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Definition

of

Indicators

from

NICE Guideline PH50 - Domestic violence and abuse: multi-agency working

National Institute for Health and Care Excellence

Indicators are presenting problems or conditions that are associated with domestic violence and abuse. They can include: - symptoms of depression, anxiety, post-traumatic stress disorder, sleep disorders - suicidal tendencies or self-harming - alcohol or other substance use - unexplained chronic gastrointestinal symptoms - unexplained reproductive symptoms, including pelvic pain and sexual dysfunction - adverse reproductive outcomes, including multiple unintended pregnancies or terminations, delayed pregnancy care, miscarriage, premature labour and stillbirth - unexplained genitourinary symptoms, including frequent bladder or kidney infections - vaginal bleeding or sexually transmitted infections - chronic pain (unexplained) - traumatic injury, particularly if repeated and with vague or implausible explanations - problems with the central nervous system - headaches, cognitive problems, hearing loss - repeated health consultations with no clear diagnosis - intrusive 'other person' in consultations including partner or husband, parent, grandparent or an adult child (for elder abuse). (Adapted from Black 2011.)

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