Obstetric care providers are able to assess psychosocial risks, identify and refer high-risk pregnant women: validation of a short assessment tool – the KINDEX Greek version

Table 1 Overview of the risk areas, scales, number of items and the risk definition

	Risk area	Number of items	Scale	Definition as a risk	Items included in the KINDEX sum score
1	Age	1	Ordinal	≤21	1
2	Migration	2	Binary	Immigration mother or father	2
3	Single parent	1	Binary	Single parent	0¹
4	Financial problems	2	Binary	Worry about financial problems	2
4	Financial problems	2	Binary	Housing index ≤ 0.5 (rooms/person)	2
5	Physical symptoms, complications, medical risks	3	Binary	Physical Symptoms, complications, medical risks	3
6	Complicated prenatal bonding	5	Binary	Unplanned Pregnancy	5
6	Complicated prenatal bonding	5	Ordinal	Concerns 7–10 (mother and father) Joy 0–3 (mother and father)	5
7	Current stress	4	Ordinal	PSS-4 sum score ≥ 12	1
8	Traumatic experiences during childhood	2	Binary	Physical abuse	2
8	Traumatic experiences during childhood	2	Binary	Sexual abuse	2
9	Intimate partner violence (IPV)	4	Binary	Increasing number of disputes; vociferous fights in the past 8 weeks; fights including physical violence in the last 8 weeks; physical violence in a past relationship.	4
10	Substance abuse	6	Binary	Nicotine, alcohol, drugs/mother and father.	5²
11	Mental illness	4	Binary	Ever-psychiatric diagnosis, inpatient treatment, psychotropic drugs, asked for help (psychotherapy or counseling center).	3³

Note: ¹The item is excluded from the reliability analysis, all the women lived with their partners, ²the item for mothers’ drug use is excluded from the reliability analysis, none of the participants was consuming illicit drugs, ³the item for inpatient treatment is excluded none of the participants was ever inpatient in a psychiatric clinic.

ISSN: 1471-2393