Assault-injured adolescents presenting to the emergency department: Causes and circumstances
Assault-injured adolescents presenting to the emergency department: Causes and circumstances
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DOI：
10.1197/j.aem.2006.01.011
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发表时间：
2006-06-01
影响因子：
4.4
通讯作者：
Scheidt, PC
中科院分区：
文献类型：
--
作者：
Cheng, TL;Johnson, S;Scheidt, PC
目的：描述的原因和情况下，冲突导致的攻击性伤害城市青年寻求照顾在emergency department.Methods：作者进行了面对面和电话采访的方便样本，143名12-19岁的青年提出两个城市急诊科的人际攻击性伤害。病人接受了采访，了解他们受伤的性质和情况。进行描述性分析，包括分层分析，按性别，年龄（12-15与16-19岁），和武器use.Results：70%的患者知道或知道的人（S）谁伤害了他们，大多数是朋友，同学，或熟人。超过一半的受伤（56%）与过去的分歧有关。在与过去的分歧有关的攻击中，33%的患者以前与攻击者发生过争执，16%的患者以前有过打架，14%的患者以前有过武器威胁。29%的人以前受到过威胁，11%的人以前威胁过袭击者。28%的患者认为他们通过挑起战斗或放松警惕来帮助造成伤害。近三分之二（64%）的人认为，他们可以改变的事情，以防止未来的伤害，包括远离危险的情况和不良影响或控制自己的tempers.Conclusions：大多数攻击伤害青少年涉及过去的分歧与他们知道的人。许多受伤的青年在受伤前都曾相互卷入冲突。随着时间的推移，许多受害者和肇事者可能可以互换。这些数据可能有助于通知紧急部门为基础的干预措施，以防止攻击性伤害。
Objectives: To describe the causes and circumstances of conflict leading to assault injury among urban youth seeking care in the emergency department.Methods: The authors conducted in-person and telephone interviews with a convenience sample of 143 youth aged 12-19 years presenting to two urban emergency departments with an interpersonal assault injury. Patients were interviewed about the nature and circumstances of their injury. Descriptive analysis was performed, including stratified analysis by gender, age (12-15 vs. 16-19 years), and weapon use.Results: Seventy percent of patients knew or knew of the person(s) who injured them; most were friends, classmates, or acquaintances. More than half of the injuries (56%) were related to a past disagreement. Among assaults related to a past disagreement, 33% of patients had previous arguments with their assailant, 16% had previous fights, and 14% had previous weapons threats. Twenty-nine percent had been previously threatened, and 11% had previously threatened their assailant. Twenty-eight percent of patients believed they helped to cause the injury by provoking a fight or letting down their guard. Nearly two thirds (64%) believed there were things they could change to prevent future injury, including staying away from dangerous situations and bad influences or controlling their tempers.Conclusions: Most assault injuries among adolescents involved past disagreements with people they knew. Many injured youth were mutually involved in conflict before their injury. Over time, many victims and perpetrators may be interchangeable. These data may help inform emergency department-based interventions to prevent assault injury.