Reidelberger Keely, Raposo-Hadley Ashley, Greenaway Jermaine, Farrens Ashley, Burt Jennifer, Wylie Lindsey, Armstrong Gaylene, Foxall Mark, Bauman Zachary, Evans Charity
University of Nebraska Medical Center.
Surg Open Sci. 2021 May 10;5:14-18. doi: 10.1016/j.sopen.2021.04.002. eCollection 2021 Jul.
Youth are tragically affected by violence. Justice-involved youth are at elevated risk for the effects of violence, as incarceration serves as a risk factor. The objective of this study is to explore the risks and needs of justice-involved youth and identify channels for future hospital-based programming.
Four weekly focus groups were conducted by a credible messenger at the Douglas County Youth Center with former participants of Dusk 2 Dawn, a youth violence prevention program delivered at the Douglas County Youth Center. Eight participants were prompted with preset interview questions. All focus groups were recorded and transcribed by a professional transcription service. A thematic analysis was performed by 2 independent coders to identify themes using Dedoose software.
The 3 most frequently occurring themes involved topics on protection, identified 40 times; family, identified 36 times; and the challenge of overcoming violence, identified 31 times. These themes often overlapped with one another, demonstrating the complexity of youth violence.
Providing a safe and judgement-free space for the youth to discuss issues of violence was beneficial for 3 reasons: (1) inclusion of youth perspectives allows violence prevention programs to be tailored to specific needs, (2) participants were able to deeply reflect on violence in their own lives and consider steps toward positive change, and (3) open communication encourages trust building and collaborative prevention efforts between the hospital and community.
青少年深受暴力影响，令人痛心。涉司法青少年因监禁这一风险因素，遭受暴力影响的风险更高。本研究的目的是探讨涉司法青少年的风险和需求，并确定未来以医院为基础的项目开展渠道。
一名可靠的信使在道格拉斯县青少年中心对“黄昏到黎明”项目（该项目是在道格拉斯县青少年中心开展的一项青少年暴力预防项目）的前参与者进行了为期四周的焦点小组访谈。八名参与者被问及预设的访谈问题。所有焦点小组访谈均由专业转录服务机构进行录音和转录。两名独立编码员使用Dedoose软件进行主题分析以确定主题。
出现频率最高的三个主题涉及保护（提及40次）、家庭（提及36次）以及克服暴力的挑战（提及31次）。这些主题常常相互重叠，表明青少年暴力问题的复杂性。
为青少年提供一个安全且无评判的空间来讨论暴力问题有以下三个益处：（1）纳入青少年的观点能使暴力预防项目根据特定需求进行调整；（2）参与者能够深入反思自己生活中的暴力行为，并考虑采取积极改变的措施；（3）开放的沟通鼓励医院与社区之间建立信任并开展合作预防工作。
