Sentinel events preceding youth firearm violence: an investigation of administrative data in Delaware

Details

• Personal Author:
  Hillis SD ; Maenner MJ ; Martin SS ; Medinilla SP ; Mercy JA ; Silverman P ; Socias CM ; Sumner SA ; Xu L
• Description:
  Introduction: Accurately identifying youth at highest risk of firearm violence involvement could permit delivery of focused, comprehensive prevention services. This study explored whether readily available city and state administrative data covering life events before youth firearm violence could elucidate patterns preceding such violence. Methods: Four hundred twenty-one individuals arrested for homicide, attempted homicide, aggravated assault, or robbery with a firearm committed in Wilmington, Delaware, from January 1, 2009 to May 21, 2014, were matched 1:3 to 1,259 Wilmington resident controls on birth year and sex. In 2015, descriptive statistics and a conditional logistic regression model using Delaware healthcare, child welfare, juvenile services, labor, and education administrative data examined associations between preceding life events and subsequent firearm violence. Results: In a multivariable adjusted model, experiencing a prior gunshot wound injury (AOR=11.4, 95% CI=2.7, 48.1) and being subject to community probation (AOR=13.2, 95% CI=5.7, 30.3) were associated with the highest risk of subsequent firearm violence perpetration, though multiple other sentinel events were informative. The mean number of sentinel events experienced by youth committing firearm violence was 13.0 versus 1.9 among controls (p>0.0001). Within the sample, 84.1% of youth experiencing a sentinel event in all five studied domains ultimately committed firearm violence. Conclusions: Youth who commit firearm violence have preceding patterns of life events that markedly differ from youth not involved in firearm violence. This information is readily available from administrative data, demonstrating the potential of data sharing across city and state institutions to focus prevention strategies on those at greatest risk. [Description provided by NIOSH]
• Subjects:
  Adolescent Education Occupational Health Preventive Medicine Safety Violence
• Keywords:
  Adolescents Assaults Children Firearms Health Care Homicides Humans Injuries Models Preventive Medicine Statistical Analysis Surveillance

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• ISSN:
  0749-3797
• Document Type:
  Text
• Genre:
  Journal Article
• Place as Subject:
  Georgia ; OSHA Region 3 ; OSHA Region 4 ; West Virginia
• CIO:
  National Institute for Occupational Safety and Health (NIOSH)
• Division:
  DSR - Division of Safety Research
• Topic:
  Workplace Safety & Health
• Location:
  North America
• Volume:
  51
• Issue:
  5
• NIOSHTIC Number:
  nn:20048869
• Citation:
  Am J Prev Med 2016 Nov; 51(5):647-655
• Contact Point Address:
  Steven A. Sumner, MD, MSc, Centers for Disease Control and Prevention, National Center for Injury Prevention and Control, Division of Violence Prevention, 4770 Buford Highway, NE, Mailstop F-63, Atlanta GA 30341
• Federal Fiscal Year:
  2017
• Peer Reviewed:
  True
• Source Full Name:
  American Journal of Preventive Medicine
• Collection(s):
  National Institute for Occupational Safety and Health
• Main Document Checksum:
  urn:sha-512:da186f53db21965919b053af30d7ff959ec1ff0a9352ae6a8bfc1a2e9f0c433dfb13a76329fbcfc96968f867b133f472e0586ffd39ab3a7eb4c20473978d7515
• Download URL:
  https://stacks.cdc.gov/view/cdc/203493/cdc_203493_DS1.pdf
• File Type:
  [PDF - 1.21 MB ]