Evidence map›Paper›PMID 33405475›Full record

Trial reportThe journal of trauma and acute care surgery2021

Helping individuals with firearm injuries: A cluster randomized trial.

Vivian H Lyons, Anthony S Floyd, Elizabeth Griffin, Jin Wang, Anjum Hajat, Marco Carone, David Benkeser, Lauren K Whiteside, Kevin P Haggerty, Frederick P Rivara and 1 more

Open access · greenAbstract readRandomized Controlled Trial
In one paragraph

Trial report in The journal of trauma and acute care surgery, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed
2.9field-weighted citation impact, top 8% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

11 citing papers in PubMed, 29 citations in OpenAlex.

  1. Characteristics Associated With Community Violence Prevention Programs in US Hospitals: A Cross-Sectional Survey Analysis.Academic emergency medicine : official journal of the Society for Academic Emergency Medicine · 2026
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

11 authors at 1 institution in 1 country.

Vivian H LyonsFrom the Department of Health Behavior and Health Education (V.H.L.), University of Michigan, Ann Arbor, Michigan; Department of Epidemiology (V.H.L., E.G., A.H., F.P.R., A.R.-R.), School of Public Health, Firearm Injury and Policy Research Program, Harborview Injury Prevention and Research Center (V.H.L., A.S.F., J.W., L.K.W., K.P.H., F.P.R., A.R.-R.), Alcohol and Drug Abuse Institute (A.S.F.), and Department of Biostatistics (M.C.), University of Washington, Seattle, Washington; Department of Biostatistics and Bioinformatics (D.B.), Emory University, Atlanta, Georgia; Department of Emergency Medicine (L.K.W.), School of Social Work (K.P.H.), Social Development Research Group (K.P.H.), and Department of Pediatrics (F.P.R.), School of Medicine, University of Washington, Seattle, Washington.
Anthony S Floyd
Elizabeth Griffin
Jin Wang
Anjum Hajat
Marco Carone
David Benkeser
Lauren K Whiteside
Kevin P Haggerty
Frederick P Rivara
Ali Rowhani-Rahbar
Michigan Department of Health and Human Services · US

Funding

Transform Dissemination and Implementation Science in CTSA ProgramsUL1TR002319 · NCATS · UNIVERSITY OF WASHINGTON · PI John K. Amory · 2017 to 2026
$100.0M
XENOBIOTIC BIOTRANSFORMATION AND DISPOSITIONP30ES007033 · NIEHS · UNIVERSITY OF WASHINGTON · PI ALI SHOJAIE · 1995 to 2026
$42.5M
Methods and Data CoreR24HD042828 · NICHD · UNIVERSITY OF WASHINGTON · PI CURRAN, SARA R. · 2002 to 2016
$9.3M
NRSA Training CoreTL1TR002318 · NCATS · UNIVERSITY OF WASHINGTON · PI Megan Moore · 2017 to 2026
$8.4M
Scientific/Technical CoreP2CHD042828 · NICHD · UNIVERSITY OF WASHINGTON · PI SARA R. CURRAN · 2017 to 2026
$6.3M
Building Research Capacity for Firearm Safety Among ChildrenR24HD087149 · NICHD · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI CUNNINGHAM, REBECCA M., ZIMMERMAN, MARC A · 2017 to 2021
$4.9M
NCATS NIH HHS TL1 TR002318NCATS NIH HHS UL1 TR002319NICHD NIH HHS P2C HD042828NICHD NIH HHS R24 HD042828NICHD NIH HHS R24 HD087149NIEHS NIH HHS P30 ES007033
6 · The paper itself

Abstract

backgroundPatients with firearm injuries are at high risk of subsequent arrest and injury following hospital discharge. We sought to evaluate the effect of a 6-month joint hospital- and community-based low-intensity intervention on risk of arrest and injury among patients with firearm injuries.

methodsWe conducted a cluster randomized controlled trial, enrolling patients with firearm injuries who received treatment at Harborview Medical Center, the level 1 trauma center in Seattle, Washington, were 18 years or older at the time of injury, spoke English, were able to provide consent and a method of contact, and lived in one of the five study counties. The intervention consisted of hospital-based motivational interviewing, followed by a 6-month community-based intervention, and multiagency support. The primary outcome was the risk of subsequent arrest. The main secondary outcome was the risk of death or subsequent injury requiring treatment in the emergency department or hospitalization.

resultsNeither assignment to or engagement with the intervention, defined as having at least 1 contact point with the support specialist, was associated with risk of arrest at 2 years post-hospital discharge (relative risk for intervention assignment, 1.15; 95% confidence interval, 0.90-1.48; relative risk for intervention engagement, 1.07; 95% confidence interval, 0.74-2.19). There was similarly no association observed for subsequent injury.

conclusionsThis study represents one of the first randomized controlled trials of a joint hospital- and community-based intervention delivered exclusively among patients with firearm injuries. The intervention was not associated with changes in risk of arrest or injury, a finding most likely due to the low intensity of the program. LEVEL OF EVIDENCE: Care management, level II.

Indexed as

Community Health ServicesMotivational InterviewingAdultCluster AnalysisCrimeEmergency Service, HospitalFemaleFirearmsHospitalizationHumansLaw EnforcementMaleWashingtonWounds, GunshotYoung Adult

Identifiers

PMID33405475
PMCPMC7979484
OpenAlexW2786575117

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.