Safe Dates— Psychological Violence Victimization

1. Damaged something that belonged to me.
2. Said things to hurt my feelings on purpose
3. Insulted me in front of others.
4. Threw something at me but missed.
5. Would not let me do things with other people.
6. Threatened to start dating someone else. .
7. Told me I could not talk to someone of the opposite sex.
8. Started to hit me but stopped.
9. Did something just to make me jealous.
10. Blamed me for bad things they did.
11. Threatened to hurt me.
12. Made me describe where I was every minute of the day.
13. Brought up something from the past to hurt me.
14. Put down my looks.
 
 
This instrument can be found on page 77 of Measuring Intimate Partner Violence Victimization and Perpetration: A Compendium of Assessment Tools‚ available online at: http://www.cdc.gov/ncipc/pub-res/IPV_Compendium.pdf
 
 
Point values are assigned as follows:
3= Very Often
2= Sometimes
1= Seldom
0= Never
The psychological abuse victimization score is calculated by summing responses across all 14 items. Summed scores are recoded as follows:
• 0 = 0 and indicates no victimization.
• 1–5 = 1 and indicates mild psychological abuse.
• 6–9 = 2 and indicates moderate psychological abuse.
• 10 and greater = 3 and indicates severe psychological abuse.
 

Foshee VA‚ Bauman KE‚ Arriaga XB‚ Helms RW‚ Koch GG‚ Linder GF. An evaluation of Safe Dates‚ an adolescent dating violence program. American Journal of Public Health 1998;88:45–50.

Foshee VA‚ Linder GF‚ Bauman KE‚ et al. The Safe Dates project: theoretical basis‚ evaluation design‚ and se‎lected baseline findings. American Journal of Preventive Medicine 1996;12:39–47.