Self-reported violence-related outcomes for adolescents within eight weeks of emergency department treatment for assault injury.

TitleSelf-reported violence-related outcomes for adolescents within eight weeks of emergency department treatment for assault injury.
Publication TypeJournal Article
Year of Publication2011
AuthorsWiebe DJ, Blackstone MM, Mollen CJ, Culyba AJ, Fein JA
JournalJournal of Adolescent Health
Volume49
Issue4
Pagination440-2
Date Published2011 Oct
ISSN1879-1972
KeywordsAcademic Medical Centers, Adolescent, Adolescent Behavior, Child, Emergency Service, Hospital, Female, Humans, Interpersonal Relations, Interviews as Topic, Male, Prospective Studies, Risk Assessment, Risk Factors, Self Report, Urban Population, Violence, Wounds and Injuries, Young Adult
Abstract

PURPOSE: To estimate, using a novel interactive voice response (IVR) survey, the incidence of self-reported violence-related experiences of adolescent assault-injured patients in the weeks after discharge from the emergency department (ED).

METHODS: In an urban ED, a prospective cohort study with 8-week follow-up IVR survey either weekly, bi-weekly, or monthly after discharge was conducted with patients aged 12–19 years presenting with assault-related injuries. Survival analysis methods were used to estimate cumulative risks of self-reported violence experienced within 4 and 8 weeks.

RESULTS: A total of 95 patients were enrolled; 42 (44.2%) reported to the IVR survey. As a result of the ED index event, an estimated 18.2% (confidence interval [CI]=9.1%–34.6%) reported being assaulted (no weapon), 2.9% (CI = .4%–19.1%) had been shot or stabbed, 20.7% (CI =10.9%–37.3%) had assaulted someone else (no weapon), and 2.9% (CI=.4%–19.1%) shot or stabbed someone else. Additionally, 54.6% (CI=39.6%–70.9%) had avoided going certain places, 47.0% (CI = 32.5%–64.1%) considered retaliating, 38.1% (CI =24.3%–56.3%) had been threatened, and 27.0% (CI =15.4%–44.6%) had carried a weapon. Most outcome occurrences happened within 4 weeks. There was evidence that intent to retaliate when asked at baseline was associated with an elevated risk of several outcomes.

CONCLUSIONS: The risk for subsequent violence among assault-injured adolescent ED patients appears high within weeks of discharge.

Alternate JournalJ Adolesc Health
PubMed ID22031979
PubMed Central IDPMC3074589
Grant ListK02 AA017974 / AA / NIAAA NIH HHS / United States
K02 AA017974-02 / AA / NIAAA NIH HHS / United States
K02AA017974 / AA / NIAAA NIH HHS / United States