Abstract
Risk and protective factors for firearm assault (FA) have been established, but little is known about factor preceding transitions in FA behavior. We modeled covariate effects on individuals’ transitions in FA behavior (Yes/No) using inhomogeneous, continuous-time, Markov Chains. 3287 assessments were made across five initial biannual follow-ups, and two additional biannual follow-ups (an average of 2.2 years later) from a follow-on study; 2687 pairs of transitions were observed (2414 No-FA → No-FA; 89 No-FA → FA; 121 FA → No-FA; 63 FA → FA). Non-firearm peer violence (HR = 2.31, 95% CI [1.28,4.21]), firearm victimization (HR = 2.57, 95% CI [1.31,5.04]), and marijuana ASSIST sum (HR = 1.27, 95% CI [1.05,1.54]) all preceded transitions into FA, but not transitions out of FA. Delinquent peer associations both hastened transitions into FA (HR = 1.19, 95% CI [1.00,1.40]) and slowed transitions out of FA (HR = 0.84, 95% CI:[0.72,1.00]), with analogous findings regarding attitudes favoring retaliation. Efforts to prevent FA initiation should focus on those currently reporting firearm violence victimization, and on factors indicating an escalating delinquency trajectory (e.g. non-firearm violence, substance use), while programs focusing on peer influences and social norms may be effective at preventing FA regardless of current FA status.
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Bauchner, H., Rivara, F. P., Bonow, R. O., Bressler, N. M., Disis, M. L. N., Heckers, S., et al. (2017). Death by gun violence—A public health crisis. JAMA, 318, 1763–1764.
Bohnert, K. M., Walton, M. A., Ranney, M., Bonar, E. E., Blow, F. C., Zimmerman, M. A., et al. (2015). Understanding the service needs of assault-injured, drug-using youth presenting for care in an urban emergency department. Addictive Behaviors, 41, 97–105.
Borsari, B., & Carey, K. B. (2001). Peer influences on college drinking: A review of the research. Journal of Substance Abuse, 13, 391–424.
Burgason, K. A., Thomas, S. A., & Berthelot, E. R. (2014). The nature of violence: A multilevel analysis of gun use and victim injury in violent interpersonal encounters. Journal of Interpersonal Violence, 29, 371–393.
Buu, A., Massey, L. S., Walton, M. A., Cranford, J. A., Zimmerman, M. A., & Cunningham, R. M. (2017). Assessment methods and schedules for collecting daily process data on substance use related health behaviors: A randomized control study. Drug and Alcohol Dependence, 178, 159–164.
Carter, P. M., Walton, M. A., Goldstick, J., Epstein-Ngo, Q. M., Zimmerman, M. A., Mercado, M. C., et al. (2017). Violent firearm-related conflicts among high-risk youth: An event-level and daily calendar analysis. Preventive Medicine, 102, 112–119.
Carter, P. M., Walton, M. A., Newton, M. F., Clery, M., Whiteside, L. K., Zimmerman, M. A., & Cunningham, R. M. (2013). Firearm possession among adolescents presenting to an urban emergency department for assault. Pediatrics, 132, 213–221.
Carter, P. M., Walton, M. A., Roehler, D. R., Goldstick, J., Zimmerman, M. A., Blow, F. C., et al. (2015). Firearm violence among high-risk emergency department youth after an assault injury. Pediatrics, 135, 805–815.
Carter, P. M., Walton, M. A., Zimmerman, M. A., Chermack, S. T., Roche, J. S., & Cunningham, R. M. (2016). Efficacy of a universal brief intervention for violence among urban emergency department youth. Academic Emergency Medicine, 23, 1061–1070.
Casiano, H., Belik, S.-L., Cox, B. J., Waldman, J. C., & Sareen, J. (2008). Mental disorder and threats made by noninstitutionalized people with weapons in the national comorbidity survey replication. The Journal of Nervous and Mental Disease, 196, 437–445.
Centers for Disease Control and Prevention (CDC). (2017). WONDER multiple cause of death database. Retrieved from https://wonder.cdc.gov/mcd.html. Accessed 30 Nov 2018.
