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Published byMerryl Robinson Modified over 8 years ago
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Violence Brian Ladds, M.D.
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Violence Introduction Epidemiology/Trends –U.S vs. elsewhere –last 50 years vs. last decade Etiology/Risk Factors –Environmental –Biological
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Introduction Medicine has undergone a paradigm shift –population health emphasis in health care delivery Violence is a ‘public health’ problem Role of physicians and specialists Place in medical education Surveys of doctors
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Definition 4 major types of ‘violent crime’ –assault –robbery –rape –homicide
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Homicide: Trends Among top 10 leading causes of death –‘Years of potential life lost’ (YPPL) –disproportionately affects young Homicide rate in US (~ 7/100,000) much higher than other ‘developed’ countries 1960-1990 dramatic increase 1990-2000 dramatic decrease
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Causes of Violence Nature vs. nurture –controversies –newer model: dynamic interaction –example: low birth weight baby
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Environmental factors Socio-economic –Absolute poverty –Economic inequality –Racial inequality and discrimination –‘Sub-cultures’ –Family disruptions Race Guns
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Developmental Factors Physical abuse Witnessing domestic violence Media
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Biological Factors Genetic: no –congenital, peri-natal? Gender Age
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Biological Factors Neurologic dysfunction –Focal –Diffuse Neuro-chemistry Hormones Alcohol and illicit substances Mental disorders?
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