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If We Are Not Active in Prevention Efforts, Who Will Be?

Arch Pediatr Adolesc Med. 1998;152:527-530.

	Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings.

YOUTH VIOLENCE is the second leading killer of our teenagers and the leading killer of our youth in poverty.^1-4 Nothing could be more dangerous about the trend of youth violence than the possibility that we get used to it. When we see youth violence as normative, we have given up on having a sane society. We must be repulsed by the effect of violence on our young people. As pediatricians, we must fight for the lives of our youth both through public advocacy and one by one in our offices.

The article by Song et al⁵ powerfully informs us that we have the potential to limit the spiral of violence—patient by patient. Yet, I worry that 2 major barriers cause many physicians to treat violence as outside their realm of influence. First, pediatricians are already burdened by more responsibilities and less time. Second and more importantly, we often do not . . . [Full Text of this Article]

TIME


THE VIOLENCE ASSESSMENT
Sense of Future

Exposure to Violence

Threshold for Fighting

Perception of Safety

The Acute Setting

OFFICE-BASED INTERVENTIONS

IF THE PATIENT IS IN THE MIDDLE OF A CYCLE OF RETALIATION

IF THE PATIENT SEEMS VULNERABLE TO VIOLENCE ESCALATION

IF THE PATIENT IS CONSIDERING OBTAINING A WEAPON TO ENHANCE THE PERCEPTION OF SAFETY

IF THEY KNOW WHAT THE RIGHT BEHAVIORS ARE, BUT FEEL THAT THEY WILL NOT BE ABLE TO ESCAPE DANGER, OR IF THEIR FRIENDS ARE INVOLVED

IF YOU ARE AT A LOSS, OR IF THE TEENAGER STATES, "HOW CAN YOU KNOW WHAT IT'S LIKE FOR ME?"

FINAL THOUGHTS

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