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CHILDREN AND GUN VIOLENCE DURING THE PANDEMIC
Journal of the American Academy of Child and Adolescent Psychiatry ; 60(10):S53, 2021.
Article in English | EMBASE | ID: covidwho-1466505
ABSTRACT

Objectives:

Nationwide, adolescents and young adults are at highest risk for death and injury by gunshot wound. Black youth are at the highest risk of gunshot wound as a result of assault, and American Indian/Alaskan Native youth are at highest risk for gunshot wound as a result of a suicide attempt. There is evidence that youth-involved gun violence has increased during the pandemic. This session will explore the history of youth-involved gun violence, changes in gun violence during the COVID-19 pandemic, and therapeutic considerations about gun violence.

Methods:

This session will be organized around themes of “dysregulation”—how gun violence affects the lives of youth and how we respond to it as child and adolescent psychiatrists. For the theme of community dysregulation, Renuka Patel, MBBS, and Jennifer Zaspel, MD, will explore the history and epidemiology of youth-involved gun violence and look at changes during the pandemic. Alison M. Duncan, MD, will describe hospital and community response programs to promote recovery from gun violence and prevent future victimization. For the theme of individual dysregulation, Eva Ihle, MD, PhD, and Dr. Patel will present case vignettes and a literature review that will explore emotional and behavioral dysregulation before gun violence occurs (coping through affiliation and risk-taking behavior) and afterward (the sequelae of PTSD, a sense of foreshortened future, anger, and hopelessness). Inpatient acute rehabilitation and outpatient programs to promote posttraumatic growth and resilience in gunshot wound survivors will be discussed.

Results:

After this Clinical Perspectives session, participants will be able to 1) discuss epidemiological changes in gun violence involving children and adolescents during the COVID-19 pandemic;2) recognize acute clinical needs for children and adolescents who are hospitalized for gunshot wounds;3) discuss gun safety with families;and 4) identify community supports and rehab resources for children and adolescents in postacute recovery from gun violence.

Conclusions:

Youth-involved gun violence has increased since the start of the COVID-19 pandemic. Gun violence is something that child and adolescent psychiatrists can address in the clinic, in the hospital, in their communities, and in politics. Terry Lee, MD, will discuss the roles that child and adolescent psychiatrists can take to reduce these tragic outcomes in our youth. Jeanette Scheid, MD, will discuss child maltreatment exposure and gun violence. AGG, EPI, PUP

Full text: Available Collection: Databases of international organizations Database: EMBASE Language: English Journal: Journal of the American Academy of Child and Adolescent Psychiatry Year: 2021 Document Type: Article

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Full text: Available Collection: Databases of international organizations Database: EMBASE Language: English Journal: Journal of the American Academy of Child and Adolescent Psychiatry Year: 2021 Document Type: Article