II. Epidemiology

  1. Violence at school in 1500 Children-urban Atlanta
    1. Carried weapon to school
      1. Age 11 years: 12% boys; 3% girls
      2. Age 13 years: 22% boys; 15% girls
    2. Started a fight
      1. Age 9 years: 26% boys; 20% girls
      2. Age 13 years: 33% boys; 22% girls
  2. References
    1. Arria (1995) Arch Pediatr Adolesc Med 149:1345-50 [PubMed]

III. Prevention

  1. Recognize high risk populations for Violence exposure and refer to community resources
    1. Homicide is second-leading cause of death in age 15-24
    2. Homicide is leading cause of death for african americans age 10-24
    3. One third of teens presenting with a Violence related injury will have another episode in 2 years (1% mortality risk)
  2. Set up resources for high risk patients
    1. Case managers with specific referrals are much more effective than (instead of paper lists of resources)
  3. Screen for guns in home and discuss Gun Safety
    1. One third of homes with children have guns
    2. Nine children shot every day in gun accidents in U.S.
    3. Children living in a home with a loaded, unlocked gun: 1.7 Million in U.S.
    4. Of teen homicides, 80% are with a gun
  4. Study of Elementary school children
    1. Reduced television, videotape and video game viewing
    2. Significantly decreased aggressive behavior
    3. Robinson (2001) Arch Pediatr Adolesc Med 155:17-23 [PubMed]
  5. Metaanalysis of 29 studies of Video Games and Violence
    1. No evidence of increased aggression
    2. No evidence of anti-social behavior
    3. Bensley (2001) J Adolesc Health 29:244-57 [PubMed]

IV. References

  1. Malka (2016) ACEP PEM Conference, Orlando, Violence Lecture, attended 3/8/2016

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Ontology: Violence (C0042693)

Definition (NCI) An act of aggression between individuals.
Definition (NAN) The exertion of excessive force or power so as to cause injury or abuse
Definition (CSP) rough or injurious physical force, action, or treatment.
Definition (MSH) Individual or group aggressive behavior which is socially non-acceptable, turbulent, and often destructive. It is precipitated by frustrations, hostility, prejudices, etc.
Concepts Mental or Behavioral Dysfunction (T048)
MSH D014754
English Violence, violence
Dutch gewelddadigheid, Geweld
Japanese 乱暴, ランボウ, 暴行, 暴力行為, 暴力, 残虐行為
Swedish Våld
Czech násilí, Násilí
Finnish Väkivalta
Russian NASILIE, ZHESTOKOST', ЖЕСТОКОСТЬ, НАСИЛИЕ
Croatian NASILJE
Polish Przemoc
Hungarian Erőszak
Norwegian Overgrep, Vold, Mishandling
French Violence
German Gewalt
Italian Violenza
Portuguese Violência
Spanish Violencia