Hospital-based violence intervention programs work
Hospital-based violence intervention programs work
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DOI：
10.1097/01.ta.0000236576.81860.8c
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发表时间：
2006-09-01
影响因子：
--
通讯作者：
Stolley, Paul D.
中科院分区：
文献类型：
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作者：
Cooper, Carnell;Eslinger, Dawn M.;Stolley, Paul D.
背景：以医院为基础的暴力预防项目已经在全国创伤中心出现；然而，尚未对其有效性进行彻底评估。我们的暴力干预计划 (VIP) 进行了一项前瞻性随机对照研究，以评估干预措施对重复暴力受害者的有效性。方法：确定了 1999 年至 2001 年间因暴力行为造成的伤害而入院治疗的患者。假释/缓刑期间多次遭受暴力的受害者被邀请参加这项研究。参与者收到一份历史收集问卷并随机分为两组。病例（干预 [n = 56]）接受了强化心理社会随访服务、家庭或团体治疗，并协助药物滥用治疗。对照组（非干预 [n = 44]）接受标准医疗治疗，并按照标准假释或缓刑程序进行后续治疗。结果：两组被捕人数没有显着差异。对照组因暴力犯罪被捕的可能性是对照组的三倍，被定罪的可能性是对照组的两倍，因暴力犯罪被定罪的可能性是对照组的四倍。对照组的预计监禁时间明显更长。对照组的重复暴力犯罪活动明显更为明显。结论：VIP干预组和非干预组在犯罪活动的数量和严重程度方面存在显着差异。
Background: Hospital-based violence prevention programs have emerged at trauma centers nationwide; however, none has been thoroughly evaluated for effectiveness. Our Violence Intervention Program (VIP) conducted a prospective randomized control study to evaluate the effectiveness of intervention for repeat victims of violence.Method: Patients admitted between 1999 and 2001 for treatment of injuries inflicted by a violent act were identified. Repeat victims of violence on parole/probation were invited to join the study. Participants were given a history-gathering questionnaire and randomized into two groups. Cases (intervention [n = 56]) received intensive psychosocial follow-up services, family or group therapy, and assisted with substance abuse treatment. Controls (nonintervention [n = 44]) received standard medical treatment and follow-through in accordance with standard parole or probation procedures.Results: There was no significant difference in the number of arrests in the two groups. The control group was three times more likely to be arrested for a violent crime, two times more likely to be convicted of any crime, and four times more likely to be convicted of a violent crime. The projected time of incarceration is significantly longer for the control group. Repeat violent criminal activity was significantly more evident in the control group.Conclusion: Significant differences exist between the VIP intervention and nonintervention groups in terms of the quantity and severity of criminal activity.