II. Epidemiology
- Violence at school in 1500 Children-urban Atlanta
- Carried weapon to school
- Age 11 years: 12% boys; 3% girls
- Age 13 years: 22% boys; 15% girls
- Started a fight
- Age 9 years: 26% boys; 20% girls
- Age 13 years: 33% boys; 22% girls
- Carried weapon to school
- References
III. Prevention
- Recognize high risk populations for Violence exposure and refer to community resources
- Homicide is second-leading cause of death in age 15-24
- Homicide is leading cause of death for african americans age 10-24
- One third of teens presenting with a Violence related injury will have another episode in 2 years (1% mortality risk)
- Set up resources for high risk patients
- Case managers with specific referrals are much more effective than (instead of paper lists of resources)
- Screen for guns in home and discuss Gun Safety
- One third of homes with children have guns
- Nine children shot every day in gun accidents in U.S.
- Children living in a home with a loaded, unlocked gun: 1.7 Million in U.S.
- Of teen homicides, 80% are with a gun
- Study of Elementary school children
- Reduced television, videotape and video game viewing
- Significantly decreased aggressive behavior
- Robinson (2001) Arch Pediatr Adolesc Med 155:17-23 [PubMed]
- Metaanalysis of 29 studies of Video Games and Violence
- No evidence of increased aggression
- No evidence of anti-social behavior
- Bensley (2001) J Adolesc Health 29:244-57 [PubMed]
IV. References
- Malka (2016) ACEP PEM Conference, Orlando, Violence Lecture, attended 3/8/2016