CAADA-DASH Risk Identification Checklist for use by IDVAs and other non-police agencies3 for identification of risks when domestic abuse, ‘honour’-based violence and/or stalking are disclosed.
Please explain that the purpose of asking these questions is for the safety and protection of the individual concerned. Tick the box if the factor is present ☑. Please use the comment box at the end of the form to expand on any answer. It is assumed that your main source of information is the victim. If this is not the case please indicate in the right hand column Yes (tick) No Don't Know State source of info if not the victim e.g. police officer
Has the current incident resulted in injury? (Please state what and whether this is the first injury.) ☐ ☐ ☐
Are you very frightened? Comment: ☐ ☐ ☐
What are you afraid of? Is it further injury or violence? (Please give an indication of what you think (name of abuser(s)...) might do and to whom, including children). Comment: ☐ ☐ ☐
Do you feel isolated from family/friends i.e. does (name of abuser(s) .....) try to stop you from seeing friends/family/doctor or others? Comment: ☐ ☐ ☐
Are you feeling depressed or having suicidal thoughts? ☐ ☐ ☐
Have you separated or tried to separate from (name of abuser(s)...) within the past year? ☐ ☐ ☐
Is there conflict over child contact? ☐ ☐ ☐
Does (.....) constantly text, call, contact, follow, stalk or harass you? (Please expand to identify what and whether you believe that this is done deliberately to intimidate you? Consider the context and behaviour of what is being done.) ☐ ☐ ☐
Are you pregnant or have you recently had a baby (within the last 18 months)? ☐ ☐ ☐
Is the abuse happening more often? ☐ ☐ ☐