Prevention Book


Pediatric HITSS

Aka: Pediatric HITSS, Pediatric Hurt Insult Threaten Scream Sex Questionnaire, PedHITSS
  1. Indications
    1. Evaluation of Child Abuse (under age 12 years)
  2. Criteria
    1. For each question, answer with one of the following numbers on the Likert Scale
      1. Score 0: Never
      2. Score 1: Rarely
      3. Score 2: Sometimes
      4. Score 3: Fairly Often
      5. Score 4: Frequently
    2. During the last year, how often would you estimate that an immediate family member did the following to a child?
      1. Physically HURT them?
      2. INSULT or talk down to them?
      3. THREATEN them with physical harm?
      4. SCREAM or curse at them?
      5. Forced them to have SEX?
  3. Evaluation: Interpretation
    1. Any positive score should prompt additional evaluation
    2. Total Score >8.5 identified all cases of abuse perpetrators in one study
  4. References
    1. Shakil (2018) Fam Med 50(10):763-9 +PMID: 30428105 [PubMed]

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