Cunningham, R. M., Carter, P. M., Ranney, M., Zimmerman, M. A., Blow, F. C., Booth, B. M., et al. (2015). Violent reinjury and mortality among youth seeking emergency department care for assault-related injury: A 2-year prospective cohort study. JAMA Pediatrics, 169, 63–70.
Cunningham, R. M., Chermack, S. T., Zimmerman, M. A., Shope, J. T., Bingham, C. R., Blow, F. C., & Walton, M. A. (2012). Brief motivational interviewing intervention for peer violence and alcohol use in teens: One-year follow-up. Pediatrics, 129, 1083–1090.
Cunningham, R. M., Walton, M. A., & Carter, P. M. (2018). The major causes of death in children and adolescents in the United States. New England Journal of Medicine, 379, 2468–2475.
Darke, S. (2010). The toxicology of homicide offenders and victims: A review. Drug and Alcohol Review, 29, 202–215.
Eke, A. W., Hilton, N. Z., Meloy, J. R., Mohandie, K., & Williams, J. (2011). Predictors of recidivism by stalkers: A nine-year follow-up of police contacts. Behavioral Sciences & the Law, 29, 271–283.
Elbogen, E. B., & Johnson, S. C. (2009). The intricate link between violence and mental disorder: Results from the national epidemiologic survey on alcohol and related conditions. Archives of General Psychiatry, 66, 152–161.
Foshee, V. A., McNaughton Reyes, H. L., & Ennett, S. T. (2010). Examination of sex and race differences in longitudinal predictors of the initiation of adolescent dating violence perpetration. Journal of Aggression, Maltreatment & Trauma, 19, 492–516.
Goldstick, J. E., Bohnert, K. M., Davis, A. K., Bonar, E. E., Carter, P. M., Walton, M. A., & Cunningham, R. M. (2018a). Dual trajectories of depression/anxiety symptoms and alcohol use, and their implications for violence outcomes among drug-using urban youth. Alcohol and Alcoholism, 53, 659–666.
Goldstick, J. E., Carter, P. M., Walton, M. A., Dahlberg, L. L., Sumner, S. A., Zimmerman, M. A., et al. (2017a). Development of the SaFETy score: A clinical screening tool for predicting future firearm violence risk. Annals of Internal Medicine, 166, 707–714.
Goldstick, J. E., Heinze, J., Ngo, Q., Hsieh, H. F., Walton, M. A., Cunningham, R. M., et al. (2017b). Perceived peer behavior and parental support as correlates of marijuana use: The role of age and gender. Substance Use & Misuse. https://doi.org/10.1080/10826084.2017.1342660
Goldstick, J. E., Heinze, J. E., Stoddard, S. A., Cunningham, R. M., & Zimmerman, M. A. (2018b). Age-specific associations between violence exposure and past 30-day marijuana and alcohol use. Journal of Research on Adolescence. https://doi.org/10.1111/jora.12399
Goldstick, J. E., Lipton, R. I., Carter, P., Stoddard, S. A., Newton, M. F., & Reischl, T. (2015). The effect of neighborhood context on the relationship between substance misuse and weapons aggression in urban adolescents seeking ED care. Substance Use & Misuse, 50, 674–684.
Halliday-Boykins, C. A., & Graham, S. (2001). At both ends of the gun: Testing the relationship between community violence exposure and youth violent behavior. Journal of Abnormal Child Psychology, 29, 383–402.
Handelsman, L., Stein, J. A., & Grella, C. E. (2005). Contrasting predictors of readiness for substance abuse treatment in adults and adolescents: A latent variable analysis of DATOS and DATOS-A participants. Drug and Alcohol Dependence, 80, 63–81.
Harford, T. C., Yi, H.-Y., & Grant, B. F. (2013). Other-and self-directed forms of violence and their relationships to DSM-IV substance use and other psychiatric disorders in a national survey of adults. Comprehensive Psychiatry, 54, 731–739.
