Navigation Links
Memo to ER docs: Send young victims of violence for 1-on-1 counseling
Date:11/2/2008

A study of 113 children and teens physically victimized by peers concludes that one-on-one mentoring about how to safely avoid conflict and diffuse threats makes them far less likely to become victims again if guidance is initiated in the immediate aftermath of the attack.

The research, by investigators at Johns Hopkins Children's Center and Children's National Medical Center in Washington, D.C., was conducted on 10- to 15-year-olds treated for assault injuries, including gunshot, knife and fist-fight wounds, in their emergency rooms between 2001 and 2004.

Writing in the November issue of Pediatrics, the researchers said half of the victims were treated then referred by an ER doctor for at least six sessions with a mentor for one-on-one counseling and three parent home visits, while the other half were referred to community resources and received two follow-up phone calls.

Those who got the personalized counseling and forged a mentoring relationship with their counselors reported 25 percent fewer fights and 42 percent fewer fight injuries six months later, compared to those who received referrals only. Comparing their attitudes and behaviors after six months, researchers found that teens who received mentoring reported less aggression and fewer misdemeanors and were more likely to "think about the consequences," take steps to avoid fighting and "take a time out" when faced with a conflict.

Although not all risky behaviors showed statistically significant improvement, the researchers said the results suggest that such interventions can go a long way to give these children acceptable options for behaving in ways that prevent violence, and that the ER is a critical point for initiating the intervention.

The counseling focused on practical tips for the children and their families, such as ways to think about conflict and how to identify and avoid "hot buttons" or triggers of anger. The youth were taught about weapon safety and given scenarios and engaged in role playing to facilitate conflict resolution and getting out of dangerous situations in appropriate ways. Home visits were designed to inform the victims' parents about skills taught to their children and help them better monitor their children's safety.

Serious fights and assaults are rarely isolated episodes, the researchers said, but may portend future, sometimes worse or even fatal, injuries.

"There can be a cycle of violence fueled by fear and retaliatory feelings," says the study lead investigator Tina Cheng, M.D., M.P.H., head of general pediatrics and adolescent medicine at Hopkins Children's. "When we see youth with assault injuries in the ER, we have a golden window of opportunity to step in and interrupt this cycle, and our findings suggest that pairing teens with mentors who teach them problem-solving skills can help decrease the risk of future violence."

The study's investigators advise emergency room physicians treating teen victims of violence to refer youth and their families to mentoring and family counseling programs before discharging the patient from the ER. Past research shows that people may be most receptive to preventive messages in the immediate aftermath of a traumatic event.

The researchers also suggested development of standard guides to help ER physicians do so.

"We have clear protocols on how to treat suicidal youth or victims of child abuse, but when it comes to youth injured in peer assaults, we tend to ask a few questions, treat and release," Cheng says. "Our study suggests that we can do things that make a difference, such as asking more probing questions about the incident and quickly referring the patients to mentoring and counseling programs."

In the United States, murder is the fourth leading cause of death among 10 to 14-year-olds and the second leading cause of death among 15 to 19-year-olds, according to the Centers for Disease Control and Prevention. For every slain youth, there are more than 100 nonfatal injuries.


'/>"/>

Contact: Ekaterina Pesheva
epeshev1@jhmi.edu
410-516-4996
Johns Hopkins Medical Institutions
Source:Eurekalert

Related medicine news :

1. Air pollution linked to cardiovascular risk indices in healthy young adults
2. Urban Smog Tough on Young Adults Hearts
3. Male deer are born to live fast, die young
4. Bipolar Diagnoses in Younger People Show Huge Increase
5. HealthInsuranceFinders.com Launches Video Contest for Young Directors
6. Nuclear medicine approach can be first choice for excluding pulmonary embolism in young women
7. New HIV diagnoses rising in New York City among young men who have sex with men
8. Especially Yours and Paula Young Team up with Diahann Carroll and Jaclyn Smith in the Fight Against Breast Cancer
9. Office-Based Medical Treatment and Internet Resources Are Potential Solution to Rising Painkiller Misuse Among Teens, Young Adults
10. Young Children Thrive on 30,000 Words a Day
11. Young Twin Cities Boy Shows There is Life After Cancer
Post Your Comments:
*Name:
*Comment:
*Email:
(Date:10/12/2017)... , ... October 12, 2017 , ... IsoComforter, Inc. ( ... announced today the introduction of an innovative new design of the shoulder pad. ... you get maximum comfort while controlling your pain while using cold therapy. By utilizing ...
(Date:10/12/2017)... ... October 12, 2017 , ... Information about the ... to develop to enable prevention of a major side effect of chemotherapy in ... in pediatric patients. For cisplatin, hearing loss is FDA listed on-label as a ...
(Date:10/12/2017)... ... 12, 2017 , ... Leading pediatric oncology experts at Children’s National Health ... Congress of the International Society of Paediatric Oncology (SIOP) Oct. 12-15. Chaired ... Cancer and Blood Disorders at Children’s National, and Stephen P. Hunger, M.D., Chief ...
(Date:10/12/2017)... ... 12, 2017 , ... Health Literacy Innovations (HLI), creator of ... and the Cancer Patient Education Network (CPEN), an independent professional organization that shares ... strategic alliance. , As CPEN’s strategic partner, HLI will help support CPEN ...
(Date:10/12/2017)... ... October 12, 2017 , ... Farm Forward joins ... other leading institutions in announcing the launch of the Leadership Circle , ... animals are raised for food. , Founding members of the Leadership Circle also ...
Breaking Medicine News(10 mins):
(Date:10/11/2017)... Texas , Oct. 11, 2017  Caris Life ... focused on fulfilling the promise of precision medicine, today ... has joined Caris, Precision Oncology Alliance™ (POA) as its ... cancer centers, the St. Jude Crosson Cancer Institute will ... advance the use of tumor profiling, making cancer treatment ...
(Date:10/10/2017)... , Oct. 10, 2017   West Pharmaceutical Services, ... solutions for injectable drug administration, today shared the results ... Adapter for improving the intradermal administration of polio vaccines. ... Vaccination Summit in May 2017 by Dr. Ondrej ... Department, World Health Organization (WHO), and recently published in ...
(Date:10/4/2017)... Oct. 4, 2017  According to the Centers for Disease Control and ... October . PhysicianOne Urgent Care is helping communities across Massachusetts ... , by offering no-cost* flu shots through the end of the ... certain health insurance regulations. ... time to get a flu shot is by the end of October, ...
Breaking Medicine Technology: