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					| Domestic Violence
		
			| Topic OverviewWhat is domestic violence?If you want to save this information but don't think it is safe to take it home, see if a trusted friend can keep it for you. Plan ahead. Know who you can call for help, and memorize the phone number. Be careful online too. Your online activity may be seen by others. Do not use your personal computer or device to read about this topic. Use a safe computer such as one at work, a friend's house, or a library.  Domestic violence is
			 abuse that happens in a personal relationship. It can happen between past or
			 current partners, spouses, or boyfriends and girlfriends. Domestic
			 violence affects men and women of any ethnic group, race, or religion; gay or
			 straight; rich or poor; teen, adult, or elderly. But most of its victims are
			 women. In fact, 1 out of  4 women will be a victim at some point.footnote 1 The abuser may use fear, bullying, and threats
			 to gain power and control over the other person. He or she may act jealous,
			 controlling, or possessive. These early signs of abuse may happen soon after
			 the start of the relationship and might be hard to notice at first.  After the relationship becomes more serious, the abuse may get worse.
			  The abuser may begin making threats, calling
				the other person names, and slamming doors or breaking dishes. This is a form
				of emotional abuse that is sometimes used to make the person feel bad or
				weak.Physical abuse that starts with a slap might lead to kicking,
				shoving, and choking over time.As a way
				to control the person, the abuser may make violent threats against the person's
				children, other family members, or pets.Abusers may also control
				or withhold money to make the person feel weak and dependent. This is called
				financial abuse. Domestic violence also includes sexual abuse,
				such as forcing a person to have sex against her will.
 Money troubles and problems with drugs or alcohol can make it more
			 likely that abuse will happen.  Abuse is also common in teens who
			 are dating. It often happens through controlling behaviors and jealousy. What should you do if you're being abused?It's important to get help. Talk with someone you trust, such as a friend, a help center, or your doctor. Talking with someone can help you make the changes you need.  Your first step is to contact a local advocacy group for support, information, and advice on how to stay safe. Call the National Domestic Violence Hotline at 1-800-799-SAFE (1-800-799-7233) for the nearest program. The hotline is available 24 hours a day, 365 days a year, in English, Spanish, and other languages.   You can also see the National Coalition Against Domestic Violence website at www.ncadv.org/resources/StateCoalitionList.php to find the program nearest to you that offers shelter and legal support.  Here are some other things you can do: Know your legal rights. Consider asking the police for help.Make sure that you know phone numbers you can
				call and places you can go in an emergency. Teach your children
				not to get in the middle of a fight. If you think you may leave,
				make a plan to help keep you safe. This will help when you are getting ready to
				leave. Your plan might include: 
				Putting together and hiding a suitcase of
					 clothing, copies of your car and house keys, money or credit cards, and
					 important papers, such as Social Security cards and birth certificates for you
					 and your children. Keep the suitcase hidden in your home or leave it with friends or family or at work if possible. Open a savings account or get a credit
					 card, if you can do so in secret. If you are a teen, talk to a trusted adult, such as
				your parents, family friend, or school counselor. You can also call the National Teen Dating Abuse Hotline toll-free: 1-866-331-9474.
 What should you do if you know someone who is being abused? Here are some things you can do to help:  Be a good listener and a caring friend.
				Remind the person that no one deserves to be treated this way.
				Let the person know that the abuse is against the law and that
				help is available.Help the person make a plan to stay safe.
				You can also suggest that the person call the National Domestic
				Violence Hotline at 1-800-799-SAFE (1-800-799-7233) to find a local domestic
				violence support group. 
 Keep in mind that the person may not want or be ready to leave. He or
			 she probably knows the abuser best and knows what options are safest. But it is
			 important for victims of abuse to know where they can get help. Why do victims stay?People who are not abused
			 might find it hard to understand why anyone would stay in a violent
			 relationship. Some people think that if a person stays in an abusive
			 relationship, she or he must be weak or needy. This is not true. There is more to this issue than simply leaving or staying. A woman may
			 fear that the abuser will hurt her and her children or take her children away.
			 She may have limited financial options. She may blame herself. She may stay for
			 religious reasons or because she does not want to break up the family. Also,
			 she may still love her abuser and hope that things will get better. The abuser may threaten self-harm or suicide. Men who are being abused may have similar feelings. What are the harmful effects of domestic violence?Domestic violence hurts victims as well as their families. Don't ignore
			 it.  People who suffer from abuse can be badly hurt. They are also
			 likely to have long-lasting (chronic) health problems, such as
			 depression, headaches, and
			 post-traumatic stress disorder. This is because of the
			 repeated injuries and stress from living with abuse.  Abuse can
			 happen more often and get worse when women are pregnant. It is dangerous for
			 both the mother and the baby. It can raise the baby's risk of low birth weight,
			 premature birth, and death.
