Article2012

Can a youth violence screening tool be used in a Pediatric Emergency Department setting?

Steven Clay Rogers · Kevin T. Borrup · Chirag R. Parikh · Hassan Nazmus Saleheen · Garry D. Lapidus · Sharon Rosenbaum Smith

10 citations0/0 files storedThe Journal of Trauma: Injury, Infection, and Critical Care

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Intimate Partner and Family Violence Crime Patterns and Interventions Gun Ownership and Violence Research

Abstract

BACKGROUND: Youth violence is a significant public health concern. Many children and adolescents are treated in emergency departments (EDs), which may be a location to identify at-risk youth for interventions by administering a screening instrument. METHODS: A prospective convenience study of youth (ages 8-17 years) presenting to the ED was conducted to evaluate a second-generation violence questionnaire. The 14 items of the Violence Prevention Emergency Tool 2 (VPET 2) was developed from a previously described tool (VPET 1). VPET 2 asked the frequency of physical or verbal violence events witnessed or experienced by the subject and was administered in the ED by research assistants. RESULTS: Of the 211 youths, 200 were enrolled (95% participation rate); 3 were ineligible, and 8 declined (<4%). The youths had a mean age 13.3 years, 52.5% males, 39% Hispanic, and 17% black. Seventy-six percent of the legal guardians were mothers, 62.5% had at least a high school education, and 55% were working full time. Sixty-six percent of the subjects reported seeing a person slap another person "really hard;" 8.5% were threatened by someone with a weapon; 28% were physically harmed by another person; 10% reported drug/alcohol use; 32.5% had failed a class in the past year. Adolescents (13-17 years) compared with preadolescents (8-12 years) were more likely to report being threatened and/or physically harmed (p < 0.05). No significant sex differences were identified. CONCLUSION: VPET 2 was administered in an ED with a high rate of enrollment and completion. This may be a feasible screening tool for use in the ED for determining which youth have the highest levels of violence exposure. A brief validated version of VPET 2 could be a valuable tool in ensuring that youth most at-risk are identified and provided appropriate referrals and services. LEVEL OF EVIDENCE: Diagnostic study, level IV.

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References

1998HITS: a short domestic violence screening tool for use in a family practice setting.2000Assessing violence risk among youth 2000Preschool children's exposure to violence: Relation of behavior problems to parent and child reports.2009Before and After the Trauma Bay: The Prevention of Violent Injury Among Youth 2001Detecting Suicide Risk in a Pediatric Emergency Department: Development of a Brief Screening Tool 2001Intimate partner violence screening and intervention: Data from eleven Pennsylvania and California community hospital emergency departments 2000Elder neglect assessment in the emergency department 2000Violence Prevention in the Emergency Department

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