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Trauma recidivism

Fredrik Röding, Marie Lindkvist, Ulrica Bergström, Olle Svensson, Jack Lysholm
BACKGROUND: To inform targeted prevention, we studied patterns of trauma recidivism and whether a first injury predicts the risk for a recurrent injury. METHODS: In a population-based study of 98,502 adult injury events 1999-2012, at the emergency department of Umeå University Hospital, Sweden, we compared non-recidivists with recidivists in terms of patients' sex, age, type of injury and severity of the injury. RESULTS: Thirty-six percent of all patients suffered recurrent injuries, which were associated with a higher proportion of inpatient care and more hospital days...
December 2016: Injury Epidemiology
Sanford Nidich, Tom O'connor, Thomas Rutledge, Jeff Duncan, Blaze Compton, Angela Seng, Randi Nidich
CONTEXT: Trauma events are four times more prevalent in inmates than in the general public and are associated with increased recidivism and other mental and physical health issues. OBJECTIVE: To evaluate the effects of Transcendental Meditation(a) (TM) on trauma symptoms in male inmates. DESIGN: One hundred eighty-one inmates with a moderate- to high-risk criminal profile were randomly assigned to either the TM program or to a usual care control group...
October 7, 2016: Permanente Journal
Eun Young Kim, Jiung Park, Bongseog Kim
BACKGROUND: Childhood maltreatment is strongly associated with delinquency and the repeated crime. Specific types of childhood maltreatment have been found to have differential effects on recidivism in juvenile offenders, but studies of adult probationers have not been performed. This study investigated the relationship between having a history of childhood maltreatment and mental-health problems and the independent contribution of specific types of maltreatment and mental-health problems to the criminal recidivism of adult probationers...
2016: BMC Psychiatry
Joseph B Richardson, Christopher St Vil, Tanya Sharpe, Michael Wagner, Carnell Cooper
BACKGROUND: Black men are disproportionately overrepresented among victims of repeat violent injury. However, little is known about the risk factors that influence violent trauma recidivism among black men. We hypothesize that the following risk factors would be significant among black male victims of repeat violent injury: disrespect; being under the influence; being in a fight and using a weapon in the past year; and previous incarceration when comparing trauma recidivists versus nonrecidivists...
July 2016: Journal of Surgical Research
Juliann C Koleszar, Benjamin R Childs, Heather A Vallier
The goals of this study were to determine the frequency of trauma recidivism and to identify risk factors. The authors hypothesized that substance abuse and mental illness would be associated with recidivism. They performed a retrospective review of 879 patients who were treated surgically for high-energy fractures over a period of 4 years. Recidivism was defined as presentation to the trauma center for a new, unrelated injury. A recurrent recidivist was a repeat patient who returned for more than 1 additional injury...
September 1, 2016: Orthopedics
Bethany L Strong, Christina R Greene, Gordon S Smith
OBJECTIVES: The objectives of this study were to determine the association between recurrent trauma admissions (recidivism) and subsequent long-term mortality, and to identify those in most need for preventive interventions. BACKGROUND: Patients with a single intentional injury have been shown to have a higher risk of future injury mortality than those with unintentional injury with 5-year mortality rates as high as 20% being reported for recurrent penetrating trauma...
June 8, 2016: Annals of Surgery
Cristina J Palmer, Matthew Houlihan, Sarah P Psutka, K Alexandria Ellis, Patricia Vidal, Courtney M P Hollowell
OBJECTIVE: To review a single institution's 15-year experience with urethral foreign bodies, including evaluation, clinical findings, and treatment. MATERIALS AND METHODS: In total, 27 patients comprising 35 episodes of inserted urethral foreign bodies were reviewed at Cook County Hospital between 2000 and 2015. Retrospective chart review was performed to describe the clinical presentation, rationale for insertion, management, recidivism, and sequelae. RESULTS: Median patient age was 26 (range 12-60)...
May 31, 2016: Urology
Laura M White, Katherine S L Lau, Matthew C Aalsma
Although approximately 60 to 70 percent of detained adolescents meet criteria for a mental disorder, few receive treatment upon community re-entry. Given that mental health treatment can reduce recidivism, we examined detained adolescents' mental health needs and their postdetention mental health treatment and recidivism. Altogether, 1,574 adolescents (≤18 years) completed a mental health screening at a detention center. Scores on the screening, mental health treatment utilization (60 days after detention), and recidivism (6 months after detention) were measured...
June 2016: Journal of the American Academy of Psychiatry and the Law
Lauren T Southerland, Julie A Stephens, Shari Robinson, James Falk, Laura Phieffer, Joseph A Rosenthal, Jeffrey M Caterino
OBJECTIVES: To determine whether fall-related injuries affect return to the ED after the initial visit. DESIGN: Retrospective chart review. SETTING: Academic Level 1 trauma center ED. PARTICIPANTS: Individuals aged 65 and older evaluated for a fall from standing height or less and discharged (N = 263, average age 77, 70% female). MEASUREMENTS: After institutional review board approval, electronic medical record data were queried...
April 2016: Journal of the American Geriatrics Society
Peter D Gibson, Joseph A Ippolito, Mohammed Kareem Shaath, Curtis L Campbell, Adam D Fox, Irfan Ahmed
BACKGROUND: Although penetrating injury is the most common reason for pediatric trauma recidivism, there is a paucity of literature specifically looking at this population. The objective of this study was to identify those in the pediatric community at the highest levels of risk for experiencing gunshot wound (GSW) on multiple occasions. METHODS: A retrospective review querying our urban Level I trauma database was performed. Patients aged 0 year to 18 years sustaining GSW from 2000 to 2011 were selected...
