Violent firearm-related conflicts among high-risk youth: An event-level and daily calendar analysis

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dc.contributor.authorCarter, Patrick M. ; Walton, Maureen A. ; Goldstick, Jason ; Epstein-Ngo, Quyen M. ; Zimmerman, Marc A. ; Mercado, Melissa C. ; Williams, Amanda Garcia ; Cunningham, Rebecca M.
dc.date.accessioned2019-01-10T17:28:39Z
dc.date.available2019-01-10T17:28:39Z
dc.date.issued2017
dc.description.abstractFirearm homicide is the leading cause of violence-related youth mortality. To inform prevention efforts, we analyzed event-level data to identify unique precursors to firearm conflicts. Youth (ages:14–24) seeking Emergency Department (ED) treatment for assault or for other reasons and reporting past 6-month drug use were enrolled in a 2-year longitudinal study. Time-line follow-back substance use/aggression modules were administered at baseline and each 6-month follow-up. Violent non-partner conflicts were combined across time-points. Regression analyzed: a)antecedents of firearm-related conflicts (i.e., threats/use) as compared to non-firearm conflicts; and b)substance use on conflict (vs. non-conflict) days for those engaged in firearm conflict. During the 24-months, we found that 421-youth reported involvement in violent non-partner conflict (n=829-conflicts;197-firearm/632-non-firearm). Among firearm conflicts, 24.9% involved aggression and 92.9% involved victimization. Retaliation was the most common motivation for firearm-aggression (51.0%), while “shot for no reason” (29.5%) and conflicts motivated by arguments over “personal belongings” (24.0%) were most common for firearm-victimization. Male sex (AOR=5.14), Black race (AOR=2.75), a ED visit for assault (AOR=3.46), marijuana use before the conflict (AOR=2.02), and conflicts motivated by retaliation (AOR=4.57) or personal belongings (AOR=2.28) increased the odds that a conflict involved firearms. Alcohol (AOR=2.80), marijuana (AOR=1.63), and prescription drugs (AOR=4.06) had a higher association with conflict (vs. non-conflict) days among youth reporting firearm conflict. Overall, we found that firearm conflicts are differentially associated with substance use and violence motivations. Addressing substance use, interrupting the cycle of retaliatory violence, and developing conflict resolution strategies that address escalation over infringement on personal belongings may aid in decreasing and preventing adolescent firearm violence. (Author Abstracten_US
dc.identifier.citationCarter, Patrick M. ; Walton, Maureen A. ; Goldstick, Jason ; Epstein-Ngo, Quyen M. ; Zimmerman, Marc A. ; Mercado, Melissa C. ; Williams, Amanda Garcia ; Cunningham, Rebecca M. (2017). Violent firearm-related conflicts among high-risk youth: An event-level and daily calendar analysis. Preventive Medicine, 102, 112-119.en_US
dc.identifier.urihttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC5774663/pdf/nihms894866.pdf  
dc.identifier.urihttp://hdl.handle.net/11212/4179
dc.language.isoenen_US
dc.publisherPreventive Medicineen_US
dc.subjectchild abuseen_US
dc.subjectphysical violenceen_US
dc.subjectadolescentsen_US
dc.subjectteensen_US
dc.subjectyouthen_US
dc.subjectfatalitiesen_US
dc.subjectdrugsen_US
dc.subjectethnicityen_US
dc.subjectgunsen_US
dc.subjectshootingsen_US
dc.subjectresearchen_US
dc.titleViolent firearm-related conflicts among high-risk youth: An event-level and daily calendar analysisen_US
dc.typeArticleen_US

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