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

• 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
• 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

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.

摘要 在美国，每天约有100人因暴力而被枪支打伤， 所有凶杀案均与枪械有关1。虽然与枪支有关的暴力影响到所有社区和人口， 青年是与火器有关的暴力、伤害和死亡的高风险群体。特别是，暴力受伤的青年 非常容易受到与枪支有关的报复性暴力，以及再次受到暴力伤害或死亡6。 因此，医院已成为防止青少年报复性暴力的关键机会。在弗吉尼亚 英联邦大学（VCU）健康，我们已经适应了我们的全面医院暴力 干预计划，弥合差距（BTG）。BTG是一种新型的混合干预模式， 以医院为基础的干预方法，使用简短的暴力干预来防止报复性暴力， 通过提供3个月的社区案例，为青少年及其家人提供基于社区的支持 管理，以确保持久的变化。目前形式的BTG显示出减少侵略性的希望 以及与暴力相关的风险因素。然而，它是否能有效地减少与火器有关的 暴力、伤害和青年死亡率。为解决青年（10-17岁）中与枪支有关的暴力行为激增的问题， 我们还进一步调整了BTG，以包括一个双代枪支安全咨询计划， 回家采用随机对照试验设计，本研究旨在严格评估有效性 BTG用于预防暴力受伤青年中与枪支有关的暴力、伤害和死亡（N=220）。 枪支相关的暴力，伤害和死亡结果将在6个月内使用多种来源进行评估 数据（例如，半结构化的临床访谈，自我和自我报告评估，以及医院，州和 国家级数据库）。除了了解BTG在预防枪支相关疾病方面的有效性外， 结果，我们的目标是了解什么心理社会调解人解释减少枪支相关的暴力 以及哪些调节剂可能降低治疗效果。这些数据将证明 有助于制定和调整新的和现有的预防青年枪支暴力战略。