A Case for Risk Stratification in Survivors of Firearm and Interpersonal Violence in the Urban Environment
| Autor: | Adesuwa Akhetuamhen, Annette M Dekker, P. Quincy Moore, Garth N Walker, David A. Hampton |
|---|---|
| Rok vydání: | 2020 |
| Předmět: |
Firearms
medicine.medical_specialty Urban Population lcsh:Medicine Poison control Review Violence Risk Assessment Suicide prevention Occupational safety and health Intervention (counseling) Health care Injury prevention medicine Humans Survivors business.industry lcsh:R lcsh:Medical emergencies. Critical care. Intensive care. First aid Human factors and ergonomics lcsh:RC86-88.9 General Medicine Emergency department Family medicine Emergency Medicine Emergency Service Hospital business Violence Assessment and Prevention |
| Zdroj: | Western Journal of Emergency Medicine, Vol 21, Iss 6 (2020) Western Journal of Emergency Medicine |
| ISSN: | 1936-900X |
| DOI: | 10.5811/westjem.2020.8.45041 |
| Popis: | The emergency department (ED) serves as the main source of care for patients who are victims of interpersonal violence. As a result, emergency physicians across the nation are at the forefront of delivering care and determining dispositions for many at-risk patients in a dynamic healthcare environment. In the majority of cases, survivors of interpersonal violence are treated and discharged based on the physical implications of the injury without consideration for risk of reinjury and the structural drivers that may be at play. Some exceptions may exist at institutions with hospital-based violence intervention programs (HVIPs). At these institutions, disposition decisions often include consideration of a patient's risk for repeat exposure to violence. Ideally, HVIP services would be available to all survivors of interpersonal violence, but a variety of current constraints limit availability. Here we offer a scoping review of HVIPs and our perspective on how risk-stratification could help emergency physicians determine which patients will benefit most from HVIP services and potentially reduce re-injury secondary to interpersonal violence. |
| Databáze: | OpenAIRE |
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