- Aim4Peace hospital-linked community-based violence programme implemented in 2008 to reduce violent crime and trauma recidivism.
- Retrospective cohort of 1346 penetrating injury patients, urban Level 1 trauma centre; preintervention 2006 to 2007, postintervention 2016 to 2017 and 2021 to 2023.
- Adjusted analyses showed significantly lower 3-year and 8-year recidivism postintervention, odds ratios 0.34 and 0.35, P < 0.001.
J Surg Res. 2026 Aug 8;326:610-618. doi: 10.1016/j.jss.2026.07.018. Online ahead of print.
ABSTRACT
INTRODUCTION: Aim4Peace (A4P) is a hospital-linked community-based violence prevention program that aims to reduce violent crime. Trauma recidivism was studied before and after program implementation at an urban trauma center.
METHODS: A4P was implemented in 2008. Patients with penetrating injuries from intentional violence were retrospectively identified at an urban Level 1 trauma center. Preintervention patient records from 2006 to 2007 were reviewed, along with postintervention records from 2016 to 2017 and 2021 to 2023. Three-year and 8-y recidivism was compared in the preintervention and postintervention cohorts.
RESULTS: The analytic cohort included 1346 patients. Multivariate logistic regression revealed a significant difference in 3-y (odds ratio 0.34, 95% confidence interval 0.19-0.63, P < 0.001) and 8-y recidivism (odds ratio 0.35, 95% confidence interval 0.20-0.60, P < 0.001) between the pre- and post-intervention cohorts after adjusting for age, sex, and race.
CONCLUSIONS: Trauma recidivism rates were significantly lower following the implementation of the A4P program.
PMID:42570416 | DOI:10.1016/j.jss.2026.07.018
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