title: Increasing documentation and referral for youth at risk for violence through the primary health care setting.
abstract: OBJECTIVE
  Evaluate the use of a previsit violence risk screen to determine whether screening during routine care increases health care practitioner's (HCP's) documentation of violence risk.
  
  
  METHODS
  Once consented, adolescents filled out the Violence Injury, Protection and Risk Screen Tool (VIPRS). For usual care screen results were not viewed by the HCP. For the intervention screen results were imbedded in the electronic medical record and viewed by the HCP. The primary outcome-documented reference to violence risk-was determined by chart review.
  
  
  RESULTS
  Three hundred and fifty-six youth participated. Age was 14.5 years (SD 0.3); 65% female, 45% Hispanic, 38% black. Odds of violence related documentation was 47.4 (P < .001) in the intervention compared with usual care. Those who were positive on the VIPRS had a 10 times greater odds of receiving a violence intervention compared with controls.
  
  
  CONCLUSIONS
  Previsit screening for violence risk significantly increases HCP's documentation of violent behavior and referral for intervention.
authors.affiliation: University of Colorado, School of Medicine, Aurora, CO, USA eric.sigel@childrenscolorado.org.
authors.forename: Eric
authors.initials: E
authors.lastname: Sigel
authors.affiliation: University of Colorado, College of Nursing, Aurora, CO, USA.
authors.forename: Scott B
authors.initials: SB
authors.lastname: Harpin
authors.affiliation: Colorado School of Public Health, Aurora, CO, USA.
authors.forename: Gregory
authors.initials: G
authors.lastname: Tung
mesh_terms: D000293:Adolescent; D000294:Adolescent Behavior / Q000523:psychology*; D000374:Aggression / Q000523:psychology; D004282:Documentation / Q000379:methods / Q000706:statistics & numerical data; D057286:Electronic Health Records / Q000706:statistics & numerical data*; D005260:Female; D006801:Humans; D008297:Male; D008499:Medical Records; D011320:Primary Health Care / Q000379:methods*; D012017:Referral and Consultation / Q000706:statistics & numerical data*; D014505:Urban Population / Q000706:statistics & numerical data; D014754:Violence / Q000517:prevention & control* / Q000523:psychology / Q000706:statistics & numerical data
keywords: adolescents; violence risk screening; primary care; youth violence