title: The prevalence of trauma and childhood adversity in an urban, hospital-based violence intervention program.
abstract: Hospitals represent a promising locus for preventing recurrent interpersonal violence and its psychological sequella. We conducted a cross-sectional analysis to assess the prevalence of post-traumatic stress disorder (PTSD) and adverse childhood experiences (ACEs) among victims of interpersonal violence participating in a hospital-based violence intervention program. Participants completed PTSD and ACE screenings four to six weeks after violent injury, and data were exported from a case management database for analysis. Of the 35 program participants who completed the ACE and/or PTSD screenings, 75.0% met full diagnostic criteria for PTSD, with a larger proportion meeting diagnostic criteria for symptom-specific clusters. For the ACE screening, 56.3% reported three or more ACEs, 34.5% reported five or more ACEs, and 18.8% reported seven or more ACEs. The median ACE score was 3.5. These findings underscore the importance of trauma-informed approaches to violence prevention in urban hospitals and have implications for emergency medicine research and policy.
authors: Theodore J
authors: TJ
authors: Corbin
authors: Jonathan
authors: J
authors: Purtle
authors: Linda J
authors: LJ
authors: Rich
authors: John A
authors: JA
authors: Rich
authors: Erica J
authors: EJ
authors: Adams
authors: Garrett
authors: G
authors: Yee
authors: Sandra L
authors: SL
authors: Bloom
mesh_terms: D000293:Adolescent; D000328:Adult; D019548:Crime Victims / Q000523:psychology*; D003430:Cross-Sectional Studies; D016208:Databases, Factual; D004636:Emergency Service, Hospital; D005260:Female; D006786:Hospitals, Urban; D006801:Humans; D008297:Male; D015995:Prevalence; D024382:Professional Role; D013313:Stress Disorders, Post-Traumatic / Q000453:epidemiology*; D014754:Violence / Q000517:prevention & control* / Q000523:psychology*; D055815:Young Adult