Griffin Russell L, Davis Gregory G, Levitan Emily B, MacLennan Paul A, Redden David T, McGwin Gerald
Department of Epidemiology, University of Alabama at Birmingham, 1665 University Blvd, Room RPHB 230, Birmingham, AL, 35294; Center for Injury Sciences, University of Alabama at Birmingham, 1665 University Blvd, Room RPHB 230, Birmingham, AL, 35294.
J Forensic Sci. 2014 Jul;59(4):986-90. doi: 10.1111/1556-4029.12416. Epub 2014 Feb 19.
Research has reported that a strong risk factor for traumatic injury is having a previous injury (i.e., recidivism). To date, the only study examining the relationship between recidivism and homicide reported strong associations, but was limited by possible selection bias. The current matched case-control study utilized coroner's data from 2004 to 2008. Subjects were linked to trauma registry data to determine whether the person had a previous traumatic injury. Conditional logistic regression was used to estimate odds ratios (ORs) and 95% confidence intervals (95% CIs) for the association between homicide and recidivism. Homicide risk was increased for those having a previous traumatic injury (OR 1.81, 95% CI 1.09-2.99) or a previous intentional injury (OR 2.53, 95% CI 1.24-5.17). These results suggest an association between homicide and injury recidivism, and that trauma centers may be an effective setting for screening individuals for secondary prevention efforts of homicide through violence prevention programs.
研究报告称，既往有过创伤性损伤（即累犯）是创伤性伤害的一个强烈风险因素。迄今为止，唯一一项研究累犯与杀人之间关系的研究报告了两者之间存在密切关联，但受可能的选择偏倚所限。当前这项匹配病例对照研究使用了2004年至2008年的验尸官数据。研究对象与创伤登记数据相关联，以确定该人是否曾有过创伤性损伤。采用条件逻辑回归来估计杀人与累犯之间关联的比值比（OR）和95%置信区间（95%CI）。对于曾有过创伤性损伤（OR 1.81，95%CI 1.09 - 2.99）或曾有过故意伤害（OR 2.53，95%CI 1.24 - 5.17）的人，杀人风险增加。这些结果表明杀人与损伤累犯之间存在关联，并且创伤中心可能是通过暴力预防项目对个体进行杀人二级预防筛查的有效场所。
