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Firearm Violence Among High-Risk Emergency Department Youth After an Assault Injury

Show simple item record Carter, Patrick Walton, Maureen Roehler, Douglas Goldstick, Jason Zimmerman, Marc Blow, Frederic Cunningham, Rebecca 2018-01-05T19:23:08Z 2018-01-05T19:23:08Z 2015
dc.identifier.citation Carter, Patrick; Walton, Maureen; Roehler, Douglas; Goldstick, Jason; Zimmerman, Marc; Blow, Frederic; Cunningham, Rebecca. (2015). Firearm Violence Among High-Risk Emergency Department Youth After an Assault Injury. Pediatrics: 135 (5), 13 pgs. en_US
dc.description.abstract BACKGROUND: The risk for firearm violence among high-risk youth after treatment for an assault is unknown. METHODS: In this 2-year prospective cohort study, data were analyzed from a consecutive sample of 14- to 24-year-olds with drug use in the past 6 months seeking assault-injury care (AIG) at an urban level 1 emergency department (ED) compared with a proportionally sampled comparison group (CG) of drug-using nonassaulted youth. Validated measures were administered at baseline and follow-up (6, 12, 18, 24 months). RESULTS: A total of 349 AIG and 250 CG youth were followed for 24 months. During the follow-up period, 59% of the AIG reported firearm violence, a 40% higher risk than was observed among the CG (59.0% vs. 42.5%; relative risk [RR] = 1.39). Among those reporting firearm violence, 31.7% reported aggression, and 96.4% reported victimization, including 19 firearm injuries requiring medical care and 2 homicides. The majority with firearm violence (63.5%) reported at least 1 event within the first 6 months. Poisson regression identified baseline predictors of firearm violence, including male gender (RR = 1.51), African American race (RR = 1.26), assault-injury (RR = 1.35), firearm possession (RR = 1.23), attitudes favoring retaliation (RR = 1.03), posttraumatic stress disorder (RR = 1.39), and a drug use disorder (RR = 1.22). CONCLUSIONS: High-risk youth presenting to urban EDs for assault have elevated rates of subsequent firearm violence. Interventions at an index visit addressing substance use, mental health needs, retaliatory attitudes, and firearm possession may help decrease firearm violence among urban youth. (Author Abstract) en_US
dc.language.iso en_US en_US
dc.subject Data Analysis en_US
dc.subject Gun Violence en_US
dc.subject Adolescents en_US
dc.subject Teens en_US
dc.subject Young Adults en_US
dc.subject Weapons en_US
dc.subject Physical Assault en_US
dc.subject Victim-Offender Overlap en_US
dc.subject Perpetrators en_US
dc.subject Revictimization en_US
dc.subject Risk Factors en_US
dc.subject High-risk Behavior en_US
dc.subject Aggravated Assault en_US
dc.subject Healthcare en_US
dc.subject Medical Consequences en_US
dc.subject Drug Abuse en_US
dc.subject Alcohol Abuse en_US
dc.subject Substance Use Disorder en_US
dc.subject Substance Abuse en_US
dc.subject PTSD en_US
dc.subject Male Victims en_US
dc.title Firearm Violence Among High-Risk Emergency Department Youth After an Assault Injury en_US
dc.type Article en_US

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