Jiang Yongwen, Ranney Megan L, Seaberry Jordan, Shea Lynne-Marie, Sullivan Brian, Viner-Brown Samara
RIVDRS Epidemiologist, Rhode Island Department of Health, and an Assistant Professor of the Practice of Epidemiology, School of Public Health, Brown University.
physician, Rhode Island Hospital; Associate Professor of Emergency Medicine, Alpert Medical School and School of Public Health, Brown University and Associate Professor of Health Services, Policy and Practice.
R I Med J (2013). 2017 Apr 3;100(4):23-28.
Community violence, including assault and homicide, is a public health problem. We provide a profile of assault-related injury and homicide death in Rhode Island to better understand assault/homicide. The 2014 emergency department (ED) visit data, hospital discharge (HD) data, and 2004-2014 Rhode Island Violent Death Reporting System (RIVDRS) data were used for this study. Most assault injuries and homicide deaths were among persons who were 25-44 years old, male, black and Hispanic, living in urban regions, self-pay or public insurance user, and never married. Almost 63% of the homicide decedents tested positive for some illicit substance. Precipitating circumstances include a preceding argument or a conflict, another crime, intimate partner violence, and drug involvement. RIVDRS did not provide an estimate for mental illness related homicides (e.g. command hallucinations). ED, HD, and RIVDRS data can provide a profile of assault injury and homicide death for public health authorities in RI. Interventions need to focus on high-risk populations and areas to effectively prevent assault-related injury and homicide. [Full article available at http://rimed.org/rimedicaljournal-2017-04.asp].
包括袭击和杀人在内的社区暴力是一个公共卫生问题。我们提供罗德岛州与袭击相关的伤害和杀人死亡情况概述，以便更好地了解袭击/杀人事件。本研究使用了2014年急诊科（ED）就诊数据、医院出院（HD）数据以及2004 - 2014年罗德岛暴力死亡报告系统（RIVDRS）数据。大多数袭击伤害和杀人死亡事件发生在年龄在25 - 44岁之间、男性、黑人和西班牙裔、居住在城市地区、自费或使用公共保险且从未结婚的人群中。近63%的杀人死者检测出某种非法物质呈阳性。引发事件包括先前的争吵或冲突、另一犯罪行为、亲密伴侣暴力以及毒品涉入。RIVDRS未提供与精神疾病相关杀人事件（如命令性幻听）的估计数据。ED、HD和RIVDRS数据可为罗德岛州公共卫生当局提供袭击伤害和杀人死亡情况概述。干预措施需要关注高危人群和地区，以有效预防与袭击相关的伤害和杀人事件。[全文可在http://rimed.org/rimedicaljournal - 2017 - 04.asp获取]
