Evidence map›Paper›PMID 42778096›Full record

ArticleAcademic pediatrics2026

"The resources are so far, and you need them right here": Perspectives on Emergency Care for Youth who Experience Violence.

Samaa Kemal, Jennifer A Hoffmann, Stephanie Loo, Diana Madden, Elizabeth R Alpern, Margaret Samuels-Kalow

Abstract read
In one paragraph

Article in Academic pediatrics, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

6 authors.

Samaa KemalDivision of Emergency Medicine, Ann & Robert H. Lurie Children's Hospital of Chicago, Department of Pediatrics, Northwestern University Feinberg School of Medicine, 225 E. Chicago Ave., Chicago, Illinois, USA. Electronic address: skemal@luriechildrens.org.
Jennifer A HoffmannDivision of Emergency Medicine, Ann & Robert H. Lurie Children's Hospital of Chicago, Department of Pediatrics, Northwestern University Feinberg School of Medicine, 225 E. Chicago Ave., Chicago, Illinois, USA; Department of Medical Social Sciences, Northwestern University Feinberg School of Medicine, 633 N. St. Clair St., Chicago, Illinois, 60611, USA.
Stephanie LooMass General Brigham Department of Emergency Medicine and Harvard Medical School, 55 Fruit St., Boston, Massachusetts, 02114, USA; Research and Evaluation, W2 Consulting Corporation, 14625 Baltimore Ave. #320, Laurel, Maryland, 20707, USA.
Diana MaddenMary Ann & J. Milburn Smith Child Health Outcomes, Research, and Evaluation Center, Ann & Robert H. Lurie Children's Hospital of Chicago, 225 E. Chicago Ave., Chicago, Illinois, 60611, USA.
Elizabeth R AlpernDivision of Emergency Medicine, Ann & Robert H. Lurie Children's Hospital of Chicago, Department of Pediatrics, Northwestern University Feinberg School of Medicine, 225 E. Chicago Ave., Chicago, Illinois, USA; Department of Medical Social Sciences, Northwestern University Feinberg School of Medicine, 633 N. St. Clair St., Chicago, Illinois, 60611, USA.
Margaret Samuels-KalowMass General Brigham Department of Emergency Medicine and Harvard Medical School, 55 Fruit St., Boston, Massachusetts, 02114, USA.

Funding

Role of individual and hospital factors in quality of care for children in EDs (Div Supplement)R01HD103637 · NICHD · MASSACHUSETTS GENERAL HOSPITAL · PI SAMUELS-KALOW, MARGARET EMILY · 2021 to 2024
$1.6M
Caring Contacts via text message for suicidal adolescents after emergency department dischargeK23MH135206 · NIMH · LURIE CHILDREN'S HOSPITAL OF CHICAGO · PI Jennifer Ann Hoffmann · 2024 to 2026
$570k
NICHD NIH HHS R01 HD103637NIMH NIH HHS K23 MH135206
6 · The paper itself

Abstract

objectiveIn caring for youth who experience violence, variability in available emergency department (ED) resources and conditions that impact comprehensive care delivery (i.e., care coordination, connection to community resources) is not well understood. This study explored conditions that impact care delivery in pediatric and general EDs for youth who experience self-directed or interpersonal violence.

methodsSemi-structured interviews with pediatric and general ED physicians and nurses were conducted to understand conditions that impact comprehensive care delivery in the ED for youth who experience violence. Participants were recruited from the National ED Inventory database from October 2023-May 2024. Recurring themes were identified using a constant comparative analytical approach.

results13 interviews were conducted (8 participants from pediatric EDs and 5 from general EDs). Five major themes were found: 1) imbalance of perceived needs and available resources; 2) consequences of this mismatch negatively affecting both patients and providers; 3) challenges to care provision from the legal system and sociopolitical environments; 4) negative impact of provider implicit biases on care provision; 5) lack of consensus among providers on the appropriate role of the ED in injury prevention efforts and post-discharge care coordination.

conclusionsPediatric and general EDs perceive many challenges when caring for youth who experience violence with particular emphasis on the mismatch between needs and resources and non-clinical influences on providers' care provision. To improve comprehensive care for these youth, EDs may consider increasing pediatric-specific training, building awareness of clinical and community-based resources, and advocacy to expand specialized pediatric care in all settings.

Indexed as

emergency departmentfirearmssuicideviolence

Identifiers

PMID42778096
PMCPMC13644292

What OpenQuestion holds

Textmetadata
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.