Future Violence Research Articles

Improving Maternal Health Care in a Post Conflict Setting: Evidence from Chittagong Hill Tracts of Bangladesh

We evaluate a development programme with an important maternal health care component in the Chittagong Hill Tracts of Bangladesh. The region and its mostly indigenous people experienced violent conflict in the past and face a constant risk of recurring conflict. Given this fragile setting, our work differs from conventional impact evaluations by incorporating two conflict indicators: the household’s actual experience of violence and fears of future violence. We find that the intervention undertaken by the United Nations Development Programme (UNDP) succeeded in boosting maternal health care utilisation: antenatal care (ANC) check-ups rose by 18 percentage points, while deliveries at health facilities increased by 23 percentage points. However, household experiences of violent conflict and perceptions of insecurity dampen maternal health care utilisation. Impacts on ANC check-ups are concentrated among households without experience of conflict (19 percentage points compared to 4 percentage points among households with such experience). And households without fears of violence see relatively larger impacts on deliveries at a health facility (37 percentage points compared to 11 percentage points). The programme is successful in raising maternal health care utilisation but its effectiveness has been constrained by the violence experienced and perceived by households.

Effects of a Theta/Sensorimotor Rhythm Neurofeedback Training Protocol on Measures of Impulsivity, Drug Craving, and Substance Abuse in Forensic Psychiatric Patients With Substance Abuse: Randomized Controlled Trial.

BackgroundForensic psychiatric patients are often diagnosed with psychiatric disorders characterized by high levels of impulsivity as well as comorbid substance use disorders (SUD). The combination of psychiatric disorders and SUD increases the risk of future violence. Chronic substance abuse can lead to a structural state of disinhibition, resulting in more drug taking and eventually loss of control over drug intake. When treating SUD, it is crucial to address high levels of impulsivity and lack of inhibitory control.ObjectiveThis study set out to investigate the effects of a theta/sensorimotor rhythm (SMR) neurofeedback training protocol on levels of impulsivity, levels of drug craving, and actual drug intake in a population of forensic psychiatric patients with a diagnosis of SUD.MethodsA total of 21 participants received 20 sessions of theta/SMR neurofeedback training in combination with treatment-as-usual (TAU). Results of the intervention were compared with results from 21 participants who received TAU only.ResultsSMR magnitude showed a significant (P=.02) increase post training for patients in the neurofeedback training group, whereas theta magnitude did not change (P=.71). Levels of drug craving as well as scores on the motor subscale of the Barratt Impulsivity Scale-11 decreased equally for patients in the neurofeedback training group and the TAU group. Other measures of impulsivity as well as drug intake did not change posttreatment (P>.05). Therefore, neurofeedback+TAU was not more effective than TAU only.ConclusionsThis study demonstrated evidence that forensic psychiatric patients are able to increase SMR magnitude over the course of neurofeedback training. However, at the group level, the increase in SMR activity was not related to any of the included impulsivity or drug craving measures. Further research should focus on which patients will be able to benefit from neurofeedback training at an early stage of the employed training sessions.Trial RegistrationDutch National Trial Register: NTR5386; http://www.trialregister.nl/trialreg/admin/rctview.asp?TC=5386 (Archived by WebCite at http://www.webcitation.org/6nXLQuoLl).

Is Xenophobic Violence and Criminality Systemic in Post-Apartheid South Africa? A Critical Analysis of Growing Denialism to 2015 Incidents

This article argues that the 2015 xenophobic violence was allowed to spread due to persistent inaction by state officials. While the utterances of King Goodwill Zwelithini have in part fuelled the attacks, officials tend to perceive acts of xenophobia as ordinary crimes. This perception has resulted in ill-advised responses from the authorities, allowing this kind of hate crime against foreign nationals to engulf the whole country. In comparison with similar attacks in 2008, the violent spree in 2015 is characterised by a stronger surge in criminal activities. The militancy showcased fed a sense of insecurity amongst foreigners, creating a situation inconsistent with the country’s vaunted respect for human rights and the rule of law. Investors lost confidence in the country’s outlook, owing in part to determined denialism in government circles regarding the targeting of foreigners. While drawing from existing debates, the article’s principal objective is to critically examine the structural problems that enable xenophobia to proliferate and the (in)effectiveness of responses to the militancy involved in the 2015 attacks. Of particular interest are the suggested responses that could be effective in curbing future violence. The article concludes that xenophobia is systemic in post-apartheid South Africa. Strong cooperation between the government, national and international organisations could provide the basis for successful anti-xenophobia measures. The article further argues that the country is obliged to find a sustainable solution to the predicament for humanitarian reasons firstly, and in recognition of the support South Africans received from its African counterparts during the liberation struggle.

