Trauma Services Intervention to Prevent Violence

Gunshot Wound, Contact Clinical Trial

— TSI  

Official title:

Trauma Services Intervention to Prevent Violence

Clinical Trial Details — Status: Completed

Administrative data

• NCT number: NCT02642224
• Other study ID #: UN2013-67786
• Status: Completed
• Phase: N/A
• Start date: May 2014
• Est. completion date: May 2018

Study information

• Verified date: June 2018
• Source: University of Pittsburgh
• Contact: n/a
• Is FDA regulated: No
• Study type: Interventional

Clinical Trial Summary

Primary outcome: Research participants and their network contacts will be followed over 6 months to assess whether a social work case management protocol results in reduction of trauma services recidivism and criminal violence arrests.

Description:

Allegheny County, PA continues to suffer between 100-120 homicides each year, with perhaps 2-3 times as many gunshot injuries that require hospitalization. Firearm homicides overwhelmingly affect African American men aged 15-35. Building on prior efforts in violence prevention, the investigators propose to launch a hospital trauma service intervention that will take advantage of a "teachable moment" in the emergency room. All four hospitals providing Level I Trauma services in Allegheny County have agreed to host the program, an evidence-based effort developed by the National Network of Hospital Violence Intervention (NNHVI). Adaptation of the NNHVI model will focus on the social networks of gunshot victims as well as the victims themselves. Intervention efforts will range from job training and mentoring to relocation to different communities. The investigators will offer the opportunity to participate in the research and receive the intervention to all gunshot victims identified in county Level I trauma services. Participants in the research protocol will be asked to recruit their high-risk social network members for the intervention.

Recruitment information / eligibility

• Status: Completed
• Enrollment: 111
• Est. completion date: May 2018
• Est. primary completion date: May 2018
• Accepts healthy volunteers: No
• Gender: All
• Age group: 18 Years to 60 Years

Eligibility

Inclusion Criteria:

1. Age 18+

2. Gunshot victim treated and discharged from Level I trauma facility; or member of social network of gunshot victim who may be high risk of firearm violence -

Exclusion Criteria:

1. Gunshot wound because of suicide attempt

2. Gunshot wound because of non-violent episode (e.g., hunting accident)

3. Unable to participate in research interview because of cognitive deficit

4. Planning to leave community as result of shooting

5. Discharged from trauma service to prison

6. Unable to provide informed consent -

Related Conditions & MeSH terms

• Gunshot Wound, Contact
• Skin Injury Due to Violence
• Wounds, Gunshot

Intervention

Behavioral:
• Social Work Case Management
The National Network of Hospital Violence Intervention (NNHVI) suggests that intervening when gunshot victims are receiving treatment in hospital trauma services may be effective in linking high-risk individuals to appropriate case management services, and that this service linkage may lower the risk of further violence. Our adaptation of the NNHVI model will focus on the social networks of gunshot victims as well as the victims themselves. Intervention efforts will range from job training and mentoring to relocation to different communities.

Locations

Country	Name	City	State
United States	University of Pittsburgh, Graduate School of Public Health	Pittsburgh	Pennsylvania

Sponsors (4)

Lead Sponsor	Collaborator
University of Pittsburgh	Hillman Foundation, RK Mellon Foundation, The Pittsburgh Foundation

Country where clinical trial is conducted

United States, 

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	Trauma services recidivism	Readmission to hospital trauma service because of firearm injury	6 months
Primary	Arrest for violent crime	Arrests involving criminal violence noted in DA docket	6 months
Secondary	Social work case management goals	Educational program enrollment, job training, receipt of drug and alcohol treatment, trauma counseling	6 months

External Links

•   Center for Heath Equity, University of Pittsburgh