Patient selection: inner city youth from 10-18 years of age with high-risk social or sexual behaviors or complaints (genital discharge, pelvic pain, request for STI testing, intoxication, suicide attempt, assault, etc)
Screening tool:
(1) history of broken bone, traumatic loss of consciousness, significant wound
(2) history of ever running away from home
(3) previous history of drug/alcohol use
(4) ever involved with law enforcement
(5) number of sexual partners > 5
(6) history of sexually transmitted disease
|
Response
|
Points
|
|
no
|
0
|
|
yes
|
1
|
total score =
= SUM(points for all 6 questions)
Interpretation:
• minimum score: 0
• maximum score: 6
• A score >= 2 had a sensitivity of 92%, specificity of 73% and negative predictive value of 97%
