Role of the Pediatrician in Youth Violence Prevention

Youth violence continues to be a serious threat to the health of children and adolescents in the United States. It is crucial that pediatricians clearly define their role and develop the appropriate skills to address this threat effectively. From a clinical perspective, pediatricians should become familiar with Connected Kids: Safe, Strong, Secure, the American Academy of Pediatrics' primary care violence prevention protocol. Using this material, practices can incorporate preventive education, screening for risk, and linkages to community-based counseling and treatment resources. As advocates, pediatricians may bring newly developed information regarding key risk factors such as exposure to firearms, teen dating violence, and bullying to the attention of local and national policy makers. This policy statement refines the developing role of pediatricians in youth violence prevention and emphasizes the importance of this issue in the strategic agenda of the American Academy of Pediatrics.

[1]  Connie Lim,et al.  Youth risk behavior surveillance--United States, 2005. , 2006, The Journal of school health.

[2]  C. Henderson,et al.  Effects of Nurse Home Visiting on Maternal and Child Functioning: Age-9 Follow-up of a Randomized Trial , 2007, Pediatrics.

[3]  Gitanjali Saluja,et al.  Cross-national consistency in the relationship between bullying behaviors and psychosocial adjustment. , 2004, Archives of pediatrics & adolescent medicine.

[4]  A. Sourander,et al.  What Is the Early Adulthood Outcome of Boys Who Bully or Are Bullied in Childhood? The Finnish “From a Boy to a Man” Study , 2007, Pediatrics.

[5]  R. Sege,et al.  Anticipatory Guidance and Violence Prevention: Results From Family and Pediatrician Focus Groups , 2006, Pediatrics.

[6]  Robin M. Kowalski,et al.  Electronic bullying among middle school students. , 2007, The Journal of adolescent health : official publication of the Society for Adolescent Medicine.

[7]  M. Ireland,et al.  Effects of a Primary Care-Based Intervention on Violent Behavior and Injury in Children , 2004, Pediatrics.

[8]  Jacquelyn C. Campbell,et al.  "I know what love means." Gender-based violence in the lives of urban adolescents. , 2005, Journal of women's health.

[9]  Nerissa S. Bauer,et al.  The effectiveness of the Olweus Bullying Prevention Program in public middle schools: a controlled trial. , 2007, The Journal of adolescent health : official publication of the Society for Adolescent Medicine.

[10]  J. Wright Training healthcare professionals in youth violence prevention: closing the gap. , 2005, American journal of preventive medicine.

[11]  R. Sege,et al.  American Academy of Pediatrics' Connected Kids program: case study. , 2005, American journal of preventive medicine.

[12]  Marci F Hertz,et al.  Violence-related behaviors among high school students--United States, 1991-2003. , 2004, MMWR. Morbidity and mortality weekly report.

[13]  Nerissa S. Bauer,et al.  Childhood Bullying Involvement and Exposure to Intimate Partner Violence , 2006, Pediatrics.

[14]  W. F. Greene,et al.  The Safe Dates program: 1-year follow-up results. , 2000, American journal of public health.

[15]  Jacquelyn C Campbell,et al.  Adolescent dating violence: prevalence, risk factors, health outcomes, and implications for clinical practice. , 2003, Journal of obstetric, gynecologic, and neonatal nursing : JOGNN.

[16]  D. Rice,et al.  The high cost of injuries in the United States. , 1996, American journal of public health.

[17]  G. Ryan,et al.  What pediatricians can do to further youth violence prevention—a qualitative study , 1999, Injury prevention : journal of the International Society for Child and Adolescent Injury Prevention.

[18]  C. Henderson,et al.  Effect of prenatal and infancy home visitation by nurses on pregnancy outcomes, childhood injuries, and repeated childbearing. A randomized controlled trial. , 1997, JAMA.

[19]  R. McCarter,et al.  Morbidities associated with bullying behaviors in adolescents. School based study of American adolescents , 2006, International journal of adolescent medicine and health.

[20]  T. Spencer,et al.  AIDS Education and Training Centers fact sheet. U.S. Department of Health and Human Services Health Resources and Services Administration. , 1995, Dental assistant.

[21]  N. Spector,et al.  Pediatrician's role in screening and treatment: bullying, prediabetes, oral health , 2006, Current opinion in pediatrics.

[22]  K. Bauman,et al.  The Safe Dates Project: theoretical basis, evaluation design, and selected baseline findings. , 1996, American journal of preventive medicine.

[23]  R. DiClemente,et al.  Dating violence and the sexual health of black adolescent females. , 2001, Pediatrics.

[24]  P. Shekelle,et al.  Preventing violence and related health-risking social behaviors in adolescents. , 2004, Evidence report/technology assessment.

[25]  J. Mercy,et al.  Trends in nonfatal and fatal firearm-related injury rates in the United States, 1985-1995. , 1998, Annals of emergency medicine.

[26]  D. Farrington,et al.  Victim as offender in youth violence. , 1995, Annals of emergency medicine.

[27]  M. Killeen,et al.  Ten years after: examination of adolescent screening questions that predict future violence-related injury. , 2000, Journal of child and family nursing.

[28]  Dependent Care Quality Early Education and Child Care From Birth to Kindergarten , 2005, Pediatrics.

[29]  P. Scheidt,et al.  Adolescent assault injury: risk and protective factors and locations of contact for intervention. , 2003, Pediatrics.

[30]  K. Bauman,et al.  Assessing the long-term effects of the Safe Dates program and a booster in preventing and reducing adolescent dating violence victimization and perpetration. , 2004, American journal of public health.

[31]  P. Scheidt,et al.  Violent injuries among adolescents: declining morbidity and mortality in an urban population. , 2001, Annals of emergency medicine.

