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Prevention of Adolescent Violence During Emergency Department Visits
Son Chae Kim1, Jennifer Kaiser2, Ashleigh Nurski3
1Author Affiliations: School of Nursing, Point Loma Nazarene University, San Diego, CA.
Background:
Adolescent violence in emergency departments (EDs) is a serious problem.
Aim:
To examine outcomes of a violence reduction intervention among adolescents seen in EDs.
Methods:
Aggressive Behavior Risk Assessment Tool for Emergency Departments was used to identify patients at high risk. Following a baseline period, a Phase 1 intervention of signage posting and a Phase 2 intervention of additional behavioral emergency response team huddles were implemented. A subset analysis of adolescents aged 10-18 years was performed.
Results:
Among 8,658 adolescents, 156 had ≥1 violent event (1.80%). The violence rate during Phase 1 showed a 34% reduction compared with the baseline ( p =0.035); no significant reduction was observed in Phase 2 compared with Phase 1.
Conclusion:
Signage posting appears to be an effective strategy contributing to reducing violent events among adolescents visiting EDs. The use of a validated screening tool to identify high-risk adolescents facilitated targeted preventive intervention efforts.
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