Characteristics and psychosocial needs of victims of violent crime identified at a public-sector hospital: data from a large clinical trial

• Published in: General hospital psychiatry 2007-05, Vol.29 (3), p.236-243
• Main Authors: Boccellari, Alicia, Ph.D, Alvidrez, Jennifer, Ph.D, Shumway, Martha, Ph.D, Kelly, Vanessa, Psy.D, Merrill, Gregory, L.C.S.W, Gelb, Michael, M.D, Smart, Sharon, M.D, Okin, Robert L., M.D
• Format: Article
• Language: English
• Subjects: Adult; Adult and adolescent clinical studies; Aged; Anxiety disorders. Neuroses; Biological and medical sciences; Crime Victims - psychology; Female; Humans; Interpersonal violence; Interviews as Topic; Linear Models; Male; Medical sciences; Middle Aged; Patient Selection; Post-traumatic stress disorder; Posttraumatic stress; Poverty; Psychiatric Status Rating Scales; Psychiatry; Psychology. Psychoanalysis. Psychiatry; Psychopathology. Psychiatry; Psychosocial needs; Severity of Illness Index; Stress Disorders, Post-Traumatic - diagnosis; Stress Disorders, Post-Traumatic - ethnology; Stress Disorders, Post-Traumatic - psychology; Treatment Outcome; Victims; Violence
• ISSN: 0163-8343; 1873-7714
• DOI: 10.1016/j.genhosppsych.2007.01.008

Abstract Objective This study explores the feasibility of recruiting acutely injured public-sector crime victims into a research protocol and identifies baseline characteristics associated with posttraumatic distress in the enrolled sample ( N =541). Method Assertive research tracking methods were used to enroll participants, who completed baseline interviews. Descriptive statistics were used to define characteristics of the sample and prevalence of psychosocial problems and posttraumatic distress. Multiple regression analysis was performed to identify predictors of posttraumatic distress. Results A high percentage (78%) of eligible victims completed baseline interviews within 1 month of victimization. The sample was largely male, ethnic minority, unemployed and living below the poverty level. Trauma symptoms were highly prevalent, with three quarters having significant posttraumatic distress. Female gender, preexisting psychiatric disorder, trauma history, case management needs and employment status were predictive of greater symptomatology. Stabbing victims had lower distress. Conclusions Comprehensive mental health and case management services that proactively engage disadvantaged victims are needed to meet the complex problems of this population.