Mapping the scientific research on the negative aspects of the medical school learning environment.

We sought to understand the landscape of published articles regarding medical schools' learning environments (LE) worldwide, with an explicit focus on potentially negative aspects of the LE as an effort to identify areas specifically in need of remediation or intervention that could prevent future unprofessional behaviours, burnout, violence and mistreatment among students and physicians. A bibliometric analysis was conducted in six electronic databases (PubMed/Medline, Web of Science, Cochrane Library, SCOPUS, ERIC-ProQuest and PsycINFO) through December 31, 2016, including 12 themes: learning environment - general, hidden curriculum (negative), unethical behaviours, bullying/hazing, violence, sexual discrimination, homophobia, racism, social discrimination, minorities' discrimination, professional misconduct, and "other" negative aspects. Of 9,338 articles found, 710 met the inclusion criteria. The most common themes were general LE (233 articles), unprofessional behaviours (91 articles), and sexual discrimination (80 articles). Approximately 80% of articles were published in the 21st century. There is a clear increase in scientific articles on negative aspects of the medical school LE in high-quality journals, especially in the 21st century. However, more studies are needed to investigate negative LE aspects with greater attention paid to experimental, longitudinal, and cross-cultural study designs.

Acknowledging the victim to perpetrator trajectory: Integrating a mental health focused trauma-based approach into global violence programs

Abstract Violence prevention and intervention programming continues to overlook conclusive findings from biopsychosocial research that demonstrates the salience of early interpersonal trauma in subsequent perpetration of violent behavior. As a result, programs struggle to achieve significant and sustained behavior change in individuals whose past experiences of early interpersonal violence predispose them to use violence against others. A robust research literature unequivocally links early interpersonal trauma experience with future violence perpetration. Though legal consequences have demonstrated some success in curtailing future violence among those involved with the legal system and only in situation in which law enforcement and judicial processes protect victims, there is growing recognition that rehabilitation and treatment of perpetrators is necessary. Globally, studies demonstrate that exposure to early interpersonal violence negatively impacts brain development, interpersonal skills, and emotional resilience and escalates risk for future violence perpetration. Studies of youth and adult violence perpetrators consistently demonstrate that individuals who engage in violent behavior are much more likely to have experienced early interpersonal trauma. It is essential to integrate a mental health approach into public health frameworks to address the core of violence perpetration. Unaddressed early trauma greatly distorts the normal developmental trajectory of cognitive and psychological/emotional abilities. Unsurprisingly, many of the affected systems are also linked to violence perpetration. This position paper outlines the interconnections between early trauma and violence perpetration, and demonstrates the necessity of integrating a mental health, trauma-based framework into global violence interventions.

Preventing Violent Encounters Between Police and Young Black Men: A Comparative Case Study

In the past several years, high profile events have drawn attention to the longstanding problem of violent encounters between police and young black men in the U.S. This paper highlights the results of a 1-year qualitative study to describe (1) perceptions of police-youth violence prevention policies, programs, and practices; and (2) existing infrastructures that can be leveraged to strengthen police-youth violence prevention efforts. Semi-structured interviews were conducted with 48 key stakeholders from four groups (young black men aged 14-24years, parents and educators, police officers, and staff in youth serving organizations) in 2017. Stakeholders were asked to (1) identify any policies, programs, or practices aimed at police-youth violence prevention; (2) evaluate the effectiveness of these efforts and how they might be improved; and (3) envision any new efforts to prevent future violent encounters between police and young black men. Data were collected and analyzed in 2017 using content analysis methods. Key stakeholders demonstrated high awareness of efforts, particularly programs to deter youth violence. However, none of them were able to identify specific efforts to reduce violent encounters between local police and young black men. Responses differed across key stakeholder groups. Young people often stated that police needed to become more involved in the communities they serve; however, police believed they were building relationships with the community. Future violence prevention efforts must incorporate policies, programs, and practices that explicitly address violent encounters between police and young black men. This article is part of a supplement entitled African American Men's Health: Research, Practice, and Policy Implications, which is sponsored by the National Institutes of Health.

