|Title||Self-reported violence-related outcomes for adolescents within eight weeks of emergency department treatment for assault injury.|
|Publication Type||Journal Article|
|Year of Publication||2011|
|Authors||Wiebe DJ, Blackstone MM, Mollen CJ, Culyba AJ, Fein JA|
|Journal||Journal of Adolescent Health|
|Date Published||2011 Oct|
|Keywords||Academic 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|
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 Journal||J Adolesc Health|
|PubMed Central ID||PMC3074589|
|Grant List||K02 AA017974 / AA / NIAAA NIH HHS / United States |
K02 AA017974-02 / AA / NIAAA NIH HHS / United States
K02AA017974 / AA / NIAAA NIH HHS / United States