Risk Assessment Tool
This is a brief risk assessment to help you assess your risk for serious injury or even death. This tool is intended to help you make decisions but we encourage you to reach out to a domestic violence organization to make a safety plan.
Has the physical violence worsened over the last year? Does is happen more often?
Has your partner (or ex) ever used a weapon against you or threated you with a weapon?
Do you believe your partner (or ex) is capable of killing you?
Has your partner (or ex) ever tried to choke/strangle you or cut off your breathing?
About how long ago?
Did it happen more than once?
Did it make you pass out of black out or make you dizzy?
Is your partner (or ex) violently and constantly jealous of you?
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Please repeat the quiz and try different answer combinations.Result
Proceed with normal referral/procedural processes
for domestic violence.
Result
Tell the victim there are 2 risk factors for serious
injury/assault/homicide. If victim agrees, refer and
hand-off to a knowledgeable advocate (in-person
or voice-to-voice hand-off is preferable).
Result
If the victim is female and you are trained to use
the DA:
o Complete the full DA using the calendar and
weighted scoring. Inform the victim of her level
of danger. Do safety planning based on the full
DA results.
• If the victim is female and you are NOT trained to
use the DA:
o Refer and hand-off the victim to someone
certified to administer the full DA (in-person or
voice-to-voice hand-off is preferable).
Result
Tell the victim they are in danger. Give them the
choice of reporting to the police and/or a
confidential hotline (800-799-7233). Make the call
with the victim and/or complete an in-person handoff to a knowledgeable advocate.
Result
Tell the victim they are in danger. Give them the
choice of reporting to the police and/or a
confidential hotline (800-799-7233). Make the call
with the victim and/or complete an in-person handoff to a knowledgeable advocate.
