NIH Consens State Sci Statements. 2004;21(2):1-34.
To provide health care providers, patients, and the general public with a responsible assessment of currently available data on preventing violence and related health-risking social behaviors in adolescents.
A non-DHHS, non-advocate 13-member panel representing the fields of community and family medicine, pediatrics, nursing, psychiatry, behavioral health, economics, juvenile justice, outcomes research, and a public representative. In addition, 21 experts in fields pertaining to the conference topic presented data to the panel and to the conference audience.
Presentations by experts and a systematic review of the scientific literature related to youth violence prevention provided by the Southern California Evidence-Based Practice Center, through the Agency for Healthcare Research and Quality's Evidence-based Practice Centers Program. Scientific evidence was given precedence over clinical anecdotal experience.
Answering pre-determined questions, the panel drafted its statement based on scientific evidence presented in open forum and on the published scientific literature. The draft statement was read in its entirety on the final day of the conference and circulated to the audience for comment. The panel then met in executive session to consider the comments received, and released a revised statement later that day at http://consensus.nih.gov. This statement is an independent report of the panel and is not a policy statement of the NIH or the Federal Government. A final copy of this statement is available, along with other recent conference statements, at the same web address of http://consensus.nih.gov.
The panel highlights the following findings and recommendations: (1) Violence affects all of us at some level and represents an issue of vital national and international importance; (2) Some interventions have been shown by rigorous research to reduce violence precursors, violence, and arrest. However, many interventions aimed at reducing violence have not been sufficiently evaluated or proven effective, and a few widely implemented programs have been shown to be ineffective and perhaps harmful; (3) Programs that seek to prevent violence through fear and tough treatment appear ineffective. Intensive programs that aim at developing skills and competencies can work; (4) Interventions to reduce violence may be context dependent. Research must proceed in varying contexts and take account of local culture; (5) Attention to diversity among investigators involved in violence prevention research is important. Universities and funding agencies should make improving the situation a priority; (6) We encourage funding sufficient to promote the dissemination of violence prevention programs that have been shown to be effective through rigorous RCT research. Funding must include support for research, and monitoring must continue as these programs are more widely implemented.
为医疗保健提供者、患者及普通公众提供对当前有关预防青少年暴力及相关危害健康的社会行为的现有数据的负责任评估。
一个由13名成员组成的非美国卫生与公众服务部（DHHS）、非倡导性小组，成员代表社区与家庭医学、儿科学、护理学、精神病学、行为健康、经济学、青少年司法、结果研究等领域以及一名公众代表。此外，21位与会议主题相关领域的专家向小组及会议听众展示了数据。
专家的报告以及南加州循证实践中心通过医疗保健研究与质量局的循证实践中心项目提供的对与青少年暴力预防相关的科学文献的系统综述。科学证据优先于临床轶事经验。
小组根据公开论坛上展示的科学证据及已发表的科学文献回答预先确定的问题，起草其声明。声明草案在会议最后一天全文宣读，并分发给听众征求意见。然后小组召开执行会议审议收到的意见，并于当天晚些时候在http://consensus.nih.gov上发布了一份修订声明。本声明是小组的独立报告，并非美国国立卫生研究院（NIH）或联邦政府的政策声明。本声明的最终版本以及其他近期会议声明可在同一网址http://consensus.nih.gov上获取。
小组强调了以下发现和建议：（1）暴力在某种程度上影响着我们所有人，是一个具有重大国家和国际重要性的问题；（2）一些干预措施经严格研究已证明可减少暴力先兆、暴力行为及逮捕情况。然而，许多旨在减少暴力的干预措施尚未得到充分评估或证明有效，一些广泛实施的项目已被证明无效甚至可能有害；（3）试图通过恐惧和严厉对待来预防暴力的项目似乎无效。旨在培养技能和能力的强化项目可能有效；（4）减少暴力的干预措施可能取决于具体情境。研究必须在不同情境下进行，并考虑当地文化；（5）关注参与暴力预防研究的调查人员的多样性很重要。大学和资助机构应将改善这种情况作为优先事项；（6）我们鼓励提供足够资金以促进传播已通过严格随机对照试验研究证明有效的暴力预防项目。资金必须包括对研究的支持，并且随着这些项目更广泛地实施，监测工作必须持续进行。