[32]  M. Resnick,et al.  Violence risk and protective factors among youth held back in school. , 2002, Ambulatory pediatrics : the official journal of the Ambulatory Pediatric Association.

[33]  J. Feldman,et al.  Homicide rates among US teenagers and young adults: differences by mechanism, level of urbanization, race, and sex, 1987 through 1995. , 1998, JAMA.

[34]  E. Goldson,et al.  The New Morbidity Revisited: A Renewed Commitment to the Psychosocial Aspects of Pediatric Care , 2001, Pediatric Clinical Practice Guidelines & Policies.

[35]  Rates of homicide, suicide, and firearm-related death among children--26 industrialized countries. , 1997, MMWR. Morbidity and mortality weekly report.

[36]  M. Aalsma,et al.  Bullying and peer victimization: position paper of the Society for Adolescent Medicine. , 2005, The Journal of adolescent health : official publication of the Society for Adolescent Medicine.

[37]  R. Sege,et al.  A Delphi Approach to Reach Consensus on Primary Care Guidelines Regarding Youth Violence Prevention , 2006, Pediatrics.

[38]  B. Shain Suicide and Suicide Attempts in Adolescents , 2007, Pediatrics.

[39]  V. Strasburger,et al.  Children, adolescents, and television. , 1992, Current problems in pediatrics.

[40]  P. Scheidt,et al.  Relationships between bullying and violence among US youth. , 2003, Archives of pediatrics & adolescent medicine.

[41]  H. Snyder,et al.  Juvenile Offenders and Victims: 1999 National Report. , 2006 .

[42]  M. F. van der Wal,et al.  Psychosocial health among young victims and offenders of direct and indirect bullying. , 2003, Pediatrics.

[43]  Joseph L. Wright,et al.  Randomized Trial of a Case Management Program for Assault-Injured Youth: Impact on Service Utilization and Risk for Reinjury , 2008, Pediatric emergency care.

[44]  R. Marcus Youth Violence in Everyday Life , 2005, Journal of interpersonal violence.

[45]  P. Scheidt,et al.  A cross-national study of violence-related behaviors in adolescents. , 2004, Archives of pediatrics & adolescent medicine.

[46]  R. Sege,et al.  Intentional Injury Management and Prevention in Pediatric Practice: Results From 1998 and 2003 American Academy of Pediatrics Periodic Surveys , 2005, Pediatrics.

[47]  W. Katon,et al.  Bullying and school safety. , 2008, The Journal of pediatrics.

[48]  L. Dahlberg,et al.  Best Practices of Youth Violence Prevention: A Sourcebook for Community Action , 2002 .

[49]  Youth Violence: A Report of the Surgeon General , 2001, Psychiatric services.

[50]  F. Rivara,et al.  Bullying: children hurting children. , 2000, Pediatrics in review.

[51]  M. Ireland,et al.  Predictors of future fight-related injury among adolescents. , 2004, Pediatrics.

[52]  S. Sorenson,et al.  Community and dating violence among adolescents: perpetration and victimization. , 1997, The Journal of adolescent health : official publication of the Society for Adolescent Medicine.

[53]  P. Cook,et al.  The costs of gun violence against children. , 2002, The Future of children.

[54]  Youth and Violence. Medicine, Nursing, and Public Health: Connecting the Dots to Prevent Violence , 2001 .

[55]  R. Sege,et al.  Pediatric violence-related injuries in Boston: results of a city-wide emergency department surveillance program. , 2002, Archives of pediatrics & adolescent medicine.

[56]  H. Mofenson,et al.  Shining the Light on Lamp Oil , 1999, Pediatrics.

[57]  F. P. Williams,et al.  Juvenile offenders and victims , 2007 .

[58]  M. Resnick,et al.  Youth violence perpetration: what protects? What predicts? Findings from the National Longitudinal Study of Adolescent Health. , 2004, The Journal of adolescent health : official publication of the Society for Adolescent Medicine.

[59]  Bryan Vossekuil,et al.  Final Report and Findings of the Safe School Initiative: Implications for the Prevention of School Attacks in the United States , 2002 .

[60]  J. Kulig,et al.  Tobacco, Alcohol, and Other Drugs: The Role of the Pediatrician in Prevention, Identification, and Management of Substance Abuse , 2005, Pediatrics.

[61]  Dependent Care The Pediatrician's role in family support programs. Committee on Early Childhood and Adoption, and Dependent Care. , 2001, Pediatrics.

[62]  A. Localio,et al.  Characterization of interpersonal violence events involving young adolescent girls vs events involving young adolescent boys. , 2004, Archives of pediatrics & adolescent medicine.

[63]  T R Simon,et al.  Recent trends in violence-related behaviors among high school students in the United States. , 1999, JAMA.

[64]  Young Shin Kim,et al.  School Bullying and Suicidal Risk in Korean Middle School Students , 2005, Pediatrics.

[65]  D. Christakis,et al.  Early cognitive stimulation, emotional support, and television watching as predictors of subsequent bullying among grade-school children. , 2005, Archives of pediatrics & adolescent medicine.

[66]  J L Collins,et al.  Youth Risk Behavior Surveillance--United States, 1997. State and Local YRBSS Coordinators. , 1998, The Journal of school health.

[67]  P. Prevention Firearm-Related Injuries Affecting the Pediatric Population , 2000, Pediatrics.

[68]  Ramani S. Pilla,et al.  Bullying Behaviors Among US Youth: Prevalence and Association With Psychosocial Adjustment , 2001 .

[69]  Juliana Raskauskas,et al.  Involvement in traditional and electronic bullying among adolescents. , 2007, Developmental psychology.