{"doi":"10.1016/j.focus.2023.100146","title":"Screening for Youth Firearm Violence Exposure in Primary Care","abstract":"•Youth respond honestly to screening questions about gun violence exposure.•Violence prevention programs are open to partnering with primary care clinics for referrals.•Clinicians believe that screening for gun violence is important and helps to identify at-risk youth. IntroductionThe aim of this study was to assess a modified gun violence exposure tool at a pediatric clinic on the West Side of Chicago to identify youth at high risk of future gun violence.MethodsA modified version of the SaFETy gun violence exposure tool, studied in a community pediatric primary care setting, was implemented from June to August 2021. Patients and pediatric clinicians were surveyed after pilot.ResultsOf 508 eligible patients, 341 youth (67.1%) completed the SaFETy tool. None had a SaFETy score ≥6, the threshold for immediate referral. Over a quarter (26.4%) of youth had scores of 1–5, and of those, 7.8% were referred at the clinician's discretion. Youth (n=84) participants randomly selected to complete an anonymous survey provided feedback about the SaFETY tool, reporting that the questions were easy to understand (92%). All 6 pediatric clinicians surveyed agreed that the tool helped to identify youth exposed to gun violence.ConclusionsScreening for gun violence exposure among youth is logistically feasible in the pediatric outpatient setting. A more sensitive validated tool to stratify low-/medium-risk patients in the primary care setting is needed.","journal":"AJPM Focus","year":2023,"id":351729,"datarank":0.0,"base_score":0.0,"endowment":0.0,"self_citation_contribution":0.0,"citation_network_contribution":0.0,"self_endowment_contribution":0.0,"citer_contribution":0.0,"corpus_percentile":null,"corpus_rank":null,"citation_count":9,"citer_count":0,"citers_with_citation_signal":0,"citers_with_endowment":0,"datacite_reuse_total":0,"is_dataset":false,"is_dataset_confidence":0.9544,"is_data_producer":false,"deposit_databanks":null,"is_oa":true,"file_count":0,"downloads":0,"has_version_chain":false,"published_date":"2023-01-01","fair_score":null,"fair_percentile":null,"algorithm_id":"datarank_citation_only_1hop_v6","ranking_scope":"data_only","authors":[{"id":741945,"name":"Patricia Labellarte","orcid":"0000-0002-0066-0880","position":1,"is_corresponding":false},{"id":1097307,"name":"Ashley Hayes","orcid":null,"position":2,"is_corresponding":false},{"id":1097308,"name":"J.C. Bicek","orcid":null,"position":3,"is_corresponding":false},{"id":625471,"name":"Leonardo Barrera","orcid":"0000-0001-9812-7883","position":4,"is_corresponding":false},{"id":605554,"name":"A Becker","orcid":"0000-0002-4112-7812","position":5,"is_corresponding":false},{"id":1097309,"name":"Bruce Rowell","orcid":null,"position":6,"is_corresponding":false},{"id":483105,"name":"Audrey Brewer","orcid":"0000-0002-1070-5114","position":7,"is_corresponding":false},{"id":1096750,"name":"Ansh Goyal","orcid":"0000-0002-5608-5889","position":0,"is_corresponding":true}],"reference_count":12,"raw_metadata":null,"created_at":"2026-07-19T01:12:45.897709Z","pmid":"38089425","pmcid":null,"fwci":null,"citation_percentile":null,"influential_citations":0,"oa_status":null,"license":null,"views":0,"total_file_size_bytes":0,"version_count":0,"fair_f":null,"fair_a":null,"fair_i":null,"fair_r":null,"fair_zscore":null,"fair_rationale":null,"fair_model":null,"fair_agent_version":null,"fair_fulltext_source":null,"fair_has_llm":null,"fair_computed_at":null,"clinical_trials":[],"software_tools":[],"db_accessions":[],"linked_datasets":[],"topics":[]}