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Interpersonal violence affecting the pediatric population: Patterns of injury and recidivism

Eustina G Kwon1, Benjamin K Wang2, Katherine R Iverson3

  • 1Division of Pediatric General and Thoracic Surgery, Seattle Children's Hospital, University of Washington, Seattle, WA 98105, USA.

Journal of Pediatric Surgery
|October 23, 2022
PubMed

Insights

Pediatric interpersonal violence survivors, especially those with firearm injuries, face a high risk of repeat injury. Black children are disproportionately affected, highlighting disparities in violence prevention.

Area of Science:

  • Pediatric Trauma Surgery
  • Public Health
  • Violence Prevention

Background:

  • Interpersonal violence (IPV) is a significant cause of traumatic injuries in children.
  • Understanding injury patterns and recidivism predictors is crucial for targeted interventions.

Purpose of the Study:

  • To describe interpersonal violence-related injury patterns in pediatric trauma patients.
  • To identify predictors of repeat interpersonal violence injuries in this population.

Main Methods:

  • Retrospective analysis of pediatric patients (≤17 years) treated for IPV-related trauma from 2006-2020.
  • Comparison of patient characteristics by injury mechanism and recidivism status.
  • Multivariate logistic regression to determine predictors of repeat injury.

Main Results:

  • 635 pediatric patients sustained IPV injuries: firearm (266), assault (243), abuse (126).
  • 6.1% of firearm and assault survivors experienced repeat IPV injury, with a median of 40 months between injuries.
  • Black race and firearm injury independently predicted a >3-fold increased likelihood of repeat injury.

Conclusions:

  • Survivors of firearm injuries and assault are a vulnerable cohort at high risk for repeat IPV injuries.
  • Black race is an independent predictor of repeat interpersonal violence injury.
  • Findings can inform the development of targeted violence prevention programs for at-risk pediatric populations.
Abstract

Keywords:
FirearmInterpersonal violenceRecidivismSocial determinants of health

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