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Violence

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Violence

  • See Also
  1. Intimate Partner Violence
  2. Child Abuse
  3. Bullying
  4. Violence in the Hospital
  • Epidemiology
  1. Violence at school in 1500 Children-urban Atlanta
    1. Carried weapon to school
      1. Age 11 years: 12% boys; 3% girls
      2. Age 13 years: 22% boys; 15% girls
    2. Started a fight
      1. Age 9 years: 26% boys; 20% girls
      2. Age 13 years: 33% boys; 22% girls
  2. References
    1. Arria (1995) Arch Pediatr Adolesc Med 149:1345-50 [PubMed]
  • Prevention
  1. Recognize high risk populations for Violence exposure and refer to community resources
    1. Homicide is second-leading cause of death in age 15-24
    2. Homicide is leading cause of death for african americans age 10-24
    3. One third of teens presenting with a Violence related injury will have another episode in 2 years (1% mortality risk)
  2. Set up resources for high risk patients
    1. Case managers with specific referrals are much more effective than (instead of paper lists of resources)
  3. Screen for guns in home and discuss Gun Safety
    1. One third of homes with children have guns
    2. Nine children shot every day in gun accidents in U.S.
    3. Children living in a home with a loaded, unlocked gun: 1.7 Million in U.S.
    4. Of teen homicides, 80% are with a gun
  4. Study of Elementary school children
    1. Reduced television, videotape and video game viewing
    2. Significantly decreased aggressive behavior
    3. Robinson (2001) Arch Pediatr Adolesc Med 155:17-23 [PubMed]
  5. Metaanalysis of 29 studies of Video Games and Violence
    1. No evidence of increased aggression
    2. No evidence of anti-social behavior
    3. Bensley (2001) J Adolesc Health 29:244-57 [PubMed]
  • References
  1. Malka (2016) ACEP PEM Conference, Orlando, Violence Lecture, attended 3/8/2016