Professional Documents
Culture Documents
Massachusetts Medical Society Seminar Series
Massachusetts Medical Society Seminar Series
Robert D. Sege, M.D., Ph.D., Editor and Vincent G. Licenziato, Associate Editor
Massachusetts Medical Society Committee on Violence
Objectives
• Epidemiology of Violence
• Primary Prevention
• Violence History
• Prevention of Re-injury
• Special Populations
Smoker in
Household
Provider
should ask
Community Provider
violence asked
Supportive
partner Source: Kogan MD et al.
Pediatrics (2004)
0 20 40 60 80 100
Risk Resilience
• Individual factors • Internal controls
• Home and family • Family cohesiveness
exposures
• Social connection
• Community risks
Risk5 Resilience6
• Previous aggressive/ • Social competence
violent behavior
• Problem-solving skills
• Previous victimization
• Autonomy
• Genetic factors (e.g.,
• Sense of purpose/future
temperament)
• Use of drugs and/or
alcohol
Risk Resilience
• Child witness to • Extended support
violence: system:
– domestic violence – family
– media – community
• Firearms in the home • Parental role-modeling
• Ineffective parenting • Presence of routines
• Poverty
Risk Resilience
• Poverty • Social connections:
– church
• Exposure to community
– athletics
violence
– other activities
• Criminal activity:
• School attachment
– gangs
– drugs • Adult role-modeling/
mentoring
• Socially Acceptable
• Common
• Without Consequence
• Violence at home
• Previous history of violence-related injury
• Drug use
• Poor performance at school
• Truancy
• Weapon carrying
• Fighting
• Injuries
• Sex
• Threats
• Self-Defense
Recognizing & Preventing Youth Violence
FISTS: Fighting