Robert D. Ketterlinus, PhD¹, Nicole Dreisbach, BA¹, Kristin Olson Minot, MA¹, Joel A. Fein, MD², Theodore Corbin, MD³, Elizabeth M. Datner, MD⁴, Linda Davis-Moon⁵, and Susan Lindauer, MSS, MLSP⁶. (1) Research and Evaluation, Philadelphia Health Management Corporation, 260 South Broad St, Philadelphia, PA 19106, 215-985-2524, robertk@phmc.org, (2) Division of Emergency Medicine, Children's Hospital of Philadelphia, 34th St. & Civic Center Blvd, Philadelphia, PA 19104, (3) Department of Emergency Medicine, Thomas Jefferson University Hospital, 1020 Sansom Street, Philadelphia, PA 19107, (4) Department of Emergency Medicine, University of Pennsylvania, 3400 Spruce St., Philadelphia, PA 19104, (5) Division of Emergency Medicine, Thomas Jefferson University Hospital, 1020 Sansom St., Rm. 239, Philadelphia, PA 19107, (6) Department of Emergency Medicine, Albert Einstein Medical Center, 5501 Old York Rd., Philadelphia, PA 19141

Interpersonal violence remains a public health issue: Among youth ages 11 to 25, nonfatal non-sexual assault injuries occurred at a rate of 1,186.14 per 100,000 in 2002 (CDC WISQARS, 2004). This presentation will discuss the development of the Critical Risk Screen (CRS) to enable emergency department (ED) staff to effectively identify and appropriately refer youth (ages 10-25) injured from interpersonal violence who are at risk of perpetrating or experiencing further violence. The CRS was developed by one of the HealthCare Collaborative (HCC) hospitals and approved by the remaining HCC hospitals. Preliminary research suggests that youth are more likely to divulge safety issues to physicians than to research staff. Therefore, it is imperative that the CRS is both concise and effective to accommodate physicians in the busy ED setting. Based on HCC staff experience of working in the ED as well as relevant research on screening, six questions were developed to make up the CRS. Topic areas include: safety concerns, plans for retaliation and whether or not the injured youth knows the other person involved in the incident. Medical staff working within the HCC EDs were surveyed to ascertain their opinions regarding the clarity, effectiveness and ordering of the CRS. Additionally, national experts participated in a review of the CRS using e-Delphi. Another round of review is planned to address these comments. The initial product of this development will be piloted in the HCC hospital EDs, and then receive further testing in other Philadelphia area EDs.

Learning Objectives: At the conclusion of this session, participants will be able to

• Describe the history, purpose and objective of the proposed Critical Risk Screen (CRS);
• List the proposed questions of the CRS and describe its relevance;
• Apply these questions when attempting to screen youth injuries sustained from interpersonal violence

Keywords: Violence Prevention, Screening

Presenting author's disclosure statement:
I do not have any significant financial interest/arrangement or affiliation with any organization/institution whose products or services are being discussed in this session.