Background : Community violence (CV) is a leading cause of death for young adults in many socio-economically distressed communities. With most re-injury occurring within two years of initial injury, CV recidivism is increasingly recognized as a public health crisis. The Verification, Review, and Consultation Program for the American College of Surgeons states: “trauma centers must have an organized and effective approach to injury prevention and must prioritize those efforts based on local trauma registry and epidemiologic data”.
Objective : Understand risk factors for CV recidivism
Incorporate a risk assessment tool into the routine evaluation of traumatic injuries due to CV Learn to view CV as a disease process that is preventable
Methods : Under the guidance of the hospital’s violence intervention program medical director, physicians at an urban emergency department in Detroit, developed a questionnaire to be administered by residents on the trauma surgery service to patients who present as a trauma activation or trauma consult. The questionnaire consists of four items aiming to identify important historical features in the risk assessment of the trauma patient.
Outcomes : Its successful implementation at our institution has aided in identifying at risk patients who are then targeted for intervention. It also provides critical information for future research as it relates to trauma center quality assessment, retrospective analyses, public health and community needs assessments.