The Development of the VP-SAFvR: An Actuarial Instrument for Police Triage of Australian Family Violence Reports

This study describes the rationale, development, and validation of the Victoria Police Screening Assessment for Family Violence Risk (VP-SAFvR). The actuarial instrument was developed on a sample of 24,446 Australian police reports from 2013-2014. Information from each report and criminal histories of those involved were collected with 12-month follow-up, and binary logistic regression used to develop an improper predictive model. The selected VP-SAFvR cut-off score correctly identified almost three quarters of cases with further reports, while half of those without were accurately excluded. It was effective for frontline police triage decision-making, with few screened-out cases reporting further family violence, while those screened-in required additional risk assessment. Predictive validity was adequate and consistent across family relationships and demographic groups, although it was less effective in predicting future family violence reports involving same-sex couples or child perpetrators. Further evaluation in a field trial is necessary to determine the validity of the VP-SAFvR in practice.

Evaluating treatment outcomes for young people participating in a high‐intensity therapeutic violence intervention in the English Youth Custody Service

PurposeA specialized unit for long‐term sentenced male young people sought to provide additional support to those convicted of the gravest violent offences, who had the highest risk of further offending. One key element was the introduction of a violence reduction intervention, Life Minus Violence‐Enhanced (LMV‐E). The present study evaluated LMV‐E.MethodsParticipants (N = 21, starting age = 16–17 years) were convicted of a violent offence and had a history of custodial and or community violence. Pre‐ and post‐intervention comparisons were of risk for future violence as measured by the Structured Assessment of Violence Risk in Youth (SAVRY; Borum et al., , Structured Assessment of Violence Risk in Youth (SAVRY). Psychological Assessment Resources Inc.) and treatment‐related change on self‐report questionnaires. Sanctions for further aggression in custody or following release were recorded at 12 and 24 months post‐intervention.ResultsSAVRY identified statistically significant reductions in individual–clinical and social–contextual scales, with large effect sizes. Statistically significant changes, with moderate effect sizes, were noted in self‐report questionnaires. Reductions were in rumination, physical and verbal aggression, and anger. Improvements were in emotional awareness, emotion regulation, and impulsivity. Follow‐up showed favourable rates of aggression within the community and custody.ConclusionsRisk reduction findings are important, pointing towards a generalized reduction in aggression risk following this intervention. Significantly, participants also demonstrated improvement in empathy, a direct treatment target. Treatment‐related change was multidomain, across several areas addressed by the intervention. This study therefore found good evidence for the utility of LMV‐E in addressing risk of aggression for young people.

Hopelessness and Delinquent Behavior as Predictors of Community Violence Exposure in Ethnic Minority Male Adolescent Offenders.

Justice-involved boys from urban communities are disproportionately impacted by community violence exposure (ECV) and despite decades of research, rates of ECV in youth continue to increase particularly for youth involved in the juvenile justice system. Despite the increased risk of exposure, the majority of research focuses on what may protect youth from the deleterious outcomes associated with violence exposure, rather than strategies that may prevent the violence exposure from occurring. The current study seeks to shift the focus of research in this area to examining factors that may predict future violence exposure. Specifically, the purpose of the current study is to examine the role of hopelessness as a predictor of the risk for violence exposure in a sample of 831 justice-involved, urban boys ages 14-18 (52.2% African American, 42.1% Hispanic, 5.7% other). Results revealed that baseline levels of low aspirations and hopelessness towards the future indirectly predicted violence exposure 1 year later through engagement in delinquent behavior. Clinical implications for targeting youth with elevated risk and preventing future violence exposure are discussed.