			 The pregnant woman is at higher risk of problems with her pregnancy. And abuse has a big effect on children. Children who live
			 in a home where abuse happens see violence as a normal way of life. It also
			 raises their chance of being in a violent relationship as adults, either as
			 abusers or as victims. Teens are at greater risk
			 for depression, drug and alcohol use, and unsafe behavior.Frequently Asked Questions| Learning about domestic violence: |  |  | Stopping domestic violence: |  | 
Signs of Domestic ViolenceMost relationships have
		  difficult times, and almost every couple argues now and then. But violence is
		  different from common marital or relationship problems.
		  Domestic violence is a pattern of abuse that a
		  partner-former or current partner, spouse, or boyfriend or girlfriend-uses to
		  control the behavior of another. Domestic violence often starts
		  with threats, name-calling, and slamming doors or breaking dishes, and
		  it can build up to pushing, slapping, and other violent acts. If you are concerned about your relationship, ask yourself the
		  following questions. Does your partner: Embarrass you with put-downs?Look at you or act in ways that scare you? Control what you do, who you see or talk to, or where you go?Stop you from seeing your friends or family members?Take your money or paycheck, make you ask for money, or refuse to give you money?Make all of the decisions?Tell you that you're a bad parent or threaten to take away or hurt your children? Threaten to kill himself or herself?Prevent you from working or
			 going to school?Act like the abuse is no big deal or is your fault, or even deny doing it?Destroy your property or threaten to kill your pets?Intimidate you with guns, knives, or other weapons?
			 Shove you, slap you, choke you, or hit you?Threaten to kill you?
 If any of these things or other types of abuse are happening, you need to seek
		  help.  It's important to know that you are not alone. The way your partner acts is not your fault. Help is available. Signs that someone you know is being abusedDo you have a friend, coworker, relative, or neighbor who
		  you think may be in an abusive relationship?  Here are some signs to watch for: Bruises or injuries that look like they came
			 from choking, punching, or being thrown down. Black eyes, red or purple marks
			 at the neck, and sprained wrists are common injuries in violent
			 relationships.Attempting to hide bruises with makeup or
			 clothing  Making excuses like tripping or being accident-prone or
			 clumsy. Often the seriousness of the injury does not match up with the
			 explanation.Having few close friends and being isolated from
			 relatives and coworkers and kept from making friendsHaving to ask permission to meet, talk with, or do things with other peopleHaving little
			 money available; may not have credit cards or even a car
 Other warning signs: Having low self-esteem; being extremely apologetic and
			 meek Referring to the partner's temper but not disclosing the extent
			 of the abuseHaving a
			 drug or alcohol abuse problemHaving symptoms of depression, such
			 as sadness or hopelessness, or loss of interest in daily
			 activitiesTalking about suicide,  attempting suicide, or showing other warning signs of suicide. Encourage this person to talk with a health
		  professional.
 Be supportive, and let your friend know that you are there to listen and help. For more information, see How To Help. Who Is at RiskDomestic violence affects all types of people,
		  regardless of gender, ethnicity, race, sexual identity, social status,
		  and religion.  Here are some things you should know: While domestic violence can
		  affect men, most victims are women.Domestic violence can happen to anyone, but being poor increases the chances that it will occur.
		  The stress of poverty can increase conflict in a relationship. That conflict sometimes leads to violence.Alcohol misuse also increases the
		  risk of domestic violence.The risks can increase when a partner is thinking about leaving the relationship. This might cause the other
		  person to feel as if he or she is losing control. A person is at increased
		  risk of being a victim of stalking, attempted murder, or murder after leaving an abusive
		  relationship. 
