Violence Prevention Research Research Articles

Answering the call for better science: an update on SAVIR’s efforts to advance antiracism in injury and violence research

In response to the call for better science that the Society for Advancement of Violence and Injury Research (SAVIR) put out 4 years ago, SAVIR established its Anti-racism Interest Group...

Youth Engagement in Sexual Violence Prevention Programs and Research: A Systematic Review

Youth Engagement in Sexual Violence Prevention Programs and Research: A Systematic Review

A latent class analysis of non-suicidal self-injury and associations with constructs from the interpersonal theory of suicide in a sample of sexual minority young adults

Introduction: Self-directed violence (SDV), comprising both non-suicidal self-injury (NSSI) and suicide, is elevated among sexual minority populations. NSSI age of onset has been shown to impact severity of SDV outcomes. Components of the Interpersonal Theory of Suicide (ITS), which includes perceived burdensomeness (PB), thwarted belongingness (TB), and acquired capability for suicide (ACS), may be useful to understanding NSSI subgroups, especially among under-researched groups such as sexual minority persons. Methods: This study examined subtypes of NSSI and associations with constructs from the ITS. A sample of 473 sexual minority young adults with a history of NSSI completed self-report measures assessing demographics, SDV, and ITS constructs. More than half of the sample (59.7%) reported engaging in NSSI during their lifetime. For suicidal thoughts and behaviors, a majority of the sample reported having thoughts of suicide in their lifetime (87.3%), and one-third reported a lifetime suicide attempt (33.0%). Results: Latent class analysis revealed three classes: (1) lower NSSI, (2) moderate NSSI, and (3) higher NSSI. NSSI age of onset, intensity of suicidal thoughts, suicide plan likelihood, duration of NSSI, and number of NSSI methods differentiated groups. Multivariate Analysis of Variance (MANOVA) revealed that the lower NSSI group reported lower PB and TB than the moderate NSSI group. No differences were found for ACS across NSSI classes. Discussion: Results are discussed in terms of their theoretical implications and application for counseling at-risk sexual minority young adults. This study identifies factors associated with subgroups of self-directed violence among sexual minority young adults. Such findings inform gaps in self-directed violence prevention research and clinical practice for sexual minority persons.

Engaging East Harlem, New York youth in action gun violence prevention research and child rights: a preliminary study

BackgroundThe aim of the study was to have youth participate in the design and implementation of a research project set within a child rights framework to better understand high schoolers’ perceptions of safety in their school and community.ResultsBetween June 2020 and March 2021, a team of East Harlem, New York high school students, participated as co-researchers to modify the United Nations Children's Fund Child Friendly Cities Initiative Survey to suit their needs. Due to the COVID-19 pandemic, the final survey was conducted through an online remote classes system during advisory school classes, accompanied by brief focused group discussions. The novel process of conducting an interactive qualitative and quantitative virtual survey during a pandemic via youth participatory action research is outlined in this paper.ConclusionsOur results demonstrate that youth participatory action research can be utilized as part of a child rights framework approach to assess the views of youth regarding community safety and violence prevention.

TikToks Lead to Higher Knowledge and Perceived Severity of Sexual Violence among Adolescent Men.

Social media communication is a promising way to deliver important health messages about sexual violence to a key population of adolescent men. The researchers conducted an online, between-participants experiment to examine the impact of personal narrative TikToks about sexual violence on adolescent men. Participants were adolescent men (n = 580) aged 15 to 19 (M = 17.3, SD = 1.43). Participants were randomly assigned to treatment (personal narrative TikToks about sexual violence) or control (hair braiding TikTok tutorials) conditions. Adolescent men who viewed personal narrative TikToks about sexual violence had higher knowledge of consequences and higher perceived severity of sexual violence. Additionally, adolescent men found personal narrative TikToks more attention-grabbing (vs. control) and did not have negative reactions. Findings that short (approximately one-minute) TikTok videos led to differences in knowledge and beliefs among, and were interesting and not aversive to, adolescent men are important for sexual violence prevention research. Health messages on TikTok can help shift adolescent perceptions of sexual violence, which is a key starting point towards changing norms.

You Might Be Causing Harm If … : A Poster Campaign from the McCluskey Center for Violence Prevention Research and Education

You Might Be Causing Harm If … : A Poster Campaign from the McCluskey Center for Violence Prevention Research and Education

Consortium for violence prevention research, leadership training, and implementation for excellence (CONVERGE): a protocol to train science leaders in gender-based-violence and violence-against-children research for impact.

