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Rates and correlates of risky firearm behaviors among adolescents and young adults treated in an urban emergency department

Preventive Medicine Nov 16, 2019

Carter PM, Mouch CA, Goldstick JE, et al. - By performing this inquiry in 1,312 adolescents and young adults (A/YAs) (age-16-29) seeking medical or injury-related care (7/2017–6/2018) at a Level-1 urban emergency department (ED), researchers assessed the rates as well as the correlates of risky firearm behaviors (RFBs), including firearm carriage in risky situations (eg, while drunk/high), discharge in risky situations (eg, fleeing police), and firearm aggression (eg, firearm threats/use against a partner/non-partner) in this population, so that prevention efforts may be informed. Older age, male gender, Black race/ethnicity, substance misuse, attitudes favoring firearm use/retaliation, peer firearm ownership/carriage, higher levels of community violence exposure, and active parole/probation were regression identified RFBs correlates. The protective influence of higher coping skills was noted. High RFB rates were found in A/YAs seeking urban ED treatment. This highlights that new prevention initiatives are required, particularly those including tailored content addressing substance use, retaliatory violence, and peer delinquency/norms, while improving self-efficacy for preventing RFBs and offering access to external resources within a resiliency-based framework.
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