 Other things that can put you at risk include having a partner who has lost a job or who has medical or mental health problems.   Domestic abuse is also a
		  big  problem among the elderly.  For more information, see
		  Elder Abuse.Domestic Violence and Your HealthDomestic violence is the most common cause of injury to women.  After abuse starts, it usually continues. And it's likely to get worse over time. For example, abuse that starts with a slap
		  may build up over time to kicking and shoving and finally choking.  The repeated injury and stress of living in a violent
		  relationship can cause long-lasting health problems, such as: Those who are abused have a higher risk of health problems. Abuse victims are also more likely to smoke or abuse
		  alcohol, which can also lead to health problems. Other health problems linked to sexual abuse include sexually transmitted infections (including
		  HIV/AIDS) and unintended pregnancies. If you're pregnantPregnancy can be an especially
		  dangerous time for women who are in abusive relationships.  Problems during pregnancy, such
		  as low weight gain,
		  anemia, infections, and bleeding, are higher for these
		  women. There's no excuse for abuse. If you are being abused, it's time to get help. You deserve to be safe. Call the National Domestic Violence Hotline at 1-800-799-7233.How It Affects ChildrenWhen there's violence in the home, children are always affected, even if they're asleep or not in the room when the abuse happens. The longer you live in a violent situation, the harder it will be for your children.  When abuse happens, your children may feel scared and ashamed, or they may even think that  they caused the problem. Worse, they can grow up thinking that it's okay to hurt others or let other people hurt them.    Abuse also affects: Your children's health. Children who live in homes where domestic violence occurs are more likely to have depression, anxiety, poor school performance, behavior problems, trouble sleeping, or chronic health problems.Your children's safety. Spouses who abuse their partners also often hurt the children in the relationship. Violence or the
		  threat of violence toward a victim's children is often used to control the partner who is being abused.Teen drug and alcohol use. Both teen boys and girls who witness abuse are at increased risk for depression, drug and alcohol use, and behavior problems. Suicide. Teen girls who witness abuse at home attempt suicide more often.Future abuse. Children who see one partner hurting or threatening the other are more likely to be in abusive relationships themselves when they grow up, either as victims or abusers.
 Asking for help is hard. But it's important for you and your children that you get the support you need. You and your children deserve to be safe.  When you leave an abusive
		  relationship, you show by example that violence is wrong and that it's possible to make healthy choices. Why Victims StayPeople who are not abused might
		  find it hard to understand why anyone would stay in an abusive relationship. Victims are often blamed. Some
		  people falsely believe that if a person stays, she
		  or he must be weak or needy. This is not true.   Changing or ending any relationship is hard. It can be even harder when the relationship is abusive. People stay for many reasons, such as:  Conflicting emotions. Abusers use verbal,
		  emotional, and physical violence along with apologies, promises, and affection to
		  control their victims. A victim may hold on to the hope
		  that the abuser will change. Along with painful times,
		  there may be loving moments. The abuser may also be the only one providing financial support for the family. Shame. Victims often feel tremendous shame and embarrassment and use
		  denial as a way of coping with the abuse.Safety concerns. In many cases, the abuser has threatened to kill his partner, himself, or
		  the children if his partner tries to leave. (This is also true of men who are abused.)Lack of money and resources. Money is often
		  tightly controlled, so a woman may fear losing financial support and may question
		  how she will be able to support herself and her children. Women who are elderly or have disabilities may not feel
		  that they have any other options than to stay with the abusive partner. Depression and isolation. Abuse can leave victims depressed and emotionally drained. This can make it hard to act.  And abusers try to isolate victims
		  from family and friends so that the victims do not have anyone to support them
		  if they do leave. Cultural or religious pressures. In some cases, religious counselors, relatives, or
		  friends may encourage women to stay to keep the family together no matter what.Custody worries. A woman may worry about losing custody of her children if she leaves. Fear of being deported. Immigrant women might stay in an abusive relationship because their partners have threatened to have  them deported. Not being fluent in English might also be a challenge. 
How to HelpMany victims of
		  domestic violence are willing to talk about their
		  relationship when they are approached in a kind and understanding manner. But
		  don't confront a victim if the person is not ready to talk. Let the person know
		  you are willing to listen whenever he or she wants to talk. Be understanding if
		  the person is unable to leave. He or she often knows the situation best and
		  when it is safest to leave.  Reassure the person that the abuse is
		  not his or her fault and that no one deserves to be abused. If the person has
		  children, gently point out that you are concerned that the violence is
		  affecting them. Many victims do not understand that their children are being
		  harmed until someone else voices the concern.  Remind the victim
		  that domestic violence is against the law and that help is available. You may
		  be able to help a victim understand his or her options. Be willing to assist in
		  any way you can with transportation, money, or child care. Encourage your
		  friend to talk with a health professional.  The most dangerous
		  time for a victim of domestic violence can be when the person is leaving an abusive
		  relationship, so any advice about leaving must be knowledgeable and practical.
		  Encourage the victim to get advice from an advocacy agency with experience in
		  the area of domestic violence. Helping a person contact local
		  domestic violence groups is an important step. If you know someone who is being
		  abused, call the National Domestic Violence Hotline at 1-800-799-SAFE
		  (1-800-799-7233) or see the National Coalition Against Domestic Violence's website at www.ncadv.org/resources/StateCoalitionList.php to find the nearest program offering
		  shelter and legal support. There are many programs across the country that
		  provide options for safety, advocacy, support, and needed information and
		  services. Here are some other ways to help:Developing a Safety PlanA
		  violent relationship puts you and your children at
		  risk for injury and even death. Developing a plan will help provide for your
		  safety and the safety of your children.  Your first step is to contact a local advocacy group for support, information, and advice on how to stay safe. Call the National Domestic Violence Hotline at 1-800-799-SAFE (1-800-799-7233) or visit www.thehotline.org for the nearest program. The hotline is available 24 hours a day, 365 days a year, in English, Spanish, and other languages. You can also see the National Coalition Against Domestic Violence website at www.ncadv.org/resources/StateCoalitionList.php to find the program nearest to you that offers shelter and legal support.  Safety plans for now and laterStay safe if you are in a violent relationship. When an argument occurs, go to a safe place.Try to have a phone available at all times.Create a code word or sign that can be used to alert family and friends that you need help. 
Have a safety plan if you're preparing to leave a violent relationship. Have a packed bag ready with copies of your car and house keys, money or credit cards, and
					 important papers, such as Social Security cards and birth certificates for you
					 and your children. Keep it hidden in your home, or leave the bag with friends or family or at work if possible.Open a savings account or get a credit
					 card, if you can do so in secret. Use this checklist of items to take with you when you leave.
Learn how to stay safe after you leave a violent relationship. Change your phone number.Change your routine.If your abuser comes to your home, you don't have to let him or her in. Keep the doors closed and locked, and call the police.
 After you have left, you may need to take extra measures to stay safe. Your local advocacy group can help you get in touch with legal and social services in your area. This group may also provide information on counseling and support groups that can help you recover emotionally from your abuse.Legal Protection From AbuseMany women and men are
		  reluctant to call police when they have been hurt. Victims fear that their partners
		  will retaliate or that police officers will be insensitive and embarrass them,
		  among other concerns. But many communities have made great progress in
		  educating police officers and other people in the criminal justice system about
		  domestic violence.   Many states require
		  that police officers automatically arrest the abuser if they believe domestic
		  violence has occurred. In some communities, assistance from local victim's
		  advocacy groups and state social services are requested at the same time. Along
		  with these services, the law can be another tool you can use to increase your
		  safety and independence. In many states, police officers can help
		  you obtain a temporary
		  protective order (or restraining order) at the scene
		  of the crime. These orders usually last until a permanent protective order can
		  be issued.  In general, protective orders require the abuser to
		  stay away from you, your home, your workplace, or your school-to stop all
		  contact, whether by telephone, notes, email, or other means-and to stop
		  harming or threatening you. You can request a protective order at any time. An
		  abuser can be arrested for violating a protective order, which is considered
		  contempt of court and a minor (misdemeanor) criminal offense.  
		  Protective orders are available in all states, but each state has its own laws
		  governing them. Many states allow you to obtain a protective order
		  without an attorney. The court can also extend the protective
		  order to your children and order the abuser to have no contact with them, your
		  children's doctors, day care, or school. Keep your protective order with you at all times, and keep
		  a copy in a safe place. If you travel to another state, check to see if your
		  protective order is valid in that state. Some states enforce protective orders
		  from other states, but many do not. At work, tell your supervisor and the human resources manager about your situation. Discuss scheduling options and other safety precautions to provide for your well-being. Give a recent photo of the abuser to your human resources manager and, if possible, ask to prohibit the abuser's access to your workplace. Tell human resources if there is a current restraining order in place. 
 While protective orders do not
		  automatically prevent you from being abused, they do deter abusers. Abuse victims who get permanent
		  protective court orders are less likely to be physically or
		  psychologically abused than those who do not get permanent protective
		  orders. Contact your local domestic
		  violence group, legal aid society, or family court for help. See the National
		  Coalition Against Domestic Violence's website at
		  www.ncadv.org/resources/StateCoalitionList.php to find the program nearest to you that
		  offers shelter and legal support. Also, the National Domestic Violence Hotline
		  1-800-799-SAFE (1-800-799-7233) can provide you with contacts. 
		  The court may also award temporary custody of children to you, along with child
		  support, spousal support, and use of the home and car along with the protective
		  order. The court may be able to order the batterer to pay your legal costs and
		  fees. As a victim of a crime, you may also be eligible for additional financial
		  support from the court.  Many states require that
		  abusers attend batterer intervention programs. These programs try to make
		  abusers accountable for their behavior and educate them about healthy
		  alternatives to their abuse. Batterer intervention programs report varying
		  degrees of success, although so far, studies have not verified that success.