Gender-based violence (GBV) and violence against children (VAC) are two prevalent and highly interconnected global health challenges, yet data and research capacities to study these forms of violence and to generate evidence-based policies and programs remain limited. To address critical shortages in research capacity in Vietnam and to establish a model for other Low- and Middle-Income Countries (LMICs), we are establishing CONVERGE-the Consortium for Violence Prevention Research, Implementation, and Leadership Training for Excellence. Based on a needs assessment with partners in Vietnam, CONVERGE will provide a comprehensive research training program supporting 15 long-term, postdoctoral trainees with multi-disciplinary research training in GBV and VAC. We also will offer in-country trainings and short-courses to 40 short-term mid-career academic trainees and 60 short-term practitioner/stakeholder trainees over 5 years to build productive GBV and VAC academic, scientific, and practitioner networks. The CONVERGE training program has four components: (1) 14 h of virtual/in-person annual mentorship training to prepare research mentors and to create a pipeline of future mentors in Vietnam; (2) a one-month intensive research training for long-term postdoctoral fellows at Emory University; (3) a structured 17-month, in-country mentored research project for long-term trainees that results in a peer-reviewed manuscript and a subsequent grant submission; and, (4) week-long in-country intensive translational trainings on implementation science, advanced topics in leadership, and advanced topics in science dissemination. Opportunities for on-going virtual training and professional networking will be provided for CONVERGE trainees and mentors in Vietnam with other trainees and mentors of D43s focused on injury/violence prevention, D43s housed at Emory, and D43s with other institutions in Southeast Asia. To assess the reach, implementation, fidelity, and effectiveness of these four components, we will implement a rigorous, mixed-methods, multi-level evaluation strategy using process and outcome measures. Findings from the evaluation will be used to refine program components for future trainee and mentor cohorts and to assess long-term program impact. Led by Emory University in the US and Hanoi Medical University in Vietnam, CONVERGE represents leading institutions and experts from around the world, with a goal of providing mentorship opportunities for early-career scientists with an interest in violence prevention.

Measuring social norms of intimate partner violence to exert control over wife agency, sexuality, and reproductive autonomy: an item response modelling of the IPV-ASRA scale

BackgroundThe field of violence prevention research is unequivocal that interventions must target contextual factors, like social norms, to reduce gender-based violence. Limited research, however, on the social norms contributing to intimate partner violence or reproductive coercion exists. One of the driving factors is lack of measurement tools to accurately assess social norms.MethodsUsing an item response modelling approach, this study psychometrically assesses the reliability and validity of a social norms measure of the acceptability of intimate partner violence to exert control over wife agency, sexuality, and reproductive autonomy with data from a population-based sample of married adolescent girls (ages 13–18) and their husbands in rural Niger (n = 559 husband-wife dyads) collected in 2019.ResultsA two-dimensional Partial Credit Model for polytomous items was fit, showing evidence of reliability and validity. Higher scores on the “challenging husband authority” dimension were statistically associated with husband perpetration of intimate partner violence.ConclusionsThis brief scale is a short (5 items), practical measure with strong reliability and validity evidence. This scale can help identify populations with high-need for social norms-focused IPV prevention and to help measure the impact of such efforts.

Emerging research areas and contributions of NIH in violence research across the lifespan and throughout different settings.

This commentary provides background for NIH's interest in research designed to better understand the causes and consequences of violence and the development, evaluation, and implementation of preventive and treatment interventions to address the resulting trauma, injuries, and mortality from violence. The manuscript describes the context that contributed to a range of initiatives from the NIH focused on violence research, with a particular emphasis on firearms violence prevention research, and opportunities and gaps for future research.

A New Era for Firearm Violence Prevention Research

This Viewpoint discusses the expansion of firearm injury research that involves diverse disciplinary perspectives that could potentially lead to lifesaving policy innovation.

What Is Not in the Methods Section: Challenges, Successes, and Lessons Learned From Conducting School-Based Interpersonal Violence Prevention Research.

