How can I support a patient who is experiencing domestic violence while ensuring their confidentiality and safety?

Allow the person to make a disclosure alone in private with no third parties present, ensuring they feel safe, and are given time and space to talk, with questions asked in a kind, sensitive manner ¹.

Use gender-neutral terms such as partner/ex-partner to create a safe, accessible environment ¹.

Ask the person for safe contact details and inquire about the whereabouts of the perpetrator and any children ¹.

Ask about who they are frightened of, and who they are frightened for, and what they would like to happen ¹.

Use a professional interpreter or an advocate from a local specialist domestic violence and abuse service, and do not use the person's child, relative, or friend as an interpreter ¹.

Advise the person that any discussion is confidential and that the information provided will be shared only with their consent, unless there is a risk of serious harm to a third party such as a child or vulnerable adult ¹.

Ask open or direct questions depending on clinical judgement, and consider asking open questions like 'How are things at home?' or 'Is there anyone who is hurting you?' ¹.

Ensure that any information sharing respects confidentiality, but be aware that in exceptional circumstances, such as risk of serious harm, disclosure may be justified in the public interest ¹.