Journal of General Internal Medicine

, Volume 26, Issue 8, pp 930–933 | Cite as

Addressing Intimate Partner Violence in Lesbian, Gay, Bisexual, and Transgender Patients

  • Kevin L. ArdEmail author
  • Harvey J. Makadon


The medical community’s efforts to address intimate partner violence (IPV) have often neglected members of the lesbian, gay, bisexual, and transgender (LGBT) population. Heterosexual women are primarily targeted for IPV screening and intervention despite the similar prevalence of IPV in LGBT individuals and its detrimental health effects. Here, we highlight the burden of IPV in LGBT relationships, discuss how LGBT and heterosexual IPV differ, and outline steps clinicians can take to address IPV in their LGBT patients.


LGBT gay lesbian intimate partner violence domestic violence 



Contributors: The authors would like to acknowledge Curt Rogers and Iain Gill for their assistance in the preparation of this manuscript.



Prior Presentations


Conflict of Interest

None disclosed.


  1. 1.
    Garcia-Moreno C, Jansen HA, Ellsberg M, Heise L, Watts C. WHO Multi-country study on women’s health and domestic violence. Prevalence of intimate partner violence: findings from the WHO multi-country study on women’s health and domestic violence. Lancet. 2006;368:1260–9.PubMedCrossRefGoogle Scholar
  2. 2.
    Kimberg LS. Addressing intimate partner violence with male patients: a review and introduction of pilot guidelines. J Gen Intern Med. 2008;23:2071–8.PubMedCrossRefGoogle Scholar
  3. 3.
    Gay and Lesbian Medical Association. Healthy People 2010 Companion Document for Lesbian, Gay, Bisexual, and Transgender (LGBT) Health. San Francisco, CA: Gay and Lesbian Medical Association; 2001. Available at: Accessed March 6, 2011.
  4. 4.
    Tjaden P, Thoennes N. Extent, nature, and consequences of intimate partner violence: findings from the National Violence Against Women Survey. Washington, DC: US Department of Justice, National Institute of Justice; 2000. P. 29–31. Report No.: NCJ 181867.Google Scholar
  5. 5.
    Greenwood GL, Relf MV, Huang B, Pollack LM, Canchola JA, Catania JA. Battering victimization among a probability-based sample of men who have sex with men. Am J Public Health. 2002;92:1964–9.PubMedCrossRefGoogle Scholar
  6. 6.
    Goldberg J, Matte N, MacMillan M, Hudspith M. Community survey: transition/crossdressing services in BC. Vancouver Coastal Health Authority, 2003. Available at Accessed March 6, 2011.
  7. 7.
    Landers S, Gilsanz P. The health of lesbian, gay, bisexual, and transgender (LGBT) persons in Massachusetts. Massachusetts Department of Public Health; 2009. Available at: Accessed March 6, 2011.
  8. 8.
    McClennen J. Domestic violence between same-gender partners: recent findings and future research. J Interpers Violence. 2005;20:149–54.PubMedCrossRefGoogle Scholar
  9. 9.
    Kulkin HS, Williams J, Borne HF, de la Bretonne D, Laurendine J. A review of research on violence in same-gender couples: a resource for clinicians. J Homosex. 2007;53:71–87.PubMedCrossRefGoogle Scholar
  10. 10.
    Robin L, Brener ND, Donahue SF, Hack T, Hale K, Goodenow C. Associations between health risk behaviors and opposite-, same-, and both-sex sexual partners in representative samples of Vermont and Massachusetts high school students. Arch Pediatr Adolesc Med. 2002;156:349–55.PubMedGoogle Scholar
  11. 11.
    Clermont KJ. Lesbians and same-sex relationships. In: Liebschutz JM, Frayne SM, Saxe GN, eds. Violence against women: A physician’s guide to identification and management. Philadelphia: ACP; 2003:237–50.Google Scholar
  12. 12.
