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Violent injury prevention does not equal to violent crime prevention: an analysis of violence intervention program efficacy using propensity score methods
OBJECTIVE: The purpose of this study was to determine if exposure to Prescription for Hope (RxH), a hospital-based violence intervention program (HVIP), is associated with reduced violent reinjury and new convictions for violent crime in the 2-year period after index hospitalization for a violent in...
Autores principales: | , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
BMJ Publishing Group
2022
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9577934/ https://www.ncbi.nlm.nih.gov/pubmed/36267559 http://dx.doi.org/10.1136/tsaco-2022-000905 |
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author | Holler, MPH, Emma Ortiz, MD, Damaris Mohanty, MD, MS, Sanjay Meagher, MD, MPH, Ashley D Boustani, MD, MPH, Malaz Zarzaur, MD, MPH, Ben L Simons, MD, Clark J |
author_facet | Holler, MPH, Emma Ortiz, MD, Damaris Mohanty, MD, MS, Sanjay Meagher, MD, MPH, Ashley D Boustani, MD, MPH, Malaz Zarzaur, MD, MPH, Ben L Simons, MD, Clark J |
author_sort | Holler, MPH, Emma |
collection | PubMed |
description | OBJECTIVE: The purpose of this study was to determine if exposure to Prescription for Hope (RxH), a hospital-based violence intervention program (HVIP), is associated with reduced violent reinjury and new convictions for violent crime in the 2-year period after index hospitalization for a violent injury. METHODS: This was a retrospective cohort study analyzing patients from two level I trauma centers in Indianapolis, Indiana. RxH participants (n=260) enrolled between January 1, 2015 and December 31, 2018 and who had trauma registry data were included. RxH eligibility criteria: admitted for a violent injury (excluding sexual violence), at least 15 years of age, live in Marion County, Indiana, and stay in the hospital for at least 24 hours. RxH exclusion criteria: heavy active substance use, acute psychosis, dementia, severe traumatic brain injury, intentional self-harm, and incarceration. All patients admitted to IU Health Methodist Hospital, a nearby level I trauma center, for an assault, stabbing, or gunshot wound during the same period and met the RxH eligibility criteria were included as a comparison group (n=732). Doubly adjusted logistic regression with inverse probability of treatment weighting was used to estimate the average treatment effect of RxH participation on violent reinjury and new convictions for violent crime. RESULTS: Data from 992 patients were analyzed. RxH was significantly associated with reduced odds of violent reinjury (OR=0.35, 95% CI 0.20 to 0.59) and increased odds of conviction for a violent crime (OR=2.43, 95% CI 1.64 to 3.61). CONCLUSION: RxH was associated with decreased odds of violent reinjury but increased odds of new conviction for a violent crime. Our results highlight the importance of robust, routine evaluation of HVIP efficacy and recommend inclusion of other outcomes in addition to violent reinjury when evaluating program success. High-quality randomized controlled trials are needed to further investigate the impact of HVIPs on a variety of outcomes. LEVEL OF EVIDENCE: IV: retrospective study with more than one negative criterion ((1) limited control of confounding and (2) heterogeneous populations). |
format | Online Article Text |
id | pubmed-9577934 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2022 |
publisher | BMJ Publishing Group |
record_format | MEDLINE/PubMed |
spelling | pubmed-95779342022-10-19 Violent injury prevention does not equal to violent crime prevention: an analysis of violence intervention program efficacy using propensity score methods Holler, MPH, Emma Ortiz, MD, Damaris Mohanty, MD, MS, Sanjay Meagher, MD, MPH, Ashley D Boustani, MD, MPH, Malaz Zarzaur, MD, MPH, Ben L Simons, MD, Clark J Trauma Surg Acute Care Open Original Research OBJECTIVE: The purpose of this study was to determine if exposure to Prescription for Hope (RxH), a hospital-based violence intervention program (HVIP), is associated with reduced violent reinjury and new convictions for violent crime in the 2-year period after index hospitalization for a violent injury. METHODS: This was a retrospective cohort study analyzing patients from two level I trauma centers in Indianapolis, Indiana. RxH participants (n=260) enrolled between January 1, 2015 and December 31, 2018 and who had trauma registry data were included. RxH eligibility criteria: admitted for a violent injury (excluding sexual violence), at least 15 years of age, live in Marion County, Indiana, and stay in the hospital for at least 24 hours. RxH exclusion criteria: heavy active substance use, acute psychosis, dementia, severe traumatic brain injury, intentional self-harm, and incarceration. All patients admitted to IU Health Methodist Hospital, a nearby level I trauma center, for an assault, stabbing, or gunshot wound during the same period and met the RxH eligibility criteria were included as a comparison group (n=732). Doubly adjusted logistic regression with inverse probability of treatment weighting was used to estimate the average treatment effect of RxH participation on violent reinjury and new convictions for violent crime. RESULTS: Data from 992 patients were analyzed. RxH was significantly associated with reduced odds of violent reinjury (OR=0.35, 95% CI 0.20 to 0.59) and increased odds of conviction for a violent crime (OR=2.43, 95% CI 1.64 to 3.61). CONCLUSION: RxH was associated with decreased odds of violent reinjury but increased odds of new conviction for a violent crime. Our results highlight the importance of robust, routine evaluation of HVIP efficacy and recommend inclusion of other outcomes in addition to violent reinjury when evaluating program success. High-quality randomized controlled trials are needed to further investigate the impact of HVIPs on a variety of outcomes. LEVEL OF EVIDENCE: IV: retrospective study with more than one negative criterion ((1) limited control of confounding and (2) heterogeneous populations). BMJ Publishing Group 2022-10-17 /pmc/articles/PMC9577934/ /pubmed/36267559 http://dx.doi.org/10.1136/tsaco-2022-000905 Text en © Author(s) (or their employer(s)) 2022. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ. https://creativecommons.org/licenses/by-nc/4.0/This is an open access article distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited, appropriate credit is given, any changes made indicated, and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/ (https://creativecommons.org/licenses/by-nc/4.0/) . |
spellingShingle | Original Research Holler, MPH, Emma Ortiz, MD, Damaris Mohanty, MD, MS, Sanjay Meagher, MD, MPH, Ashley D Boustani, MD, MPH, Malaz Zarzaur, MD, MPH, Ben L Simons, MD, Clark J Violent injury prevention does not equal to violent crime prevention: an analysis of violence intervention program efficacy using propensity score methods |
title | Violent injury prevention does not equal to violent crime prevention: an analysis of violence intervention program efficacy using propensity score methods |
title_full | Violent injury prevention does not equal to violent crime prevention: an analysis of violence intervention program efficacy using propensity score methods |
title_fullStr | Violent injury prevention does not equal to violent crime prevention: an analysis of violence intervention program efficacy using propensity score methods |
title_full_unstemmed | Violent injury prevention does not equal to violent crime prevention: an analysis of violence intervention program efficacy using propensity score methods |
title_short | Violent injury prevention does not equal to violent crime prevention: an analysis of violence intervention program efficacy using propensity score methods |
title_sort | violent injury prevention does not equal to violent crime prevention: an analysis of violence intervention program efficacy using propensity score methods |
topic | Original Research |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9577934/ https://www.ncbi.nlm.nih.gov/pubmed/36267559 http://dx.doi.org/10.1136/tsaco-2022-000905 |
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