Table 2.

Role Play Scenarios

16-Year-Old Male17-Year-Old Female
Dilemma
  Patient is angry
Was involved in fight
Patient complains of difficulty sleeping at night
 Wants to retaliateHistory of date rape
Blames self
 Has a previous history of fights and firearm use
Unique aspect
 Let patient know that preventing violence is a legitimate medical concernLet patient know somatic complaint may be associated with date rape/posttraumatic stress
Ask about
 FISTS questions with special emphasis on fights, injuries, and self-defense strategiesFISTS questions with focus on sexual violence, threats
Target advice
Be objective
Address retaliation
Explain to the patient that she is not the cause. Refer for ongoing counseling
 Use role playing to show risks
 Refer or provide ongoing counseling