Details:

Alternative Title:
Am J Prev Med
Publisher's site:
http://dx.doi.org/10.1016/j.amepre.2016.08.002
Personal Author:
Sumner, Steven A. ; Maenner, Matthew J. ; Socias, Christina M. ; Mercy, James A. ; Silverman, Paul ; ... More +
Sumner, Steven A. ; Maenner, Matthew J. ; Socias, Christina M. ; Mercy, James A. ; Silverman, Paul ; Medinilla, Sandra P. ; Martin, Steven S. ; Xu, Likang ; Hillis, Susan D. Less -
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.


Subject:
[+]
Adolescent
Case-Control Studies
Delaware
Firearms
Homicide
Humans
Male
Risk Factors
Violence
Wounds, Gunshot
Young Adult

Source:
Am J Prev Med. 51(5):647-655.
Pubmed ID:
27742157
Pubmed Central ID:
PMC5819873
Document Type:
Journal Article
Funding:
CC999999/Intramural CDC HHS/United States ; U54 GM104941/GM/NIGMS NIH HHS/United States
CC999999/Intramural CDC HHS/United States ; U54 GM104941/GM/NIGMS NIH HHS/United States Less -
Place as Subject:
Delaware
Collection(s):
CDC Public Access
Main Document Checksum:
[+]
urn:sha256:e0d76d7f8d939bd607139061c896cf9454f7790e610181822b51d64347c79ba6
File Type:

Supporting Files

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