Interpersonal violence (IV)-which includes sexual assault, sexual harassment, teen dating violence, bullying, and other forms of violence-among youth (i.e., individuals 18 years of age or younger) is a public health crisis in the United States. As such, preventing IV among youth is a public health priority. Schools are natural settings for IV prevention among youth. However, conducting school-based IV prevention research with youth in school settings is riddled with challenges, and there is little systematic discussion of lessons learned from doing this work. As such, the purpose of this paper is to outline challenges, successes, and lessons learned from conducting school-based IV prevention research, as ascertained by four researchers with over 75 years of collective experience conducting school-based IV prevention research. Specifically, we focus on the importance of researchers (1) doing research on the school/school district prior to reaching out about potential partnerships; (2) establishing relationships with school partners that are characterized by being present, trustworthiness, and respect as well as the prioritization of school partners' ideas over one's research agenda; (3) working collaboratively with school partners to conceptualize and fund school-driven ideas; (4) preparing for pushback, often from parents/caregivers; and (5) embracing reciprocity (i.e., do things to support your school partners that may not directly benefit you). Additional considerations for recruitment, enrollment, and retention; program implementation and data collection; and dissemination are discussed.

Demographic and Regional Factors Associated With Reporting Homicides of Transgender People in the United States

IntroductionThe American Medical Association recently declared homicides of transgender individuals an epidemic. However, transgender homicide victims are often classified as nontransgender. Our objective was to describe existing data and coding of trans (i.e., transgender) victims and to examine the risk factors for homicides of trans people relative to nontrans people across the United States. MethodsA retrospective review of the Centers for Disease Control and Prevention’s National Violent Death Reporting System for the years 2003-2018 identified victims defined as transgender either through the “transgender” variable or narrative reports. Fisher’s exact tests and logistic regression models were run to compare the demographics of trans victims to those not identified as trans. ResultsOf the 147 transgender victims identified, 14.4% were incorrectly coded as nontrans despite clear indication of trans status in the narrative description, and 6% were coded as hate crimes. Relative to nontrans victims, trans victims were more frequently Black (54.4% versus 40.7%, P = 0.001), had a mental health condition (26.5% versus 11.3%, P < 0.001), or reported being a sex worker (9.5% versus 0.2%, P < 0.001). There were disproportionately few homicides of transgender people in the South (13.6% of trans victims versus 29.1% of nontrans victims, P < 0.001). Conversely, the West and Midwest accounted for a higher-than-expected proportion of trans victims relative to nontrans victims (23.1% of trans victims versus 16.2% of nontrans victims, P = 0.03; 24.5% of trans victims versus 16.8% of nontrans victims, P = 0.02, respectively). ConclusionsThough the murder of transgender individuals is a known public health crisis, inconsistencies still exist in the assessment and reporting of transgender status. Further, these individuals were more likely to have multiple distinct vulnerabilities. These findings provide important information for injury and violence prevention researchers to improve reporting of transgender status in the medical record and local trauma registries.

Using the Stages of Change to Counsel Victims of Intimate Partner Violence

Medical, women's health, trauma, and violence prevention researchers have investigated the transtheoretical model and motivational interviewing as potential treatment models for victims of intimate partner violence. Despite these models’ prevalence in counseling, they have received minimal attention related to victims of intimate partner violence in counseling journals. The purpose of this paper is to conceptualize the use of the transtheoretical model and motivational interviewing to counsel victims of intimate partner violence. We provide overviews of both models and how they can be applied with intimate partner violence victims. Further, we explore how counselors can use the transtheoretical model and motivational interviewing to inform case conceptualization, treatment planning, and interventions for victims of intimate partner violence. Finally, we discuss the ethical implications of applying the transtheoretical model and motivational interviewing to intimate partner violence.

Navigating violence and risk: A critical discourse analysis of blind women's portrayals of self-protective measures

Women with disabilities experience high rates of violence and harassment, yet meaningful violence prevention interventions providing the opportunity to learn how to be active agents in their own self-protection are virtually non-existent. To understand why, we draw on insights from feminist disability studies to explore some of the unexamined assumptions and discourses in gender-based violence prevention research. We then apply a feminist critical discourse analysis to focus groups with blind and partially sighted women to explore their talk about violence and self-defence to understand how they portray self-protective measures, and what practices those portrayals engender. We discerned three portrayals: self-protective measures as necessary against strangers, a delimited responsibility, and an effective means to an end. These portrayals and their subsequent practices demonstrate how the participants navigate violence while living with vision loss. We also consider the implications of our analysis for future directions in gendered violence prevention research.

