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Understanding the service needs of assault-injured, drug-using youth presenting for care in an urban Emergency Department

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dc.contributor.author Bohnert, Kipling M. ; Walton, Maureen A. ; Ranney, Megan ; Bonar, Erin E. ; Blow, Frederic C. ; Zimmerman, Marc A., Booth, Brenda M. ; Cunningham, Rebecca M.
dc.date.accessioned 2019-01-10T18:23:00Z
dc.date.available 2019-01-10T18:23:00Z
dc.date.issued 2014
dc.identifier.citation Bohnert, Kipling M. ; Walton, Maureen A. ; Ranney, Megan ; Bonar, Erin E. ; Blow, Frederic C. ; Zimmerman, Marc A., Booth, Brenda M. ; Cunningham, Rebecca M. (2014). Understanding the service needs of assault-injured, drug-using youth presenting for care in an urban Emergency Department. Addictive Behaviors, 41, 97-105. en_US
dc.identifier.uri https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4324457/pdf/nihms657388.pdf
dc.identifier.uri http://hdl.handle.net/11212/4182
dc.description.abstract Background: Violence is a leading cause of injury among youth 15–24 years and is frequently associated with drug use. To inform optimal violence interventions, it is critical to understand the baseline characteristics and intent to retaliate of drug-using, assault-injured (AI) youth in the Emergency Department (ED) setting, where care for violent injury commonly occurs. Methods: At an urban ED, AI youth ages 14–24 endorsing any past six-month substance use (n=350), and a proportionally-sampled substance-using comparison group (CG) presenting for non-assault-related care (n=250), were recruited and completed a baseline assessment (82% participation). Medical chart review was also conducted. Conditional logistic regression was performed to examine correlates associated with AI. Results: Over half (57%) of all youth met criteria for drug and/or alcohol use disorder, with only 9% receiving prior treatment. Among the AI group, 1 in 4 intended to retaliate, of which 49% had firearm access. From bivariate analyses, AI youth had poorer mental health, greater substance use, and were more likely to report prior ED visits for assault or psychiatric evaluation. Based on multivariable modeling, AI youth had greater odds of being on probation/parole (AOR=2.26; CI=1.28, 3.90) and having PTSD (AOR=1.88; CI=1.01, 3.50) than the CG. Conclusions: AI youth may have unmet needs for substance use and mental health treatment, including PTSD. These characteristics along with the risk of retaliation, increased ED service utilization, low utilization of other health care venues, and firearm access highlight the need for interventions that initiate at the time of ED visit. (Author Abstract) en_US
dc.language.iso en en_US
dc.publisher Addictive Behaviors en_US
dc.subject child abuse en_US
dc.subject research en_US
dc.subject physical abuse en_US
dc.subject physical violence en_US
dc.subject adolescents en_US
dc.subject teens en_US
dc.subject youth en_US
dc.subject substance abuse en_US
dc.subject guns en_US
dc.subject incidence en_US
dc.title Understanding the service needs of assault-injured, drug-using youth presenting for care in an urban Emergency Department en_US
dc.type Article en_US


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