Breaking the Cycle of Child Maltreatment and Intimate Partner Violence: The Effects of Student Gender and Caring Relationships with Teachers

ABSTRACTThe prevalence of child maltreatment and its association with future violence makes identifying ways to intervene with victims and prevent subsequent violence increasingly important. Child maltreatment is any form of child abuse or child neglect resulting in actual or potential harm to a child’s health, survival, development or dignity. Self-reported data from the National Longitudinal Study of Adolescent Health were used to further understanding of a commonly described cycle of interpersonal violence where the experience of childhood maltreatment predicts victimization and perpetration of youth violence in adolescence and intimate partner violence in adulthood. Using a nationally representative sample, we examine how both gender and the experience of caring relationships with teachers could affect the cycle. Physical abuse was associated with youth violence victimization and perpetration, and neglect was associated with youth violence victimization. Youth violence victimization was related to IPV perpetration and victimization. For males, youth violence perpetration was associated with only IPV victimization, while for females, youth violence perpetration was associated with IPV perpetration and victimization. For males with low perceptions of having a caring teacher, youth violence victimization and perpetration were strongly correlated. Implications are discussed.

Oil Development and Intimate Partner Violence: Implementation of Section 8 Housing Policies in the Bakken Region of North Dakota and Montana.

One of the challenges survivors of intimate partner violence (IPV) often face is securing safe and affordable housing. Many survivors qualify for public housing programs such as the Section 8 Project-Based Rental Assistance (PBRA) program and tenant-based Housing Choice Voucher Program (HCVP). These programs can be vital for survivors fleeing abuse and trying to rebuild their lives. But how might regional conditions such as rapid population growth resulting from an oil boom affect the implementation of such programs for survivors? In addition, what role might such policies play in preventing future violence in resource boom communities? Analyzing existing policies and qualitative data collected from in-depth interviews with survivors, community members, and service providers in the Bakken region of North Dakota and Montana, we evaluate the implementation of Section 8 housing programs in oil-affected communities for survivors of IPV. We find that survivors of IPV often had a difficult time accessing affordable housing in the Bakken. Eligibility restrictions prevented some survivors from utilizing Section 8 housing programs, some landlords opted out of Section 8 program participation at the height of the oil boom, and the housing crisis may have simultaneously contributed to low utilization of housing vouchers. These conditions increased vulnerability for IPV survivors. We conclude by exploring the impact of the Violence Against Women Act (VAWA), state, and local initiatives on housing access and affordability, and the efficacy of Section 8 housing programs during the oil boom. Understanding the relationship between natural resource development, rapid population increases, housing inflation, and Section 8 housing programs should be considered as policy makers prioritize social programs in boomtown communities that may affect the well-being and safety of IPV survivors.

Riskbedömningens logiker i arbetet med mäns våld mot kvinnor


 Risk assessment logics when working with men’s violence against women 
 Over the past two decades, social workers’ assessment and decision-making skills in client cases have been the subject of increased attention. The profession’s ability to conduct accurate assessments has been questioned. One way to seek to improve assessment work has been to implement various risk assessment tools. This article describes how social workers reason in risk assessment situations involving women exposed to violence by a previous male partner. The assessments studied here have been carried out with the assessment tool FREDA. The analysis reveals three logics in the social workers’ reasoning: the addiction logic, the normalization logic and the safety logic. These logics illustrate how social workers’ deliberations and assessments are not governed in a rectilinear manner by the standardized tool but that risk is negotiated also by drawing on other knowledge sources. Although standardization can be seen as a way for professionals to strive for more secure social work, the participants at the same time acknowledge the uncertainty associated with assessment work in which future violence is to be predicted. This however can have consequences for how the victims of violence are expected to live their lives.

