"It is nice, but it can't keep me safe": perspectives on the effectiveness of hospital-based violence intervention programs.

IF 2.5 Q3 CRITICAL CARE MEDICINE
Trauma Surgery & Acute Care Open Pub Date : 2026-07-24 eCollection Date: 2026-01-01 DOI:10.1136/tsaco-2025-002087
William Wical, Tyrique Glasgow, Thomas Williams, Kathryn Bocanegra, Bethany L Strong, Cassandra Crifasi, Nazsa Baker, Angel Boulware, Joseph Richardson
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引用次数: 0

Abstract

Background: Hospital-based violence intervention programs (HVIPs) have been identified as an important intervention to reduce the likelihood that people who are violently injured return to the hospital for a similar injury. However, these programs often struggle with the recruitment and retention of participants.

Methods: Drawing on long-term multisited ethnographic research at the programs associated with the two busiest trauma centers in the state of Maryland, we examine how survivors of violent injury, their loved ones, and program staff evaluate the effectiveness of HVIPs.

Results: In centering the perspectives of these stakeholders, our analysis shows a clear disconnect between the goals of HVIPs and the realities survivors face. Thematic analysis included the inability of program services to increase participant safety, the limited impact of HVIP services on reducing retaliatory violence, and the need for community-engaged collaboration.

Conclusions: These insights suggest a need for HVIP models that prioritize long-term care and social change.Level of EvidenceLevel IV, Economic & Value-based Evaluations.

“这很好,但它不能保证我的安全”:对医院暴力干预方案有效性的看法。
背景:以医院为基础的暴力干预计划(HVIPs)已被确定为一种重要的干预措施,以减少暴力受伤的人因类似伤害而返回医院的可能性。然而,这些项目往往难以招募和留住参与者。方法:利用与马里兰州两个最繁忙的创伤中心相关的项目的长期多地点人种学研究,我们研究了暴力伤害的幸存者、他们的亲人和项目工作人员如何评估hvip的有效性。结果:在以这些利益相关者的观点为中心时,我们的分析显示了hvip的目标与幸存者面临的现实之间的明显脱节。专题分析包括项目服务无法提高参与者的安全,HVIP服务在减少报复性暴力方面的影响有限,以及社区参与合作的必要性。结论:这些见解表明需要优先考虑长期护理和社会变革的HVIP模式。证据水平四级,经济和基于价值的评估。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
CiteScore
3.70
自引率
5.00%
发文量
71
审稿时长
12 weeks
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