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![]() Homicide is the second leading cause of death among American youth between the ages of 15 and 24, followed closely by suicide, according to the National Center for Health Statistics (NCHS). By comparison, homicide is the seventh leading cause of death among American adults between the ages of 35 and 44.
In 1996, Deborah Prothrow-Stith, director of the Division of Public Health Practice (DPHP), coordinated and convened the National Forum for Survivors of Violence, in Chicago, IL. Discussions at that forum led to the first of the survivors conferences in 1998, which have run every year since then. "You have inspired and energized a recommitment to violence prevention in this country," Prothrow-Stith said to this years attendees. Also offering opening remarks was Tina Chery, director of the Louis D. Brown Peace Institute, whose son was killed in crossfire between two gangs in Boston several years ago. This years theme was "From Anger to ActionA United Voice for Prevention." More than 100 people attended the two-day event and listened to more than two dozen speakers, including the director of the Office of Victims of Crime at the US Department of Justice and the national director of the Million Mom March. Brian Gibbs of the DPHP emceed the two-day event. Roland Smart, also of DPHP, was the conference coordinator. The CDC first became involved in violence prevention in 1980 when epidemiologists from the center worked with law enforcement agents to investigate a series of child murders in Georgia. Since then, the CDC has monitored death and injuries from violence, tested prevention strategies, and encouraged the adoption of violence prevention programs and policies, said Hammond. US homicide rates, while not the highest in the world, are 10 times greater than the combined rates of other developed countries with similarly established economies, he said. "There is something different with the US," said Hammond. The lower rates in other developed countries demonstrate that violence is indeed preventable, he added. Research has focused on the availability of weapons. To help address the problem, the CDC has chosen several violence prevention priorities, including one focused on Americas youth.
A national survey in 2001 of American high school students revealed that more than 17 percent of respondents had carried a weapon during the month preceding the survey. More than 33 percent had been in a fight during the previous year. In the same survey, more than eight percent of the students reported having been threatened or injured with a weapon on school property. Yet, added Hammond, school-associated violent deaths are extremely rare, despite fears produced by high-profile mass murders at sites like Columbine High School in 1999. Using a 2001 Surgeon Generals report on youth violence, Hammond listed prevention strategies that tend to work, according to specific criteria used by the Office of the Surgeon General. Those strategies included: monitoring childrens behavior, building school capacity, participating in youth development programs, home visits by trained professionals, and parent training. Strategies that do not seem to work as well include peer counseling, holding children back from moving to the next grade, gun buy-back programs, firearm training, and grouping high-risk youth in recreational programs. Hammond acknowledged the importance of discussing prevention strategies and policies with survivors of violence and with families whose loved ones were killed by violent acts. "The survivor community extends a unique perspective that goes beyond data," he said. "The community speaks with a voice of authority that can shape issues." For more information about the National Survivors of Violence Conference, visit http://www.hsph.harvard.edu/php/temp%20web/web%20ready/Sibsconf.htm. Harvard Public Health NOW is published biweekly by the Office of Communications Harvard School of Public Health 665 Huntington Ave., SPH 1-1312A Boston, Massachusetts 02115 617-432-6052 Editor and Layout: Christina Roache Photos Credits: Christina Roache, Paula Telch, Smitha Arekapudi, Pam Murray/HMS, US Department of Health and Human Services Archived Issues || HSPH Home Copyright, 2007, President and Fellows of Harvard College |