Engaging Native American Youth and Their Caregivers in Sexual Violence Research: A Case Study Documenting Challenges, Opportunities, and Lessons Learned.

Native Americans (the preferred term of our partners/co-authors) experience high rates of sexual violence, which is rooted in colonization and multiple historical traumas. Sexual violence leads to numerous deleterious outcomes, underscoring the critical need for prevention early in life. Yet, most research to date on sexual violence has not focused on Native American populations, and we know little about the most effective strategies to recruit and retain Native American individuals in sexual violence prevention research. The purpose of the current study, grounded in principles of participatory action research, is to describe strategies that were used to recruit (e.g., traditional feeds, door knocking) and retain (e.g., monetary incentives, ongoing community engagement) Native American youth for a study that sought to assess, via surveys and qualitative interviews, the impacts of a youth-led sexual violence prevention initiative in a small city in the Great Plains. We also collected qualitative data from Native American caregivers regarding their perceptions of research. Overall, 67.9% (n = 545) of eligible Native American youth completed the survey, and school and door knocking were most effective methods of recruitment/enrollment followed by community and school events and texting. Over the course of 3years of data collection, there were higher rates of attrition among Native American youth compared to white youth, and several factors (e.g., older age, sexual assault victimization) predicted attrition among Native American youth. Native American caregivers' responses reflected on reasons it is hard to engage youth and caregivers in research (e.g., lack of time, distrust) as well as strategies to enhance engagement (e.g., personal connection, providing community resources). Throughout the paper, Native American co-authors and project partners reflect on these findings. Implications for future sexual violence prevention research with Native American youth and their caregivers that uses decolonized, participatory action research methodologies are discussed.

The impact of the COVID-19 pandemic on gender-based violence in the United States: Framework and policy recommendations.

In response to the 2019 novel coronavirus pandemic, portions of the U.S. government implemented social distancing policies that, while necessary, yield unintended consequences. This article explores how risk for gender-based violence (GBV) has been exacerbated across the social-ecological model (SEM; e.g., by increasing economic stress and decreasing social support) and highlights differential impact across social locations (e.g., considering race, gender, social class). Drawing on gender-based violence prevention and response research, considerations for researchers, policymakers, and practitioners are delineated. A comprehensive framework adapting an intersectional lens and the SEM is used to explain the changes in risk and protective factors for GBV. Policy recommendations that serve to augment (not replace) social distancing policies are proposed. The pandemic has uprooted life in a way that impacts GBV prevention and response. Yet, this is also an opportunity to define a new way forward rather than return to "business as usual"; psychologists should strive to improve social services by utilizing the SEM and intersectionality. (PsycInfo Database Record (c) 2022 APA, all rights reserved).

Nonvoluntary or Forced Sex Among Women, by Sexual Identity, Attraction, and Behavior — National Survey of Family Growth, United States, 2011–2017

Nonheterosexual (sexual minority) women report experiencing more sexual violence than heterosexual (sexual majority) women (1,2). Sexual minority women are often categorized as a collective whole, which fails to capture the nuances in sexual violence among subgroups of sexual minority women, such as bisexual and lesbian women (3). To estimate the prevalence of lifetime forced vaginal intercourse (forced sex) and of nonvoluntary first vaginal intercourse among women aged 18-44 years in the United States, CDC analyzed data from female respondents who were interviewed during 2011-2017 for the National Survey of Family Growth (NSFG); respondents were stratified by self-reported sexual identity, attraction, and behavior. Log-binomial regressions and analyses of variance (ANOVAs) were performed to compare experiences across each dimension of sexual orientation, controlling for demographic characteristics. Compared with sexual majority women,* prevalence of any male-perpetrated nonvoluntary first vaginal intercourse or forced sex (nonvoluntary or forced sex) was higher among women who identified as bisexual (36.1% versus 17.5%), reported attraction to the opposite and same sex (30.3% versus 15.8%), and reported sexual behavior with the opposite and same sex (35.7% versus 15.9%). These sexual minority women reported that their earliest experience of nonvoluntary or forced sex occurred at younger ages than did that of sexual majority women. Among women who were unsure of their sexual attraction, the prevalence of nonvoluntary first vaginal intercourse was also higher than among sexual majority women. These findings underscore the need for comprehensive prevention approaches tailored for sexual minority women and prevention of child sexual abuse, given the average ages at earliest nonvoluntary or forced sex experience among sexual minority women (range = 12.5-16.3 years). Additional research is needed into the circumstances of and norms or attitudes that influence perpetration of nonvoluntary or forced sex and broader sexual violence against sexual minority women. Prevention of nonvoluntary or forced sex victimization among sexual minority women will require comprehensive approaches to prevent sexual violence and child sexual abuse. Engaging sexual minority women in the development of sexual violence prevention efforts and research would help ensure that the experiences of sexual minority women across the spectrum are represented.

