TY  - JOUR
PY  - 2016//
TI  - Violence perpetration among patients hospitalized for unintentional and assault-related firearm injury: a case-control study and a cohort study
JO  - Annals of internal medicine
A1  - Rowhani-Rahbar, Ali
A1  - Fan, Mary D.
A1  - Simonetti, Joseph A.
A1  - Lyons, Vivian H.
A1  - Wang, Jin
A1  - Zatzick, Douglas
A1  - Rivara, Frederick P.
SP  - 841
EP  - 847
VL  - 165
IS  - 12
N2  - BACKGROUND: Hospital-based violence intervention programs typically focus on patients whose firearm injury occurred through interpersonal violence (assault). Knowledge of violence perpetration by victims of unintentional (accidental) firearm injury is limited. <br><br>OBJECTIVE: To examine violence perpetration before and after a patient becomes hospitalized for firearm injury according to injury intent (intentional [assault] or unintentional [accidental]). <br><br>DESIGN: A case-control study and a retrospective cohort study. SETTING: Hospitals in Washington. PATIENTS: Persons aged 15 years or older hospitalized for a firearm injury, other injuries, or a noninjury reason from 2006 to 2007. MEASUREMENTS: In the case-control study, the odds of violence-related arrest from 2001 through hospitalization by injury intent among 3 groups were compared. In the cohort study, the rates of violence-related arrest from hospitalization through 2011 by injury intent among 3 groups were compared. <br><br>RESULTS: Patients with unintentional firearm injuries (n RESULTS:  = 180) were more likely than those with other unintentional injuries (n = 62 795; odds ratio [OR], 2.01 [95% CI, 1.31 to 3.09]) and no injuries (n = 172 830; OR, 3.43 [CI, 2.22 to 5.32]) to have been arrested for a violent crime before hospitalization. Prior violence-related arrest did not dif RESULTS: fer between patients with assault-related firearm injuries (n = 339) and those with other assault-related injuries (n = 2342; OR, 1.10 [CI, 0.84 to 1.46]). During follow-up, the cumulative incidence of violence-related arrest for patients with unintentional and assault-related firearm injuries was RESULTS:  10% and 15% (subhazard ratio, 1.88 [CI, 1.11 to 3.17] and 1.61 [CI, 1.08 to 2.44]), respectively, compared with 1% for those without injuries. LIMITATION: Exclusion of self-inflicted injuries, misclassification of intent, and ascertainment bias. <br><br>CONCLUSION: Some firearm injuries classified as accidental may indicate involvement in the cycle of violence and present an opportunity for intervention. PRIMARY FUNDING SOURCE: City of Seattle and the University of Washington Royalty Research Fund.<p />  <p>Language: en</p>
LA  - en
SN  - 0003-4819
UR  - http://dx.doi.org/10.7326/M16-1596
ID  - ref1
ER  -