Preventing Retaliatory Gun Violence in Violently Injured Adults

NCT04813185 | Recruiting

• 2 other identifiers: HM20020621R01CE003296
• Study Type: interventional
• Target: 616
• Locations: 1 country
• Sites: 1

Brief Summary

The purpose of this research study is to find out if a hospital-based violence intervention (Bridging the Gap) is effective for reducing violence. The researchers think that adults who receive Bridging the Gap will see greater improvements than those who do not receive the intervention. This study will allow them to learn more about the intervention's effectiveness. The study will also help them understand if the violence intervention affects other behaviors, such as firearm use, drug use, aggression, risky behaviors, and rates of violent re-injury.

Conditions

Violence

Outcome Measures

Primary Outcomes (3)

• Firearm-related violence

  Number of firearm-related violence incidents will be measured multiple ways including self-report and a semi-structured clinical assessment of non-convicted firearm-related violence. Incidents will be summed to yield a single count of unique firearm-related violence incidents for each participant.

  12-months

• Firearm-related re-injury

  Number of firearm-related re-injury incidents will be measured multiple ways including self-report and hospital records. Incidents will be summed to yield a single count of unique firearm-related re-injuries for each participant.

  12-months

• Firearm-related mortality

  Collected from hospital records and National Death Index

  12-months

Study Arms (2)

Treatment as usual

NO INTERVENTION

Adults who will not receive BTG services and will receive treatment as usual (TAU) in the hospital.

In-hospital intervention

EXPERIMENTAL

Adults randomized to Bridging the Gap (BTG) services will receive a hospital-based violence prevention program with 6-months of community case management and a firearm counseling program.

Behavioral: Bridging the Gap

Interventions

Bridging the Gap BEHAVIORAL

Bridging the Gap Bridging the Gap is a hybrid model for violence prevention which integrates a hospital-based brief violence intervention (BVI) delivered to the patient while in hospital with a wrap-around community case management prevention strategy. Firearm Counseling Program The firearm counseling program was developed to be administered in the hospital alongside the 6-step intervention program, as well as in the patient's home after hospital discharge. The firearm safety counseling program includes 3 components aimed at understanding patient risk, reducing firearm-related violence risk-factors, and helping patients increase firearm safety practices.

In-hospital intervention

Eligibility Criteria

• Age: 18 Years+
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• They receive treatment in the hospital for a violence-related injury (e.g., gunshot wound)
• They are 18 years or older
• They are English speaking
• They are eligible for BTG services (which includes living within the BTG catchment area for the hospital; Richmond City and neighboring counties)

You may not qualify if:

• Non-English speaking
• Age \<18
• Prisoners

Sponsors & Collaborators

• Virginia Commonwealth University: lead
• Centers for Disease Control and Prevention: collaborator

Study Sites (1)

Virginia Commonwealth University

Richmond, Virginia, 23298, United States

RECRUITING

Study Officials

• Nicholas Thomson

  Virginia Commonwealth University

  PRINCIPAL INVESTIGATOR

Central Study Contacts

Nicholas Thomson

CONTACT

804-628-5541; Nicholas.Thomson@vcuhealth.org

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: NONE
• Purpose: PREVENTION
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Study Record Dates

• First Submitted: March 16, 2021
• First Posted: March 24, 2021
• Study Start: July 27, 2021
• Primary Completion (Estimated): December 1, 2026
• Study Completion (Estimated): December 1, 2026
• Last Updated: February 4, 2026

Record last verified: 2026-02

Data Sharing

• IPD Sharing: Will not share

Locations

US (1)