Community-engaged research to develop a Chicago violence research agenda and recommendations to support future community engagement

BackgroundChicago has a history of gun violence with some neighborhoods, particularly Black and Brown communities, being disproportionately affected and Black male youth experiencing an even more disparate impact. Too often, violence prevention research is developed and carried out with little or no input from the people living in the most affected communities. The objective of the Community-Academic Collaboration to Prevent Violence in Chicago (CACPVC) was to bring together individuals from impacted communities with academic researchers and other community stakeholders to discuss violence and co-create a research agenda that addresses topics of mutual concern, and recommendations for engaging stakeholders including community members and organizations and funders in violence and violence prevention research.MethodsFrom 2014 to 2015, community members and organizations from seven defined regions across Chicago were recruited to participate. An organization network gathering was held in each region for researchers, funders, and community organization representatives to discuss violence prevention. Open community forums then took place in each community. Violence data by region was shared followed by facilitated group discussions that were recorded by youth scribes. Notes were thematically coded, grouped, and compiled after which a list of topics was refined by the CACPVC Work Group, allowing for investigator triangulation. A survey was disseminated to community stakeholders to prioritize the topics.ResultsSeven network gatherings (127 attendees) and community forums (133 attendees) were held. Topic areas identified during the gatherings and forums included root causes/cycle of violence, racism and bias/structural violence, trajectory of violence, protective factors and nonviolence, geographic pattern change, violence prevention strategies, youth, family factors, community factors, school, police, gangs/street organizations, and media and public perceptions. Recommendations to support community engagement were grouped as role of research in reducing violence, role of community in violence research, relationships and respect, academic-community communication, financial considerations, training, practical considerations, research design, sharing results, communication about and use of data, and recommendations for funders.ConclusionsThe violence research agenda will be used to inform community-engaged violence prevention research. The recommendations for community engagement provide a resource for researchers about topics to consider to meaningfully engage community members in future research.

Addressing Key Gaps in Existing Longitudinal Research and Establishing a Pathway Forward for Firearm Violence Prevention Research

ABSTRACT The main purpose of this article and this special section is to encourage greater attention to the key gaps that exist in our understanding of the epidemiology of adolescent firearm violence and to provide a pathway forward for future longitudinal research that will inform prevention efforts. This increased attention is especially salient given: (a) firearms are the leading cause of death for adolescents and emerging adults in the United States, with the majority of these deaths due to interpersonal violence; (b) significant health and social disparities with regards to the populations that are most affected by interpersonal firearm violence have been documented; and, (c) limitations in federal research funding during the past 30 years have created a deficit of knowledge about key risk and protective factors necessary to inform evidence-based prevention efforts. We discuss the implications of the articles in this special edition for existing and novel prevention programs. We also identify key considerations for future epidemiological research, including the need for a greater focus on collecting longitudinal data among nationally representative samples enriched with subgroups of at-risk youth, the need to examine the role of protective factors and mediating variables within existing and novel theoretical models of firearm risk behaviors, the need to examine key factors across all levels of the socio-ecological model, and the need to incorporate novel and innovative research designs, methods and analyses.

Commentary: Reducing youth firearm violence and the associated health disparities requires enhanced surveillance and modern behavioral intervention strategies - a commentary on Bottiani et al. (2021).

Youth firearm injury is a worsening public health crisis, and the risks are not distributed evenly. Bottiani et al. skillfully explicated those health disparities, described sociological factors underlying them, and explored avenues for prevention. We supplement their analysis by detailing problems and solutions related to a critical barrier to firearm violence prevention - the nonexistence both of reliable 'gold standard' nonfatal firearm injury surveillance data, and systems for near real-time surveillance of firearm injuries at granular spatial scales that would enable to optimization of rapid response protocols and neighborhood-based prevention programs. We conclude with a discussion of modern, scalable, behavioral intervention approaches that could be leveraged to fill the largely absent evidence base resulting from the documented underfunding of youth firearm violence prevention research.