The relationship between animal cruelty in children and adolescent and interpersonal violence: A systematic review

Abstract The following study is a systematic review of the relationship between animal cruelty and interpersonal violence. The systematic literature review following PRISMA guidelines and combined with the application of inclusion and exclusion criteria, enabled us to locate 32 studies published between 1995 and July 2017. Overall, the results show that episodes of animal cruelty during childhood and adolescence tend to co-occur alongside other forms of violent and antisocial behaviors. Cruelty to animals was associated with bullying, behavioral problems, experiences of abuse (emotional, physical and sexual), and juvenile delinquency. Furthermore, recurrent animal cruelty during childhood and adolescence was a significant predictor of the future adult perpetration of interpersonal violence. Specifically, drowning animals or committing sexual acts with them predicted future adult violence directed against other humans. These findings lend empirical support to the progression, or graduation, hypothesis and the deviance generalization hypothesis. The implications of these results for clinical practice and future research are discussed. Finally, since this review has found significant limitations in the literature analyzed, methodological recommendations are provided and discussed.

Witnessing intimate partner violence as a child: How boys and girls model their parents' behaviors in adolescence.

Childhood witnesses of adult violence at home are at risk for future violence. It is unclear how gender of the child and adult perpetrator are related to adolescent relationship violence. We explore how childhood witnessing of same-gender, opposite-gender, and bidirectional violence perpetrated by adults is associated with adolescent relationship violence victimization only, perpetration only, and combined victimization/perpetration for male and female undergraduates. We gathered cross-sectional data from 907 undergraduates attending 67 randomly-selected classes at three distinct East-Coast colleges using pencil-and-paper surveys administered at the end of class time. Multiple imputation with chained equations was used to impute missing data. Multinomial regression models controlling for gender, age, race, school, and community violence predicted adolescent outcomes for each witnessing exposure; relative risk ratios and average adjusted probabilities with 95% confidence intervals are presented. Adolescent relationship violence outcomes vary based on gender of the child witness and adult perpetrator. Witnessing adult males perpetrate is associated with higher perpetration for boys and higher combined victimization/perpetration for girls. Witnessing adult females perpetrate - either as the sole perpetrator or in a mutually violent relationship with an adult male - increases risk for combined victimization/perpetration for boys and girls during adolescence.

Early childhood aggressive behaviour: Negative interactions with paternal antisocial behaviour and maternal postpartum depressive symptoms across two international cohorts

BackgroundEarly childhood aggressive behaviour is a predictor of future violence. Therefore, identifying risk factors for children’s aggressive behaviour is important in understanding underlying mechanisms. Maternal postpartum depression is a known risk factor. However, little research has focused on the influence of paternal behaviour on early childhood aggression and its interaction with maternal postpartum depression. MethodsThis study was performed in two cohorts: the Fathers Project, in the United Kingdom (n = 143) and the Generation R Study, in The Netherlands (n = 549). In both cohorts, we related paternal antisocial personality (ASP) traits and maternal postpartum depressive (PPD) symptoms to childhood aggressive behaviour at age two (Fathers Project) and age three (Generation R Study). We additionally tested whether the presence of paternal ASP traits increased the association between maternal PPD–symptoms and early childhood aggression. ResultsThe association between paternal ASP traits and early childhood aggressive behaviour, corrected for maternal PPD-symptoms, was similar in magnitude between the cohorts (Fathers Project: standardized β = 0.12, p = 0.146; Generation R: β = 0.14, p = 0.001), although the association was not statistically significant in the Fathers Project. Strikingly, and in contrast to our expectations, there was evidence of a negative interaction between paternal ASP traits and maternal PPD-symptoms on childhood aggressive behaviour (Fathers Project: β = −0.20, p = 0.020; Generation R: β = −0.09, p = 0.043) in both studies. This meant that with higher levels of paternal ASP traits the association between maternal PPD-symptoms and childhood aggressive behaviour was less and vice versa. ConclusionsOur findings stress the importance of including both maternal and paternal psychopathology in future studies and interventions focusing on early childhood aggressive behaviour.

