Elder Abuse Suspicion Index
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.
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- 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. · DOI 10.1080/08946560801973168
- Lachs, M. S., & Pillemer, K. A. (2015). Elder Abuse. New England Journal of Medicine, 373(20), 1947-1956. · DOI 10.1056/NEJMra1404688
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