Assault, Violence
Conditions
Brief summary
The goal of this observational study is to determine the impact of a hospital-based violence intervention program on a person's capacity to thrive and recurrent intentional injury. The aims of this study are: 1. To evaluate the impact of the HVIP on building personal capacity of youth who have experienced non-fatal violent injuries to thrive using: * Established measure changes in positive psychology and clinical metrics * A qualitative interview using thematic content analysis 2. Plot the methodology proposed to measure the impact of THRIVE on subsequent injuries using administrative data sources Participants will complete surveys, participate in a semi-structured interview, and have their rate of recurrent intentional injury tracked over time. Researchers will compare the rates of intentional reinjury between participants in the THRIVE program and those who present at other hospitals with similar injuries to see if there is a difference in the rate of recurrent intentional injury a 1, 5, and 10 years.
Interventions
None listed
Sponsors
Unity Health Toronto
Study design
Observational model
COHORT
Time perspective
PROSPECTIVE
Eligibility
Sex/Gender
ALL
Age
14 Years to 29 Years
Healthy volunteers
No
Inclusion criteria
* ages 14-29 * presentation with an injury due to violence (defined as a gun shot wound, stab wound, blunt or bodily force, inflicted by someone else) * participant in the THRIVE Program
Exclusion criteria
* unable to consent due to language barrier or brain injury * sexual assault * child abuse * self-inflicted injury * residence \>1 hour from Toronto city limits
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| To evaluate the impact of the HVIP on building personal capacity of youth who have experienced non-fatal violent injuries to thrive. | July 2024 - December 2025 | To evaluate changes in thriving, substance use, and mental health, validated measures and qualitative measures will be used. Quantitative measures collected using validated instruments will provide objective measures of change over time; while context-specific and nuanced growth will be captured through a semi-structured interview. |
| To pilot the methodology proposed to measure the impact of THRIVE on subsequent injuries within 1 year using administrative data sources | March - Sept 2026 | After 1.5 years of enrolment in THRIVE, study participants will be deterministically linked. Linkage will provide a wealth of baseline characteristics (demographics, income/marginalization), injury characteristics (ICD-10 coding patterns which can be contrasted to THRIVE documentation), as well as the capacity to follow these linked patients administratively over time and identify subsequent ED presentations and admission across any hospital in Ontario. |
Contacts
Primary ContactJennifer Dekker, MSc
Outcome results
None listed