PDF(Pubmed)
Abstract：
This study examines and describes circumstances involving non-fatal firearm injuries in a pediatric population from a Level I Pediatric Trauma Center in the southeastern U.S. Researchers analyzed Firearm Injury Questionnaire (FIQ) data collected from 144 children and adolescents, aged 2-17 years, who were treated in the emergency department and/or admitted to the hospital for non-fatal firearm injuries. Descriptive statistics are presented regarding participant demographics and FIQ responses, such as caregiver information, mental health history, adverse childhood experience (ACE) exposure, firearm access, injury intent, relationship to shooter, type of firearm used, and context of injury. Most patients identified as Black (82%) and male (75%), with most injuries categorized as intentional (72%) versus unintentional (24%) assaults. The average ACEs score was .60, with only 37% of patients\' reporting any ACE experience; however, nearly half (47%) of patients reported experiencing a traumatic event beyond an identified ACE. Community violence was the most common context that attributed to patients\' assaults (56%). As U.S. pediatric gun injury and fatality trends are increasing, this study provides timely data regarding pediatric firearm injuries and exposure to community violence. These findings highlight the need to provide integrated health services to pediatric patients experiencing non-fatal firearm injuries. Researchers discuss public health implications for integrated mental health care services, hospital- and school-based violence intervention programs, policy recommendations, and directions for future research.
UNASSIGNED: The online version contains supplementary material available at 10.1007/s40653-023-00568-4.
UNASSIGNED: The online version contains supplementary material available at 10.1007/s40653-023-00568-4.
摘要：
这项研究检查并描述了来自美国东南部I级儿科创伤中心的儿科人群中涉及非致命枪支伤害的情况，研究人员分析了从144名儿童和青少年收集的枪支伤害问卷（FIQ）数据，2-17岁,在急诊科接受治疗和/或因非致命性火器伤入院。提供了有关参与者人口统计和FIQ响应的描述性统计数据，例如护理人员信息，心理健康史,不良童年经历(ACE)暴露，枪支通道,伤害意图,和射手的关系,使用的枪支类型，和受伤的背景。大多数患者被确定为黑人（82％）和男性（75％），大多数伤害分为故意（72％）和无意（24％）。ACEs的平均得分为0.60，只有37%的患者报告有任何ACE经历；然而，近一半(47%)的患者报告经历了超过确定的ACE的创伤性事件.社区暴力是最常见的背景，归因于患者的攻击（56%）。随着美国儿科枪支伤害和死亡趋势的增加，这项研究提供了有关儿童枪支伤害和社区暴力暴露的及时数据.这些发现强调了向经历非致命性火器损伤的儿科患者提供综合卫生服务的必要性。研究人员讨论了公共卫生对综合精神卫生保健服务的影响，以医院和学校为基础的暴力干预计划，政策建议,以及未来研究的方向。
■在线版本包含补充材料，可在10.1007/s40653-023-00568-4获得。
■在线版本包含补充材料，可在10.1007/s40653-023-00568-4获得。