June 2016: Journal of Trauma and Acute Care Surgery
James Nunn, Mete Erdogan, Robert S Green
OBJECTIVE: Recurrent admission to a hospital or trauma centre for separate incidents of traumatic injury is known as trauma recidivism. Although use of alcohol is a known risk factor for injury and associated with trauma recidivism, the scale of alcohol-related trauma recidivism has not been well described. The purpose of this review was to search the published literature for studies that evaluated the prevalence of alcohol use among trauma recidivists. Our primary objective was to determine the proportion of trauma recidivism related to alcohol use...
March 2016: Injury
Joseph B Richardson, Christopher St Vil, Carnell Cooper
This paper examines an alternative solution for collecting reliable police shooting data. One alternative is the collection of police shooting data from hospital trauma units, specifically hospital-based violence intervention programs. These programs are situated in Level I trauma units in many major cities in USA. While the intent of these programs is to reduce the risk factors associated with trauma recidivism among victims of violent injury, they also collect reliable data on the number of individuals treated for gunshot wounds...
April 2016: Journal of Urban Health: Bulletin of the New York Academy of Medicine
Sarah Sharpe, Matthew Shepherd, Bridget Kool, Robyn Whittaker, Vili Nosa, Enid Dorey, Susanna Galea, Papaarangi Reid, Shanthi Ameratunga
BACKGROUND: Screening for alcohol misuse and brief interventions (BIs) for harm in trauma care settings are known to reduce alcohol intake and injury recidivism, but are rarely implemented. We created the content for a mobile phone text message BI service to reduce harmful drinking among patients admitted to hospital following an injury who screen positive for hazardous alcohol use. The aim of this study was to pre-test and refine the text message content using a robust contextualisation process ahead of its formal evaluation in a randomised controlled trial...
2015: BMC Public Health
Judy Nanette Mikhail, Lynne Sheri Nemeth
OBJECTIVE: Youth violence recidivism remains a significant public health crisis in the United States. Violence prevention is a requirement of all trauma centers, yet little is known about the effectiveness of these programs. Therefore, this systematic review summarizes the effectiveness of trauma center-based youth violence prevention programs. METHODS: A systematic review of articles from MEDLINE, CINAHL, and PsychINFO databases was performed to identify eligible control trials or observational studies...
June 29, 2015: Trauma, Violence & Abuse
Timothy P Plackett, Hieu H Ton-That, Jeanne Mueller, Karen M Grimley, Elizabeth J Kovacs, Thomas J Esposito
CONTEXT: A blood alcohol level above 0 g/dL is found in up to 50% of patients presenting with traumatic injuries. The presence of alcohol in the blood not only increases the risk of traumatic injury, but it is also associated with worse outcomes and trauma recidivism. In light of these risks, the American College of Surgeons Committee on Trauma advocates screening for at-risk drinking. Although many institutions use blood alcohol levels to determine at-risk drinking in trauma patients, the Alcohol Use Disorders Identification Test (AUDIT) offers a cheap and easy alternative...
June 2015: Journal of the American Osteopathic Association
Vincent E Chong, Wayne S Lee, Gregory P Victorino
BACKGROUND: Measures of individual socioeconomic status correlate with recurrent violent injury; however, neighborhood socioeconomic status may also matter. We conducted a review of victims of interpersonal violence treated at our trauma center, hypothesizing that the percent of the population living under the poverty level in their neighborhood is associated with recurrent violent victimization. MATERIALS AND METHODS: We identified victims of interpersonal violence, ages 12-24, in our trauma registry from 2005-2010...
November 2015: Journal of Surgical Research
Debra A Pinals
Criminal conduct is not always violent, and violence does not always lead to criminal charges. Moreover, crime and violence have multifaceted etiologies. Most violence in society is not attributable to mental illness. Where there is a small relationship between violence and mental illness, the risk of violence increases for individuals with substance use histories. Underlying trauma can also play a role. Antisocial attitudes, behaviors, and peer groups further increase the risk that individuals, including those with mental illness, will find themselves at risk of criminal recidivism...
June 2015: CNS Spectrums
Cory A Crane, Lindsay M S Oberleitner, Caroline J Easton
PURPOSE: With an established association between PTSD and the perpetration of intimate partner violence, evaluating the effectiveness of emerging integrated treatments for dual substance use and partner violent behavior on individuals with a significant trauma history may serve to improve treatment outcomes for clients with axis I psychopathology. This paper examined the association between sub-clinical trauma, treatment compliance, and recidivism in a sample of male, substance dependent intimate partner violence offenders...
2013: Advances in Dual Diagnosis
Christy K Scott, Michael L Dennis, Arthur J Lurigio
OBJECTIVE: The current study explored the prevalence and comorbidity of major internalizing and externalizing psychiatric disorders in a sample of female detainees participating in drug treatment programs in the nation's largest single-site jail, the Cook County (Chicago) Department of Corrections. METHODS: A total of 253 women participated in a Needs Inventory. The study incorporated an extensive combination of measures, which captured the women's demographic characteristics and psychological problems as well as their substance use and drug treatment histories and their criminal thinking tendencies...
March 2015: Psychiatric Rehabilitation Journal
Katelyn Rittenhouse, Carissa Harnish, Brian Gross, Amelia Rogers, Jo Ann Miller, Roxanne Chandler, Frederick B Rogers
BACKGROUND: To date, there are almost 500 accountable care organizations (ACOs) across the United States emphasizing cost-effective care. Readmission largely impacts health care cost; therefore, we sought to determine factors associated with geriatric trauma readmissions (recidivism) within our institution. METHODS: All admissions from 2000 to 2011 attributed to patients 65 years or older at our Level II trauma center, recently verified by Medicare as an ACO, were queried...
February 2015: Journal of Trauma and Acute Care Surgery
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