Prevention of Firearm Violence Through Specific Types of Community-based Programming: An Eastern Association for the Surgery of Trauma Evidence-based Review

Stephanie L. Bonne, Pina Violano, Thomas K. Duncan, Peter A. Pappas, Gerard A. Baltazar, Linda A. Dultz, Mary E. Schroeder, Jeanette Capella, Michael Hirsh, Kristen Conrad-Schnetz, Rishi Rattan, John J. Como, Sarah Jewell, Marie L. Crandall

Research output: Contribution to journalReview articlepeer-review

Abstract

OBJECTIVE: The purpose of this review was to provide an evidence-based recommendation for community-based programs to mitigate gun violence, from the Eastern Association for the Surgery of Trauma (EAST). SUMMARY BACKGROUND DATA: Firearm Injury leads to >40,000 annual deaths and >115,000 injuries annually in the United States. Communities have adopted culturally relevant strategies to mitigate gun related injury and death. Two such strategies are gun buyback programs and community-based violence prevention programs. METHODS: The Injury Control and Violence Prevention Committee of EAST developed Population, Intervention, Comparator, Outcomes (PICO) questions and performed a comprehensive literature and gray web literature search. Using GRADE methodology, they reviewed and graded the literature and provided consensus recommendations informed by the literature. RESULTS: A total of 19 studies were included for analysis of gun buyback programs. Twenty-six studies were reviewed for analysis for community-based violence prevention programs. Gray literature was added to the discussion of PICO questions from selected websites. A conditional recommendation is made for the implementation of community-based gun buyback programs and a conditional recommendation for community-based violence prevention programs, with special emphasis on cultural appropriateness and community input. CONCLUSIONS: Gun violence may be mitigated by community-based efforts, such as gun buybacks or violence prevention programs. These programs come with caveats, notably community cultural relevance and proper support and funding from local leadership.Level of Evidence: Review, Decision, level III.

Original languageEnglish (US)
Pages (from-to)298-305
Number of pages8
JournalAnnals of surgery
Volume274
Issue number2
DOIs
StatePublished - Aug 1 2021

ASJC Scopus subject areas

  • Surgery

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