Heinze, J. E., Krusky-Morey, A., Vagi, K. J., Reischl, T. M., Franzen, S., Pruett, N. K., et al. (2018). Busy streets theory: The effects of community-engaged greening on violence. American Journal of Community Psychology, 62, 101–109.
Hemenway, D., Vriniotis, M., Johnson, R. M., Miller, M., & Azrael, D. (2011). Gun carrying by high school students in Boston, MA: Does overestimation of peer gun carrying matter? Journal of Adolescence, 34, 997–1003.
Hill, H., & Noblin, V. (1991). Children’s perceptions of environmental violence. Washington, DC: Howard University.
Humeniuk, R., Ali, R., Babor, T. F., Farrell, M., Formigoni, M. L., Jittiwutikarn, J., et al. (2008). Validation of the alcohol, smoking and substance involvement screening test (ASSIST). Addiction, 103, 1039–1047.
Jackson, C. H. (2011). Multi-state models for panel data: The MSM package for R. Journal of Statistical Software, 38, 1–29.
Jasinski, J. L. (2001). Physical violence among Anglo, African American, and Hispanic couples: Ethnic differences in persistence and cessation. Violence and Victims, 16, 479.
Kosterman, R., Graham, J. W., Hawkins, J. D., Catalano, R. F., & Herrenkohl, T. I. (2001). Childhood risk factors for persistence of violence in the transition to adulthood: A social development perspective. Violence and Victims, 16, 355.
Lizotte, A. J., Krohn, M. D., Howell, J. C., Tobin, K., & Howard, G. J. (2000). Factors influencing gun carrying among young urban males over the adolescent-young adult life course. Criminology, 38, 811–834.
Lorber, M. F., & O’leary, K. D. (2004). Predictors of the persistence of male aggression in early marriage. Journal of Family Violence, 19, 329–338.
McGinty, E. E., Choksy, S., & Wintemute, G. J. (2016). The relationship between controlled substances and violence. Epidemiologic Reviews, 38, 5–31.
Milam, A. J., Buggs, S. A., Furr-Holden, C. D. M., Leaf, P. J., Bradshaw, C. P., & Webster, D. (2016). Changes in attitudes toward guns and shootings following implementation of the Baltimore safe streets intervention. Journal of Urban Health, 93, 609–626.
Mrug, S., Elliott, M. N., Davies, S., Tortolero, S. R., Cuccaro, P., & Schuster, M. A. (2014). Early puberty, negative peer influence, and problem behaviors in adolescent girls. Pediatrics, 133, 7–14.
Nierkens, V., Hartman, M. A., Nicolaou, M., Vissenberg, C., Beune, E. J., Hosper, K., et al. (2013). Effectiveness of cultural adaptations of interventions aimed at smoking cessation, diet, and/or physical activity in ethnic minorities. A Systematic Review. PloS ONE, 8, e73373.
Paluck, E. L., Shepherd, H., & Aronow, P. M. (2016). Changing climates of conflict: A social network experiment in 56 schools. Proceedings of the National Academy of Sciences, 113, 566–571.
Piersma, H. L., Reaume, W. M., & Boes, J. L. (1994). The brief symptom inventory (BSI) as an outcome measure for adult psychiatric inpatients. Journal of Clinical Psychology, 50, 555–563.
Prince, M. A., & Carey, K. B. (2010). The malleability of injunctive norms among college students. Addictive Behaviors, 35, 940–947.
Richters, J. E., & Martinez, P. (1990). Things I have seen and heard: A structured interview for assessing young children’s violence exposure. Rockville: National Institute of Mental Health.
Roche, J., Clery, M., Carter, P. M., Dora-Laskey, A., Walton, M. A., Ngo, Q., et al. (2018). Tracking assault-injured, drug-using youth in longitudinal research: Follow-up methods. Academic Emergency Medicine. https://doi.org/10.1111/acem.13495
Saunders, J. B., Aasland, O. G., Babor, T. F., De la Fuente, J. R., & Grant, M. (1993). Development of the alcohol use disorders identification test (AUDIT): WHO collaborative project on early detection of persons with harmful alcohol consumption-II. Addiction, 88, 791–804.