The usefulness of psychopathy in explaining and predicting violence: Discussing the utility of competing perspectives

The current study is a review of the utility of psychopathy in violence risk assessment. Psychopathy has long been considered one of the most important factors when assessing the risk for future violence in forensic samples. Concerns about tautology have however indicated a need to critically assess the utility of psychopathy measures in risk assessment. We argue that the focus should be as much on the psychopathic personality in the explanation of violent behavior as on the psychopathic personality in the prediction of violent behavior. The main aim of this article is to contrast and discuss the utility of two different ways of conceptualizing and measuring the psychopathic personality, namely through the PCL scales and the CAPP. Existing evidence suggests that the CAPP and PCL are comparably strong predictors of violent behavior, but the CAPP is more dynamic (compared with the static PCL) and aims to measure psychopathic personality rather than past behavior. It is proposed that the CAPP is more useful in explaining violence and should be utilized more in future risk assessments for violence. Implications for future practice are discussed.

Danger at the Edge of Chaos: Predicting Violent Behavior in a Post-Daubert World

This interdisciplinary article explores the boundaries of predicting violence in the context of capital sentencing decisions. Currently, experts are permitted to proffer opinions in death sentencing proceedings that have little grounding in science, without any examination of the scientific validity of their assertions. They are permitted to do so because, despite being widely castigated as wholly unscientific by the scientific community, predictions of future dangerousness were found to be constitutionally admissible in Barefoot v. Estelle. Standards for evaluating expert testimony have changed considerably since Barefoot, however. The Supreme Court, through its Daubert line of cases, has caused a paradigm shift in the evaluation of scientific evidence in both state and federal courts. The kind of unscientific predictions proffered in Barefoot continue nonetheless to be routinely admitted in sentencing proceedings without any judicial gatekeeping efforts. The tension between the scientific scrutiny required for admissibility even in civil cases (where money damages are at stake) and the unscientific predictions freely admissible in capital sentencing determinations (where the issue is death) is, at best, troubling. This article explores the validity of dangerousness predictions in light of the latest scientific research about brain structure and function. It also discusses the development of actuarial instruments to assess risk, and compares three predominant actuarial instruments. Based on criteria scientists themselves use to assess validity, as well as the Supreme Court's requirements in Daubert, Joiner, and Kumho Tire, this article outlines a framework for sound analysis of scientific evidence regarding predictions of future violence. Drawing on insights from brain science as well as complexity theory and empirical studies of jury decisionmaking, this article concludes that although actuarial instruments should be used with caution, they offer improvements over the unaided judgment of juries and over the kind of unscientific assertions about future dangerousness currently typical in capital sentencing proceedings. This is an important and timely issue, because the consequences of misleading the jury in a death sentencing determination are severe, not only for the defendant, but for a society that values justice and aspires to rationality.

Gang violence predictability: Using risk terrain modeling to study gang homicides and gang assaults in East Los Angeles

PurposeThe current study investigates the application of risk terrain modeling (RTM) to forecast gang violence. RTM is routinely utilized to predict future criminal events in micro-units (i.e., city blocks) based upon features of the physical environment. The particular focus of the current study is RTM's ability to separately predict future gang assaults and gang homicides in the Los Angeles Police Department's (LAPD) Hollenbeck Community Policing Area. MethodGuided by the existing gang literature and knowledge of the region, 22 environmental risk factors are anticipated to spatially influence gang assaults and gang homicides. An RTM is established for 2009 gang assaults and 2009–2011 gang homicides. The RTM is then used to predict 2012 gang assaults and 2012 gang homicides respectively. ResultsPlaces most at risk of experiencing a gang assault are in close proximity to where gang members are frequently observed loitering by police and Metro rail stops while also contending with residential concentrations of local gang members. Areas most at risk of experiencing a gang homicide cope with residential concentrations of local gang members and gang set space. The ability for RTM to successfully forecast future gang violence may be limited. ConclusionsRTM is able to successfully identify and evaluate meaningful environment risk factors that spatially influence gang assaults and gang violence. However, the ability for RTM to successfully forecast future gang violence may be limited.

Association of Future Orientation With Violence Perpetration Among Male Youths in Low-Resource Neighborhoods

This study investigates the association between future orientation and violence perpetration among male youths in low-resource neighborhoods.

War Is Coming: Between Past and Future Violence in Lebanon

War Is Coming: Between Past and Future Violence in Lebanon