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. 2025 Dec 1;99(6):868-875.
doi: 10.1097/TA.0000000000004702. Epub 2025 Jun 10.

Hospital-based violence intervention programs may positively influence mental health outcomes

Nathaniel Pinkes  1 , Molly P Jarman, Saba Ilkhani, Farzad Noubary, George Velmahos, Ali Salim, Juan P Herrera-Escobar, Geoffrey A Anderson
Affiliations

Hospital-based violence intervention programs may positively influence mental health outcomes

Nathaniel Pinkes et al. J Trauma Acute Care Surg. .

Abstract

Background: Hospital-based violence intervention programs (HVIPs) are interdisciplinary teams and interventions designed to improve outcomes for violently injured patients. There is a lack of literature showing longitudinal assessment of mental health outcomes among survivors of violence who use HVIPs. This study examines whether HVIP engagement by survivors of community violence improves long-term mental health-related quality of life. We hypothesize that victims of violence who engaged with HVIP programming will show better mental health-related quality of life scores 6 to 12 months following their injury.

Methods: In this prospective nested cohort study, adult survivors of community violence with moderate to severe injuries (Injury Severity Score, ≥9) admitted to two level I trauma centers between December 2015 and July 2020 were interviewed 6 to 12 months after injury. Short Form-12 mental and physical health component score data were collected. Multivariable linear regression was used to estimate the adjusted mean difference in component scores given HVIP engagement.

Results: Of 98 patients with a violent injury, 17 (17.3%) had true HVIP use. Using an as-treated approach, patients who engage with an HVIP have a greater mean mental health component score compared with patients who do not engage with an HVIP (54 [95% confidence interval, 49-75] vs. 41 [95% confidence interval, 32-52]; p = 0.002). There is no significant difference in physical health component score, all-cause, and trauma-related readmission between patients who do and do not engage with an HVIP following violent injury.

Conclusion: This study demonstrates that HVIPs may be associated better long-term mental health outcomes among patients who suffer violent injuries. These findings should encourage further implementation, funding, and evaluation of HVIPs that may help mitigate the sequelae of violent injury.

Level of evidence: Prognostic and Epidemiological; Level III.

Keywords: Firearms; HVIP; violence; violence intervention.

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References

    1. Rosenblatt MS, Joseph KT, Dechert T, Duncan TK, Joseph DK, Stewart RM, et al. American Association for the Surgery of Trauma prevention committee topical update: impact of community violence exposure, intimate partner violence, hospital-based violence intervention, building community coalitions and injury prevention program evaluation. J Trauma Acute Care Surg . 2019;87(2):456–462.
    1. Kochanek KD, Murphy SL, Xu J, Arias E. Mortality in the United States, 2022 Key findings Data from the National Vital Statistics System. 2022. Available at: https://www.cdc.gov/nchs/products/index.htm . Accessed July 11, 2024.
    1. Centers for Disease Control and Prevention. Web-based Injury Statistics Query and Reporting System (WISQARS): NonFatal [Online]. National Center for Injury Prevention and Control, Centers for Disease Control and Prevention (producer). Available at: https://www.cdc.gov/injury/wisqars/nonfatal.html . Published 2003. Accessed March 26, 2022.
    1. Centers for Disease Control and Prevention, National Center for Injury Prevention and Control. Web-based Injury Statistics Query and Reporting System (WISQARS): Fatal [online]. Published 2005. Available at: www.cdc.gov/injury/wisqars . Accessed March 26, 2022.
    1. Vella MA, Warshauer A, Tortorello G, Fernandez-Moure J, Giacolone J, Chen B, et al. Long-term functional, psychological, emotional, and social outcomes in survivors of firearm injuries. JAMA Surg . 2020;155(1):51–59.