Preventing Firearm Violence in Youth: A hospital-based prevention strategy

预防青少年枪支暴力：以医院为基础的预防策略

基本信息

批准号：
10399852
负责人：
Nicholas David Thomson
金额：
$ 206.25万
依托单位：
VIRGINIA COMMONWEALTH UNIVERSITY
依托单位国家：
美国
项目类别：
财政年份：
2021
资助国家：
美国
起止时间：
2021-09-17 至 2024-08-31
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/10399852
关键词：
Address Adolescent African American Aggressive behavior Belief Caregivers Case Management Centers for Disease Control and Prevention (U.S.)Cessation of life Clinical Clinical assessments Cognitive Communities Community Networks Coping Skills Counseling Data Databases Developed Countries Development Effectiveness Elements Ensure Evaluation Evaluation Research Family Firearms Funding Generations Goals Gunshot wound Health Home Homicide Hospital Records Hospitals Hybrids Injury Intervention Interview Knowledge Link Mediating Mediator of activation protein Mental Health Modeling National Institute of Child Health and Human Development Outcome Patient Self-Report Patients Personality Traits Population Prevention Prevention strategy Psychopath Public Health Randomized Registries Reporting Research Resistance Risk Risk Factors Safety Services Strategic Planning Structure Testing Time Trauma Treatment Effectiveness United States Universities Violence Violent injury Virginia Work Youth age group base cognitive function compliance behavior conflict resolution control trial effective intervention effectiveness evaluation efficacy evaluation experience gun violence health care settings high risk high risk population improved indexing injured intervention program male mortality multiple data sources novel prevent programs protective factors psychosocial randomized trial response revictimization trait treatment as usual treatment response trial design violence perpetration youth violence

项目摘要

Abstract Every day in the US approximately 100 people are injured by a firearm through violence1, and three-quarters of all homicides are firearm related1. Although firearm-related violence impacts all communities and populations, youth are high-risk for firearm-related violence, injury, and mortality. In particular, violently injured youth are highly susceptible to retaliatory firearm-related violence, as well as becoming violently re-injured or killed6. Therefore, the hospital has become a critical opportunity to prevent retaliatory violence in youth. At Virginia Commonwealth University (VCU) Health, we have adapted our comprehensive hospital-based violence intervention program, Bridging the Gap (BTG). BTG is a novel hybrid intervention model that capitalizes on the hospital-based intervention approach using a brief violence intervention to prevent retaliatory violence but also provides community-based support to youth and their families by providing 3-months of community case management to help ensure lasting change. BTG in its current form has shown promise for reducing aggression and violence-related risk factors. However, it is yet to be established if it is effective for reducing firearm-related violence, injury, and mortality for youth. To address the surge in firearm-related violence in youth (10-17 years), we have further adapted BTG to include a dual-generation firearm safety counseling program delivered in the home. Using a randomized control trial design, the present study aims to rigorously evaluate the effectiveness of BTG for preventing firearm-related violence, injury, and mortality among violently injured youth (N=220). Firearm-related violence, injury, and mortality outcomes will be assessed over 6 months using multiple sources of data (e.g., semi-structured clinical interviews, self-and caregiver-report assessments, and hospital-, state- and national-level databases). In addition to understanding BTG effectiveness for preventing firearm-related outcomes, we aim to understand what psychosocial mediators explain the reductions in firearm-related violence in response to treatment, and what moderators may reduce treatment effectiveness. These data will prove beneficial for developing and tailoring new and existing youth firearm violence prevention strategies.

抽象的在美国，每天大约有 100 人因暴力而被枪械伤害1，其中四分之三的人所有凶杀案都与枪支有关1。尽管与枪支有关的暴力影响所有社区和人口，青少年是遭受枪支相关暴力、伤害和死亡的高风险群体。尤其是遭受暴力伤害的青少年极易遭受与枪支相关的报复性暴力，以及再次遭受暴力伤害或死亡6。因此，医院成为预防青少年报复性暴力的重要机会。在弗吉尼亚州联邦大学 (VCU) 健康中心，我们已经调整了全面的医院暴力干预计划，弥合差距（BTG）。 BTG 是一种新颖的混合干预模型，它利用以医院为基础的干预方法，使用简短的暴力干预措施来防止报复性暴力，但也通过提供为期 3 个月的社区案例，为青少年及其家庭提供社区支持管理，以帮助确保持久的变革。目前形式的 BTG 已显示出减少攻击行为的前景以及与暴力相关的风险因素。然而，尚待确定它是否能有效减少枪支相关问题。青少年的暴力、伤害和死亡。为解决青少年（10-17 岁）枪支相关暴力激增的问题，我们进一步调整了 BTG，将双代枪支安全咨询计划纳入其中家。本研究采用随机对照试验设计，旨在严格评估有效性 BTG 旨在预防受暴力伤害的青少年中与枪支相关的暴力、伤害和死亡（N=220）。将使用多个来源在 6 个月内评估与枪支相关的暴力、伤害和死亡结果数据（例如，半结构化临床访谈、自我和护理人员报告评估以及医院、州和国家级数据库）。除了了解 BTG 在预防枪支相关问题方面的有效性结果，我们旨在了解心理社会调解员如何解释枪支相关暴力的减少对治疗的反应，以及哪些调节因素可能会降低治疗效果。这些数据将证明有益于制定和调整新的和现有的青少年枪支暴力预防战略。