Sieving, R. E., Beuhring, T., Resnick, M. D., Bearinger, L. H., Shew, M., Ireland, M., et al. (2001). Development of adolescent self-report measures from the national longitudinal study of adolescent health. Journal of Adolescent Health, 28, 73–81.
Spano, R., & Bolland, J. (2013). Disentangling the effects of violent victimization, violent behavior, and gun carrying for minority inner-city youth living in extreme poverty. Crime & Delinquency, 59, 191–213.
Steinberg, L., & Monahan, K. C. (2007). Age differences in resistance to peer influence. Developmental Psychology, 43, 1531.
Steinman, K. J., & Zimmerman, M. A. (2003). Episodic and persistent gun-carrying among urban African–American adolescents. Journal of Adolescent Health, 32, 356–364.
Straus, M. A., Hamby, S. L., Boney-McCoy, S., & Sugarman, D. B. (1996). The revised conflict tactics scales (CTS2) development and preliminary psychometric data. Journal of Family Issues, 17, 283–316.
Suls, J., & Green, P. (2003). Pluralistic ignorance and college student perceptions of gender-specific alcohol norms. Health Psychology, 22, 479.
Swahn, M. H., & Donovan, J. E. (2004). Correlates and predictors of violent behavior among adolescent drinkers. Journal of Adolescent Health, 34, 480–492.
Tolan, P. H., Gorman-Smith, D., & Loeber, R. (2000). Developmental timing of onsets of disruptive behaviors and later delinquency of inner-city youth. Journal of Child and Family Studies, 9, 203–220.
Tremblay, R., Hartup, W. W., & Archer, J. (2006). Developmental origins of aggression. Paper presented at the Keynote Address at the NIFTEY (National Investment for the Early Years) conference, University of New South Wales, Sydney.
Walton, M. A., Chermack, S. T., & Blow, F. C. (2002). Correlates of received and expressed violence persistence following substance abuse treatment. Drug and Alcohol Dependence, 67, 1–12.
Walton, M. A., Chermack, S. T., Shope, J. T., Bingham, C. R., Zimmerman, M. A., Blow, F. C., et al. (2010). Effects of a brief intervention for reducing violence and alcohol misuse among adolescents: A randomized controlled trial. JAMA, 304, 527–535.
Walton, M. A., Cunningham, R. M., Goldstein, A. L., Chermack, S. T., Zimmerman, M. A., Bingham, C. R., et al. (2009). Rates and correlates of violent behaviors among adolescents treated in an urban emergency department. Journal of Adolescent Health, 45, 77–83.
Williams, J. H., Van Dorn, R. A., Ayers, C. D., & Hawkins, J. D. (2007). Understanding race and gender differences in delinquent acts and alcohol and marijuana use: A developmental analysis of initiation. Social Work Research, 31, 71–81.
Wintemute, G. J. (2011). Association between firearm ownership, firearm-related risk and risk reduction behaviours and alcohol-related risk behaviours. Injury Prevention, 17, 422–427.
Zimmerman, M. A., Caldwell, C. H., & Bernat, D. H. (2002). Discrepancy between self-report and school-record grade point average: Correlates with psychosocial outcomes among african american adolescents 1. Journal of Applied Social Psychology, 32, 86–109.
Funding
This work was funded by R03 AA025449 (PI: Goldstick), R01 DA024646 (PI: Cunningham), R01 DA035183 (PI: Cunningham), and R24HD087149 (PI: Cunningham).
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Jason E. Goldstick, Patrick M. Carter, Justin E. Heinze, Maureen A. Walton, Marc Zimmerman, and Rebecca M. Cunningham have no conflicts of interest to report.
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Goldstick, J.E., Carter, P.M., Heinze, J.E. et al. Predictors of transitions in firearm assault behavior among drug-using youth presenting to an urban emergency department. J Behav Med 42, 635–645 (2019). https://doi.org/10.1007/s10865-019-00021-8
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DOI: https://doi.org/10.1007/s10865-019-00021-8