		  Most experts believe that batterer programs are most effective when the abuser
		  recognizes that his or her behavior is abusive, and wants to change.Teen Relationship AbuseTeens who abuse their girlfriends or boyfriends do the same things as adults who abuse their partners. Teen dating violence is just as serious as adult domestic violence. And it's common. In adult domestic violence, women are more often the victim. In teen
		  relationship abuse, both boys and girls report abuse about equally. But boys tend to start the violence more often and use
		  greater force.footnote 2 Abusive relationships have good times and bad times. Part of what makes dating violence so confusing is that there is love mixed with the abuse. This can make it hard to tell if you're really being abused.  If you're not sure, see Signs of Domestic Violence.   You deserve to be treated in a loving, respectful way at all times by your boyfriend or girlfriend.   Ask yourself these questions. Does your boyfriend or girlfriend: Have a history of bad relationships or past violence?Always blame his or her problems on other people?Blame you for "making" him or her treat you badly?Try to use drugs or alcohol to get you alone when you don't want to be?Try to control you by being bossy, not taking your opinion seriously, or making all of the decisions about who you see or what you wear?Talk about people in sexual ways or talk about sex like it's a game or contest?Pressure you to have or force you to have unprotected sex?Constantly text you  or call you to find out where you are and who you're with? You might think that's about caring, but it's really about controlling your relationship. 
 If you answered yes to any of these questions, you might be in an abusive relationship. Talk to your parents or another adult
		  family member, a school counselor, or teacher. Or you can get help from the National Domestic
		  Violence Hotline at 1-800-799-SAFE (1-800-799-7233) or go to www.thehotline.org or  the National Teen Dating Abuse Hotline at 1-866-331-9474 (www.loveisrespect.org).   Remember, you're not alone. Talking really does help. And without help, the violence will only get worse. Other Places To Get HelpOrganizationsNational Domestic Violence Hotline (U.S.) www.ndvh.orgWomenshealth.gov: Violence Against Women (U.S.) www.womenshealth.gov/violence-against-women/index.htmlReferencesCitationsFamily Violence Prevention Fund (2004). National Consensus Guidelines on Identifying and Responding to Domestic Violence Victimization in Health Care Settings. Available online: http://endabuse.org/programs/healthcare/files/Consensus.pdf.Roberts TA, Klein J (2003). Intimate partner abuse and high-risk behavior in adolescents. Archives of Pediatrics and Adolescent Medicine, 157(4): 375-380.
 Other Works ConsultedBonomi AE, et al. (2006). Intimate partner violence and women's physical, mental, and social functioning. American Journal of Preventative Medicine, 30(6): 458-466.Bonomi AE, et al. (2007). Intimate partner violence in older women. Gerontologist, 47(1): 34-41.Campbell JC (2007). Prediction of homicide of and by battered women. In JC Campbell, ed., Assessing Dangerousness: Violence by Batterers and Child Abusers, pp. 85-104. New York: Springer.Casteel C, Sadowski L (2010). Intimate partner violence towards women, search date September 2009. Online version of BMJ Clinical Evidence: http://www.clinicalevidence.com.Hilton NZ, Harris GT (2007). Assessing risk of intimate partner violence. In JC Campbell, ed., Assessing Dangerousness: Violence by Batterers and Child Abusers, pp. 105-125. New York: Springer.Sheridan DJ, et al. (2007). Prediction of interpersonal violence: An introduction. In JC Campbell, ed., Assessing Dangerousness: Violence by Batterers and Child Abusers, pp. 1-23. New York: Springer. Thompson RS, et al. (2006). Intimate partner violence: Prevalence, types, and chronicity in adult women. American Journal of Preventative Medicine, 30(6): 447-457.Tolan P, et al. (2006). Family violence. Annual Review of Psychology, 57: 557-83.
CreditsByHealthwise StaffPrimary Medical ReviewerAdam Husney, MD - Family Medicine
 Kathleen Romito, MD - Family Medicine
 Christine R. Maldonado, PhD - Behavioral Health
 Specialist Medical ReviewerBrigid McCaw, MD, MS, MPH, FACP -
Current as ofMay 17, 2017Current as of:
                May 17, 2017Family Violence Prevention Fund (2004). National Consensus Guidelines on Identifying and Responding to Domestic Violence Victimization in Health Care Settings. Available online: http://endabuse.org/programs/healthcare/files/Consensus.pdf. Roberts TA, Klein J (2003). Intimate partner abuse and high-risk behavior in adolescents. Archives of Pediatrics and Adolescent Medicine, 157(4): 375-380. Last modified on: 8 September 2017  |  |  |  |  |  |