Kunkel Patti, Thomas Casey J, Seguin Cara, Dereczyk Darlene, Rajda Carol, Brandt Mary-Margaret
Division of Acute Care Surgery, Henry Ford Hospital, Detroit, Michigan 48202-2689, USA.
J Trauma. 2010 Feb;68(2):289-93. doi: 10.1097/TA.0b013e3181cb9807.
Youth violence is a significant problem in the United States with high recidivism rates. Considering these high recidivism rates in youths after an initial injury, we hypothesized a hospital-based violence prevention program aimed at increasing awareness, empowering positive conflict resolution, and promoting future vocational goals would benefit at-risk youth before they are injured.
A feasibility study was completed on our Violence and Injury Prevention (VIP) tour program at our urban Level I trauma center. Participants were at-risk youth, aged 11 years to 17 years. Anonymous data were collected using an Audience Response System.
One hundred eighty-five students participated from January 2007 to August 2008. Sixty-three percent were 6th to 8th graders, 70% were boys. Seventy-nine percent stated that they knew someone who had been injured or killed because of violence, with significantly more boys than girls (p = 0.05). More boys than girls stated that they have access to a gun (p < 0.05). Almost 60% of the participants stated that they had engaged in violence within the past 6 months, with no difference by gender (p = 0.085). Of the respondents, 84.2% reported an increase in their awareness on the consequences of violence. This was more significant for girls than boys (p < 0.05). Of the participants, 86.3% reported increased understanding of hospital care for a trauma patient. Participants stated that they would recommend VIP to others.
VIP educated local urban youth about violence and increased their awareness of the injuries resulting from violence. In addition, at-risk youths were exposed to career opportunities in health care.
青少年暴力是美国一个严重的问题，累犯率很高。考虑到青少年初次受伤后的高累犯率，我们假设一个以医院为基础的暴力预防项目，旨在提高意识、增强积极解决冲突的能力以及促进未来职业目标，这将使高危青少年在受伤前受益。
我们在城市一级创伤中心对暴力与伤害预防（VIP）巡回项目进行了可行性研究。参与者为11至17岁的高危青少年。使用观众反应系统收集匿名数据。
2007年1月至2008年8月期间，有185名学生参与。其中63%是6至8年级学生，70%是男孩。79%的人表示他们认识因暴力而受伤或死亡的人，男孩明显多于女孩（p = 0.05）。表示能接触到枪支的男孩多于女孩（p < 0.05）。近60%的参与者表示他们在过去6个月内曾参与暴力行为，男女之间无差异（p = 0.085）。在受访者中，84.2%报告他们对暴力后果的认识有所提高。女孩比男孩更显著（p < 0.05）。在参与者中，86.3%报告对创伤患者的医院护理有了更多了解。参与者表示他们会向其他人推荐VIP。
VIP教育了当地城市青少年关于暴力的知识，并提高了他们对暴力造成伤害的认识。此外，高危青少年接触到了医疗保健方面的职业机会。
