title: Primary care practitioners' detection of youth violence involvement.
abstract: BACKGROUND
  Youth violence is a widespread public health problem. Despite recommendations to address youth violence by the American Academy of Pediatrics, it is unclear how often primary care practitioners (PCPs) do so.
  
  
  OBJECTIVE
  To determine PCPs' documentation of violence involvement.
  
  
  METHODS
  Children 11 to 17 years old were enrolled while attending a clinic. They completed questionnaires assessing violence involvement confidentially without the knowledge of the PCP. The primary outcome, documented reference to violence involvement, was determined by chart review.
  
  
  RESULTS
  A total of 165 youth participated: mean age = 14.5 years (standard deviation = 1.7), 43% male, 46% white. In all, 14.5% of charts documented any violence involvement. Of the 20% of youth who reported serious violence involvement, PCPs documented violence issues 19.4% of the time. Factors associated with documentation included nonwhite race (P < .05), having public (or no) insurance (P < .001), visit type (routine checkup (P < .05), and clinic site (P < .001).
  
  
  CONCLUSIONS
  PCPs infrequently document discussion of violence-related issues, specifically in youth who are demonstrating risk.
authors: University of Colorado School of Medicine, Aurora, CO 80045, USA. eric.sigel@childrenscolorado.org
authors: Eric J
authors: EJ
authors: Sigel
authors: Scott B
authors: SB
authors: Harpin
mesh_terms: D000293:Adolescent; D002648:Child; D003120:Colorado; D005260:Female; D019983:Guideline Adherence / Q000706:statistics & numerical data*; D006801:Humans; D016015:Logistic Models; D008297:Male; D017410:Practice Guidelines as Topic; D010818:Practice Patterns, Physicians' / Q000706:statistics & numerical data*; D011320:Primary Health Care; D018570:Risk Assessment; D057566:Self Report; D011795:Surveys and Questionnaires; D014754:Violence / Q000517:prevention & control* / Q000706:statistics & numerical data
keywords: primary care; youth violence