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A hospital-based violence prevention intervention reduced hospital recidivism for violent injury and arrests for violent crimes

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 Q In victims of violence who are on parole or probation, can a hospital-based violence prevention intervention reduce hospital recidivism for violent injury and arrests for violent crimes?

Clinical impact ratings Psychiatry ★★★★★★☆ Emergency medicine ★★★★★☆☆


Embedded ImageDesign:

randomised controlled trial.

Embedded ImageAllocation:

unclear allocation concealment.*

Embedded ImageBlinding:


Embedded ImageFollow up period:

median 1–2 years.

Embedded ImageSetting:

hospital trauma centre in Baltimore, Maryland, USA.

Embedded ImagePatients:

100 patients ⩾18 years of age (median age <30 y, 96% men) who were admitted to hospital for an injury related to a violent assault for at least the second time and were on parole or probation in the criminal justice system.

Embedded ImageIntervention:

56 patients were allocated to the Violence Intervention Programme (VIP), which involved meetings with a social or case worker at least every 2 weeks to devise and implement a service plan (including, as appropriate, substance abuse rehabilitation, employment …

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  • * See glossary.

  • For correspondence: Dr C Cooper, R Adams Cowley Shock Trauma Center, Baltimore, MD, USA. ccooper{at}

  • Source of funding: not stated.