biostudies-literatureLyons VHNICHD NIH HHSNCATS NIH HHSNIEHS NIH HHS722-730https://www.ebi.ac.uk/biostudies/studies/S-EPMC7979484biostudies-literatureUnknown90(4)<h4>Background</h4>Patients with firearm injuries are at high risk of subsequent arrest and injury following hospital discharge. We sought to evaluate the effect of a 6-month joint hospital- and community-based low-intensity intervention on risk of arrest and injury among patients with firearm injuries.<h4>Methods</h4>We conducted a cluster randomized controlled trial, enrolling patients with firearm injuries who received treatment at Harborview Medical Center, the level 1 trauma center in Seattle, Washington, were 18 years or older at the time of injury, spoke English, were able to provide consent and a method of contact, and lived in one of the five study counties. The intervention consisted of hospital-based motivational interviewing, followed by a 6-month community-based intervention, and multiagency support. The primary outcome was the risk of subsequent arrest. The main secondary outcome was the risk of death or subsequent injury requiring treatment in the emergency department or hospitalization.<h4>Results</h4>Neither assignment to or engagement with the intervention, defined as having at least 1 contact point with the support specialist, was associated with risk of arrest at 2 years post-hospital discharge (relative risk for intervention assignment, 1.15; 95% confidence interval, 0.90-1.48; relative risk for intervention engagement, 1.07; 95% confidence interval, 0.74-2.19). There was similarly no association observed for subsequent injury.<h4>Conclusions</h4>This study represents one of the first randomized controlled trials of a joint hospital- and community-based intervention delivered exclusively among patients with firearm injuries. The intervention was not associated with changes in risk of arrest or injury, a finding most likely due to the low intensity of the program.<h4>Level of evidence</h4>Care management, level II.The journal of trauma and acute care surgeryHelping individuals with firearm injuries: A cluster randomized trial.PMC7979484R24 HD087149P2C HD042828P30 ES007033R24 HD042828UL1 TR002319TL1 TR002318Lyons VHGriffin EHaggerty KPWhiteside LKRivara FPBenkeser DRowhani-Rahbar AFloyd ASCarone MWang JHajat AfalseHelping individuals with firearm injuries: A cluster randomized trial.<h4>Background</h4>Patients with firearm injuries are at high risk of subsequent arrest and injury following hospital discharge. We sought to evaluate the effect of a 6-month joint hospital- and community-based low-intensity intervention on risk of arrest and injury among patients with firearm injuries.<h4>Methods</h4>We conducted a cluster randomized controlled trial, enrolling patients with firearm injuries who received treatment at Harborview Medical Center, the level 1 trauma center in Seattle, Washington, were 18 years or older at the time of injury, spoke English, were able to provide consent and a method of contact, and lived in one of the five study counties. The intervention consisted of hospital-based motivational interviewing, followed by a 6-month community-based intervention, and multiagency support. The primary outcome was the risk of subsequent arrest. The main secondary outcome was the risk of death or subsequent injury requiring treatment in the emergency department or hospitalization.<h4>Results</h4>Neither assignment to or engagement with the intervention, defined as having at least 1 contact point with the support specialist, was associated with risk of arrest at 2 years post-hospital discharge (relative risk for intervention assignment, 1.15; 95% confidence interval, 0.90-1.48; relative risk for intervention engagement, 1.07; 95% confidence interval, 0.74-2.19). There was similarly no association observed for subsequent injury.<h4>Conclusions</h4>This study represents one of the first randomized controlled trials of a joint hospital- and community-based intervention delivered exclusively among patients with firearm injuries. The intervention was not associated with changes in risk of arrest or injury, a finding most likely due to the low intensity of the program.<h4>Level of evidence</h4>Care management, level II.2021-01-01T00:00:00Z2021 Apr2026-05-02T22:39:55.255Z2026-04-07T18:30:57.745ZS-EPMC79794843340547510.1097/ta.000000000000305610.1097/TA.0000000000003056