instrument as being easy to comprehend (n = 41, 73.2%). Nearly half of participants (n = 26, 46.4%) had some kind of question regarding the DA-Brazil calendar, a tool to visualize abuse frequency and severity. Queries aligned with five categories: recollection of dates, scale, relationship status, terminology, and discomfort. Professionals reported that the DA-Brazil instrument would support referral decision-making.

Conclusion

The overall face validity and comprehension of the DA-Brazil appears to be high. The majority of challenges were around the calendar activity. Professional perceptions of the DA-Brazil suggest a high degree of feasibility for its use in Brazilian healthcare settings. In order for the DA-Brazil to effectively be administered with facilitated support there is a need for training on the best use of the instrument. Accurate assessment of femicide risk is critical in a country like Brazil with high rates of femicide. The DA-Brazil provides a valid assessment of femicide risk and has the potential to trigger early intervention for those at risk.

中文翻译：

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“这些问题与我发生的一切有关”：巴西受虐妇女杀害女性风险评估工具的分析

目的

这项混合方法三角测量研究的目的是评估在巴西库里提巴的受虐妇女一站式中心寻求护理的女性对杀害女性风险评估工具（巴西危险评估（DA-Brazil））的面部有效性和理解力. 我们的次要目标是评估专业人员对在相同环境中使用 DA-Brazil 的可行性的看法。

方法

55 名经历过关系暴力的女性完成了该工具，并参与了关于她们经历的认知访谈；还采访了参加幸存者的专业人员。

结果

绝大多数女性认为 DA-Brazil 文书易于理解（n  = 41, 73.2%）。近一半的参与者 ( n  = 26, 46.4%) 对 DA-巴西日历有某种疑问，这是一种可视化滥用频率和严重程度的工具。查询与五个类别一致：日期的回忆、规模、关系状态、术语和不适。专业人士报告说，DA-Brazil 工具将支持转诊决策。

结论

DA-Brazil 的整体面部效度和理解力似乎很高。大多数挑战都围绕着日历活动。对 DA-Brazil 的专业看法表明，其在巴西医疗保健机构中的使用具有高度的可行性。为了使 DA-Brazil 在便利的支持下得到有效管理，需要就如何最好地使用该工具进行培训。在巴西这样一个杀害女性的高发国家，准确评估杀害女性的风险至关重要。DA-Brazil 提供了对杀害女性风险的有效评估，并有可能触发对处于风险中的人的早期干预。