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While there is literature on screening women for intimate partner violence, and there is emerging data on pediatric screening for adverse life experiences, there is sparse literature on inquiry of broader trauma histories in adult medical settings. This lack of research on trauma inquiry results in an absence of guidelines for best practices, in turn making it challenging for policy makers, health care providers, and researchers to mitigate the adverse health outcomes caused by traumatic experiences and to provide equitable care to populations that experience a disproportionate burden of trauma. This state of the science summarizes current inquiry practices for patients who have experienced trauma, violence, and abuse. It places trauma inquiry within an anchoring framework of trauma-informed care principles, and emphasizes a focus on resilience. It then proposes best practices for trauma inquiry, which include tiered screening starting with broad trauma inquiry, proceeding to risk and safety assessment as indicated, and ending with connection to interventions.<\/jats:p>","DOI":"10.1177\/1745506519861234","type":"journal-article","created":{"date-parts":[[2019,8,28]],"date-time":"2019-08-28T07:42:34Z","timestamp":1566978154000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":24,"title":["The state of the science on trauma inquiry"],"prefix":"10.1177","volume":"15","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-1952-8027","authenticated-orcid":false,"given":"Annie","family":"Lewis-O\u2019Connor","sequence":"first","affiliation":[{"name":"Brigham and Women\u2019s Hospital, Boston, MA, USA"},{"name":"Harvard Medical school, Boston, MA, USA"},{"name":"Division of Women\u2019s Health, Department of Medicine, Brigham and Women\u2019s Hospital, Boston, MA, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Abi","family":"Warren","sequence":"additional","affiliation":[{"name":"Harvard Medical school, Boston, MA, USA"},{"name":"Division of Women\u2019s Health, Department of Medicine, Brigham and Women\u2019s Hospital, Boston, MA, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jeannie V","family":"Lee","sequence":"additional","affiliation":[{"name":"Harvard Medical school, Boston, MA, USA"},{"name":"Division of Women\u2019s Health, Department of Medicine, Brigham and Women\u2019s Hospital, Boston, MA, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nomi","family":"Levy-Carrick","sequence":"additional","affiliation":[{"name":"Brigham and Women\u2019s Hospital, Boston, MA, USA"},{"name":"Harvard Medical school, Boston, MA, USA"},{"name":"Department of Emergency Medicine, Brigham and Women\u2019s Hospital, Boston, MA, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Samara","family":"Grossman","sequence":"additional","affiliation":[{"name":"Brigham and Women\u2019s Hospital, Boston, MA, USA"},{"name":"Harvard Medical school, Boston, MA, USA"},{"name":"Department of Psychiatry, Brigham and Women\u2019s Hospital, Boston, MA, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mardi","family":"Chadwick","sequence":"additional","affiliation":[{"name":"Harvard Medical school, Boston, MA, USA"},{"name":"Center for Community Health and Health Equity, Brigham and Women\u2019s Hospital, Boston, MA, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hanni","family":"Stoklosa","sequence":"additional","affiliation":[{"name":"Brigham and Women\u2019s Hospital, Boston, MA, USA"},{"name":"Harvard Medical school, Boston, MA, USA"},{"name":"Department of Emergency Medicine, Brigham and Women\u2019s Hospital, Boston, MA, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Eve","family":"Rittenberg","sequence":"additional","affiliation":[{"name":"Brigham and Women\u2019s Hospital, Boston, MA, USA"},{"name":"Harvard Medical school, Boston, MA, USA"},{"name":"Division of Women\u2019s Health, Department of Medicine, Brigham and Women\u2019s Hospital, Boston, MA, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2019,8,28]]},"reference":[{"key":"bibr1-1745506519861234","doi-asserted-by":"publisher","DOI":"10.1007\/s11606-011-1697-6"},{"key":"bibr2-1745506519861234","unstructured":"Substance Abuse and Mental Health Services Administration (SAMHSA). 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