Screening for Youth Firearm Violence Exposure in Primary Care

Ansh Goyal; Patricia Z. Labellarte; Ashley A. Hayes; J. C. Bicek; Leonardo Barrera; Adam B. Becker; Bruce Rowell; Audrey G. Brewer

doi:10.1016/j.focus.2023.100146

Screening for Youth Firearm Violence Exposure in Primary Care

Ansh Goyal, Patricia Z. Labellarte, Ashley A. Hayes, J. C. Bicek, Leonardo Barrera, Adam B. Becker, Bruce Rowell, Audrey G. Brewer^*

^*Corresponding author for this work

Pediatrics

Research output: Contribution to journal › Article › peer-review

3 Scopus citations

Abstract

Introduction: The aim of this study was to assess a modified gun violence exposure tool at a pediatric clinic on the West Side of Chicago to identify youth at high risk of future gun violence. Methods: A modified version of the SaFETy gun violence exposure tool, studied in a community pediatric primary care setting, was implemented from June to August 2021. Patients and pediatric clinicians were surveyed after pilot. Results: Of 508 eligible patients, 341 youth (67.1%) completed the SaFETy tool. None had a SaFETy score ≥6, the threshold for immediate referral. Over a quarter (26.4%) of youth had scores of 1–5, and of those, 7.8% were referred at the clinician's discretion. Youth (n=84) participants randomly selected to complete an anonymous survey provided feedback about the SaFETY tool, reporting that the questions were easy to understand (92%). All 6 pediatric clinicians surveyed agreed that the tool helped to identify youth exposed to gun violence. Conclusions: Screening for gun violence exposure among youth is logistically feasible in the pediatric outpatient setting. A more sensitive validated tool to stratify low-/medium-risk patients in the primary care setting is needed.

Original language	English (US)
Article number	100146
Journal	AJPM Focus
Volume	3
Issue number	1
DOIs	https://doi.org/10.1016/j.focus.2023.100146
State	Published - Feb 2024

Funding

The project described was supported by a Northwestern Primary Care Practice-Based Research Program Seed Grant from the Northwestern University Clinical and Translational Science Institute under Grant Number UL1TR001422 from the National Center for Advancing Translational Sciences and Clinical and Translational Sciences Award . The Clinical and Translational Sciences Award is a registered trademark of the HHS. The content of this paper is solely the responsibility of the authors and does not necessarily represent the official views of the NIH. The Northwestern University Clinical and Translational Science Institute, National Center for Advancing Translational Sciences, Clinical and Translational Sciences, and NIH had no role in the design and conduct of the study. The project described was supported by a Northwestern Primary Care Practice-Based Research Program Seed Grant from the Northwestern University Clinical and Translational Science Institute under Grant Number UL1TR001422 from the National Center for Advancing Translational Sciences and Clinical and Translational Sciences Award. The Clinical and Translational Sciences Award is a registered trademark of the HHS. Declaration of interest: None.

Keywords

Screening
gun violence
injury prevention
primary care

ASJC Scopus subject areas

Public Health, Environmental and Occupational Health
Health Informatics
Epidemiology

UN SDGs

This output contributes to the following UN Sustainable Development Goals (SDGs)

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10.1016/j.focus.2023.100146

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title = "Screening for Youth Firearm Violence Exposure in Primary Care",

abstract = "Introduction: The aim of this study was to assess a modified gun violence exposure tool at a pediatric clinic on the West Side of Chicago to identify youth at high risk of future gun violence. Methods: A modified version of the SaFETy gun violence exposure tool, studied in a community pediatric primary care setting, was implemented from June to August 2021. Patients and pediatric clinicians were surveyed after pilot. Results: Of 508 eligible patients, 341 youth (67.1%) completed the SaFETy tool. None had a SaFETy score ≥6, the threshold for immediate referral. Over a quarter (26.4%) of youth had scores of 1–5, and of those, 7.8% were referred at the clinician's discretion. Youth (n=84) participants randomly selected to complete an anonymous survey provided feedback about the SaFETY tool, reporting that the questions were easy to understand (92%). All 6 pediatric clinicians surveyed agreed that the tool helped to identify youth exposed to gun violence. Conclusions: Screening for gun violence exposure among youth is logistically feasible in the pediatric outpatient setting. A more sensitive validated tool to stratify low-/medium-risk patients in the primary care setting is needed.",

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Screening for Youth Firearm Violence Exposure in Primary Care

Abstract

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Keywords

ASJC Scopus subject areas

UN SDGs

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