Serious Injuries and Deaths of Adolescent Girls Resulting From Interpersonal Violence

Moskowitz, Harry; Griffith, John L.; DiScala, Carla; Sege, Robert

doi:10.1001/archpedi.155.8.903

Cited by 22 publications

(14 citation statements)

References 17 publications

(20 reference statements)

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“…In our ED-based study, almost half of the violently 19 who used national injury data to report that adolescent girls (ages 12 through 18) were less likely to be shot than boys and were more likely to be injured in the home. Although our study demonstrated many similarities in event characteristics between males and females, there are some differences that may affect our clinical practice.…”

Section: Discussionmentioning

confidence: 99%

Characterization of Nonfatal Events and Injuries Resulting from Youth Violence in Patients Presenting to an Emergency Department

Mollen

Fein²,

Vu³

et al. 2003

Pediatric Emergency Care

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This study characterizes the circumstances of youth intentional violence that result in emergency department visits for injuries. Although similarities exist between different age groups and genders, some key differences between the groups are illustrated. Understanding the differences between violent events in different age groups and genders may help clinicians recognize injury patterns and possibly guide alternative interventions.

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Section: Discussionmentioning

confidence: 99%

Characterization of Nonfatal Events and Injuries Resulting from Youth Violence in Patients Presenting to an Emergency Department

Mollen

Fein²,

Vu³

et al. 2003

Pediatric Emergency Care

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“…While deaths are the most severe consequences of interpersonal violence, the effects of school violence include: interference with the normal learning activities of students; weapon carrying for defensive purposes on school grounds; serious injury and attendant medical costs and absenteeism from school [6-8]. The Centers for Disease Control and Prevention (CDC) have reported that adolescents who felt unsafe at school were likely to be absent [9].…”

Section: Introductionmentioning

confidence: 99%

Variables associated with physical fighting among US high-school students

Rudatsikira

Muula

Siziya

2008

Clinical Practice and Epidemiology in Mental Health

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BackgroundViolence among adolescents is an important public health problem in the United States. This study was conducted to estimate the prevalence of having been engaged in physical fighting on school property and associated factors of the behavior among school-going adolescents in the United States.MethodsThis study was based on secondary analysis of the United States Youth Risk Behavior Survey (YRBS) conducted in 2005. The sampling frame included all private and public school in the country, stratified by region and urbanicity based on the US census bureau data. Frequencies and proportions were obtained for the outcome and explanatory variables. Logistic regression analysis was used to estimate the level of association between explanatory variables and the outcome (having been involved in a physical fight).ResultsOf the 13,857 respondents, 13.5% (18.2% for males and 8.8% for females) reported physical fighting onschool property in the last 12 months to the survey. Males were more likely to have been in a physical fight than females (OR = 2.23; 95% CI [1.89, 2.63]). Respondents aged 17 years or older were less likely to report physical fighting than those who were 14 years or younger. Compared to Whites, American Indians or Alaska Natives, Blacks, Native Hawaii or other Pacific Islanders, and Hispanics were more likely to report physical fighting on school property (OR = 2.11; 95% CI [1.22, 3.66], OR = 1.72; 95% CI [1.42, 2.0], OR = 2.18; 95% CI [1.01, 4.79], and OR = 1.74; 95% CI [1.41, 2.16] respectively). Physical fighting on school property was also positively associated with cigarette smoking (OR = 1.70; 95% CI [1.37, 2.10]), drinking alcohol (OR = 1.45; 95% CI [1.20, 1.76]), use of illegal drugs (OR = 1.73; 95% CI [1.42, 2.12]), having had property stolen or deliberately damaged on school property (OR = 2.06; 95% CI [1.74, 2.44]), having been threatened or injured with a weapon on school property (OR = 2.63; 95% CI [2.06, 3.34]), and playing videogame three or more hours a day (OR = 1.29; 95% CI [1.07, 1.56]).ConclusionThese findings suggest that physical fighting among US High School students is widespread and positively associated with victimization (having been threatened or injured with a weapon on school property) and other risky behaviors such as smoking, alcohol and drugs use. Intervention programs to prevent/control those risky behaviors as well as further attention on the association between physical fighting and victimization at school through longitudinal research are warranted.

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“…This finding is consistent with a study by Moskowitz et al who analyzed serious injuries and deaths from interpersonal violence and found that assault-injured females were more likely to have had pre-existing psychosocial impairments, such as problems with social interactions and violent or physically aggressive behaviors, as compared to assault-injured males. 19 While all assault-injured youth should be assessed for mental health concerns, it is particularly important that female victims do not fall through the cracks as they have a higher prevalence of aggression and are therefore at increased risk for also having greater behavioral symptom co-morbidity.…”

Section: Discussionmentioning

confidence: 99%

Burden of Unmet Mental Health Needs in Assault-Injured Youths Presenting to the Emergency Department

Anixt

Copeland‐Linder²,

Haynie

et al. 2012

Academic Pediatrics

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Objectives To determine if there is a gap between behavioral symptoms and previously recognized mental health conditions in youth victims of peer assault injuries and to describe gender differences in psychological symptoms. Methods A cross-sectional comparison of rates of previously diagnosed mental health conditions and clinical range behavioral symptoms as measured by the Child Behavior Checklist (CBCL) in 168 youth (10-15 years old) presenting to the emergency department (ED) after an interpersonal assault injury. Fisher’s exact test was used for comparisons. Results Mental health symptoms were common among assault-injured youth. More than half of youth demonstrating clinical range symptoms on the attention problems or anxious / depressed scales of the CBCL had no prior diagnosis of these conditions. Females were more likely than males to exhibit clinical range aggressive behavior symptoms (OR 3.61, 95% CI 1.64-7.97). Aggressive behavior was associated with clinical range scores on the other problem scales of the CBCL. Conclusions After an ED visit for an assault-related injury, less than half of 10-15 year olds with significant symptoms of common mental conditions reported having a previously diagnosed disorder, reflecting a burden of unmet psychological needs. An ED visit for an assault injury provides an opportunity to screen for emotional / behavioral symptoms and to refer to appropriate follow-up mental health care. What’s New Assault-injured youth are likely to have unmet mental health needs. This study compares mental health symptoms after an assault injury to previously diagnosed mental health conditions and describes differences in mental health characteristics of assault-injured youth by gender.

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Serious Injuries and Deaths of Adolescent Girls Resulting From Interpersonal Violence

Abstract: Interpersonal violence causes considerable morbidity and mortality for young women. Research and interventions should be developed to respond to adolescent girls who experience interpersonal violence.

Cited by 22 publications

References 17 publications

Characterization of Nonfatal Events and Injuries Resulting from Youth Violence in Patients Presenting to an Emergency Department

Characterization of Nonfatal Events and Injuries Resulting from Youth Violence in Patients Presenting to an Emergency Department

Variables associated with physical fighting among US high-school students

Burden of Unmet Mental Health Needs in Assault-Injured Youths Presenting to the Emergency Department

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