Compare methods

	Elder Abuse Suspicion Index	Tilburg Frailty Indicator
Field	Social Gerontology	Social Gerontology
Family	Process / pipeline	Latent structure
Year of origin	2008	2010
Originator	Mark J. Yaffe, Christina Wolfson, Maxine Lithwick, Deborah Weiss (McGill University)	Robbert J. J. Gobbens and colleagues (Tilburg University)
Type	Brief physician-administered abuse suspicion screen	Self-report multidimensional frailty screening questionnaire
Seminal source	Yaffe, M. J., Wolfson, C., Lithwick, M., & Weiss, D. (2008). Development and Validation of a Tool to Improve Physician Identification of Elder Abuse: The Elder Abuse Suspicion Index (EASI). Journal of Elder Abuse & Neglect, 20(3), 276-300.	Gobbens, R. J. J., van Assen, M. A. L. M., Luijkx, K. G., Wijnen-Sponselee, M. T., & Schols, J. M. G. A. (2010). The Tilburg Frailty Indicator: Psychometric Properties. Journal of the American Medical Directors Association, 11(5), 344-355.
Aliases	EASI, Elder Abuse Suspicion Index screen, EASI elder mistreatment screen	TFI, Tilburg Frailty Index, Integral Frailty Self-Report, Multidimensional Frailty Questionnaire
Related	3	3
Summary	The Elder Abuse Suspicion Index (EASI) is a brief, six-item tool designed to help physicians and other clinicians raise — and act on — a suspicion of elder mistreatment among cognitively intact, community-dwelling older adults. Developed by Mark Yaffe and colleagues at McGill University and validated in a 2008 study, it consists of five questions asked of the patient (covering neglect and physical, psychological, financial, and sexual abuse) plus a sixth item recording the clinician's own observations. It takes under two minutes to administer. The EASI does not diagnose abuse; rather, a 'yes' on any of questions 2 through 6 signals that mistreatment may be present and that referral to social services, adult protective services, or further evaluation is warranted. It is one of the most widely used elder-abuse case-finding instruments in primary care.	The Tilburg Frailty Indicator (TFI) is a self-report questionnaire that measures frailty in older adults across three domains — physical, psychological, and social. Developed by Robbert Gobbens and colleagues at Tilburg University and published in 2010, it operationalizes an explicit 'integral conceptual model of frailty' in which frailty is a dynamic state arising from losses in one or more functioning domains, itself driven by life-course determinants such as age, sex, multimorbidity, and life events. Part A of the instrument records these determinants; Part B comprises 15 items that sum to a 0–15 frailty score, with a cut point of 5 commonly used to flag frailty. Unlike purely physical phenotypes, the TFI deliberately incorporates psychological (mood, anxiety, coping, cognition) and social (living alone, social relationships, support) components, reflecting the social-gerontological view that frailty is more than a biomedical syndrome.