    Balsam KF, Rothblum ED, Beauchaine TP. Victimization over the life span: a comparison of lesbian, gay, bisexual, and heterosexual siblings. J Consult Clin Psychol. 2005;73:477–87.PubMedCrossRefGoogle Scholar
  13. 13.
    Kenagy GP. Transgender health: findings from two needs assessment studies in Philadelphia. Health Soc Work. 2005;30:19–26.PubMedGoogle Scholar
  14. 14.
    Factor RJ, Rothblum ED. A study of transgender adults and their non-transgender siblings on demographic characteristics, social support, and experiences of violence. J LGBT Health Res. 2007;3:11–30.PubMedGoogle Scholar
  15. 15.
    McKinley J. Suicides put light on pressures of gay teenagers. New York Times. 2010 Oct 3. Available at: Accessed March 6, 2011.
  16. 16.
    Pattavina A, Hirschel D, Buzawa E, Faggiani D, Bentley H. A comparison of the police-response to heterosexual versus same-sex intimate partner violence. Violence against Women. 2007;13:374–94.PubMedCrossRefGoogle Scholar
  17. 17.
    Hines DA, Douglas EM. The reported availability of U.S. domestic violence services to victims who vary by age, sexual orientation, and gender. Partner Abuse. 2011;2:3–30.Google Scholar
  18. 18.
    Eliason MJ, Schope R. Does “don’t ask don’t tell” apply to health care? Lesbian, gay, and bisexual people’s disclosure to health care providers. J Gay Lesbian Med Assoc. 2001;5:125–34.CrossRefGoogle Scholar
  19. 19.
    Bernstein KT, Liu K, Begier EM, Koblin B, Karpati A, Murrill C. Same-sex attraction disclosure to health care providers among New York City men who have sex with men. Arch Intern Med. 2008;168:1458–64.PubMedCrossRefGoogle Scholar
  20. 20.
    Mravcak SA. Primary care for lesbians and bisexual women. Am Fam Physician. 2006;74:279–86.PubMedGoogle Scholar
  21. 21.
    Coker TR, Austin SB, Schuster MA. The health and health care of lesbian, gay, and bisexual adolescents. Annu Rev Public Health. 2010;31:457–77.PubMedCrossRefGoogle Scholar
  22. 22.
    Flores SA, Mansergh G, Marks G, Guzman R, Colfax G. Gay identity-related factors and sexual risk among men who have sex with men in San Francisco. AIDS Educ Prev. 2009;12:91–103.CrossRefGoogle Scholar
  23. 23.
    Carrillo JE, Green AR, Betancourt JR. Cross-cultural primary care: a patient-based approach. Ann Intern Med. 1999;130:829–34.PubMedGoogle Scholar
  24. 24.
    Merrill GS, Wolfe VA. Battered gay men: an exploration of abuse, help-seeking, and why they stay. J Homosex. 2000;39:1–30.PubMedCrossRefGoogle Scholar
  25. 25.
    Houston E, McKirnan DJ. Intimate partner abuse among gay and bisexual men: risk correlates and health outcomes. J Urban Health. 2007;84:681–90.PubMedCrossRefGoogle Scholar
  26. 26.
    Brown MJ, Groscup J. Perceptions of same-sex domestic violence among crisis center staff. J Fam Violence. 2009;24:87–93.CrossRefGoogle Scholar
  27. 27.
    Sillman J. Diagnosis, screening, and counseling for domestic violence. UpToDate; 2010. Available at: Accessed March 6, 2011.
  28. 28.
    Moracco KE, Cole TB. Preventing intimate partner violence: screening is not enough. JAMA. 2009;302:568–70.PubMedCrossRefGoogle Scholar
  29. 29.
    Simmons T, O’Connell M. Married-couple and unmarried-partner households: 2000. Census 2000 Special Reports (CENSR-5). Washington, DC: US Census Bureau; 2003. Available at: Accessed March 6, 2011.

Copyright information

© Society of General Internal Medicine 2011

Authors and Affiliations

  1. 1.Department of MedicineBrigham and Women’s Hospital, Harvard Medical SchoolBostonUSA
  2. 2.Fenway Health and Harvard Medical SchoolBostonUSA

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