Online Program

Risk Factors for Re-Injury among Participants in a Hospital-Based Violence Intervention Program

Monday, November 2, 2015

Laya Cooperman, MPH, Department of Surgery, University of California, San Francisco, San Francisco, CA
Rochelle Dicker, MD, FACS, Center for Global Surgical Studies, Department of Surgery, UCSF School of Medicine, University of California, San Francisco, San Francisco, CA
Catherine Juillard, MD, MPH, FACS, Center for Global Surgical Studies, Department of Surgery, UCSF School of Medicine, University of California, San Francisco, San Francisco, CA
Background/Purpose: Violent injury recidivism rates are estimated to be as high as 30-55% nationally. In addition to the physical and psychological costs on victims, this poses substantial financial costs for hospitals and taxpayers as many recidivists are uninsured. The Wraparound Project (WA) is a hospital-based violence intervention program aimed at reducing violent injury recidivism. This study examines socio-economic factors of victims with prior injuries to consider the risk factors for re-injury and provide implications for violence-prevention programs and policies.

Methods: WA identified clients through the trauma registry and emergency department records. Victims were screened for eligibility. If eligible, case managers provided mentorship, follow-up support, and referrals to community-based organizations. Socio-demographic characteristics were recorded and analyzed using descriptive statistics and regression analysis.

Results: 38% of WA clients self-declared a prior injury. Employment status was the strongest predictor of prior injury among clients. Other important factors for consideration were housing status, level of education, and race/ethnicity.

Conclusions: A range of social and economic needs contribute to risk for re-injury. Addressing these needs such as employment and housing may help decrease the rate of violent injury recidivism and reduce hospital costs. Violent injury prevention programs should consider risk factors for re-injury in addition to primary prevention.

Learning Areas:

Advocacy for health and health education
Assessment of individual and community needs for health education
Planning of health education strategies, interventions, and programs
Public health or related research
Social and behavioral sciences

Learning Objectives:
Describe three ways in which violent injury is similar to chronic disease. Explain the public health model for address violent injury. List four risk factors associated with high risk for injury recidivism.

Keyword(s): Violence & Injury Prevention, Risk Factors/Assesment

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I received a Masters in Public Health from the University of California, Davis, with coursework focused on epidemiology social determinants of health, and community-based interventions. I am experienced in study design and data analysis for social-behavioral research, with an emphasis on risk engagement. Serving as a key research staff on multiple studies affords me knowledge of both research methods and information particular to violence prevention, risk behaviors, and community-based interventions.
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.