D Neil Hayes1, Robert Sege. 1. Division of Clinical Care Research, Tufts-New England Medical Center, Boston, MA, USA. nhayes@tuft-nemc.org
Abstract
STUDY OBJECTIVE: Adolescent firearms-carrying is a risk factor for serious injury and death. Clinical screening tools for firearms-carrying have not yet been developed. We present the development of a preliminary screening test for adolescent firearms-carrying based on the growing body of knowledge of firearms-related risk factors. METHODS: A convenience sample of 15,000 high school students from the 1999 National Youth Risk Behavior Survey was analyzed for the purpose of model building. Known risk factors for firearms-carrying were candidates for 2 models predicting recent firearms-carrying. The "brief FiGHTS score" screening tool excluded terms related to sexual behavior, significant substance abuse, or criminal behavior (Fi=fighting, G=gender, H=hurt while fighting, T=threatened, S=smoker). An "extended FiGHTS score," which included 13 items, was developed for more precise estimates. RESULTS: The brief FiGHTS score had a sensitivity of 82%, a specificity of 71%, and an area under the receiver operating characteristic (ROC) curve of 0.84. The extended FiGHTS score had an area under the ROC curve of 0.90. Both models performed well in a validation data set of 55,000 students. CONCLUSION: The brief and extended FiGHTS scores have high sensitivity and specificity for predicting firearms-carrying and may be appropriate for clinical testing.
STUDY OBJECTIVE: Adolescent firearms-carrying is a risk factor for serious injury and death. Clinical screening tools for firearms-carrying have not yet been developed. We present the development of a preliminary screening test for adolescent firearms-carrying based on the growing body of knowledge of firearms-related risk factors. METHODS: A convenience sample of 15,000 high school students from the 1999 National Youth Risk Behavior Survey was analyzed for the purpose of model building. Known risk factors for firearms-carrying were candidates for 2 models predicting recent firearms-carrying. The "brief FiGHTS score" screening tool excluded terms related to sexual behavior, significant substance abuse, or criminal behavior (Fi=fighting, G=gender, H=hurt while fighting, T=threatened, S=smoker). An "extended FiGHTS score," which included 13 items, was developed for more precise estimates. RESULTS: The brief FiGHTS score had a sensitivity of 82%, a specificity of 71%, and an area under the receiver operating characteristic (ROC) curve of 0.84. The extended FiGHTS score had an area under the ROC curve of 0.90. Both models performed well in a validation data set of 55,000 students. CONCLUSION: The brief and extended FiGHTS scores have high sensitivity and specificity for predicting firearms-carrying and may be appropriate for clinical testing.
Authors: Esther K Chung; Benjamin S Siegel; Arvin Garg; Kathleen Conroy; Rachel S Gross; Dayna A Long; Gena Lewis; Cynthia J Osman; Mary Jo Messito; Roy Wade; H Shonna Yin; Joanne Cox; Arthur H Fierman Journal: Curr Probl Pediatr Adolesc Health Care Date: 2016-04-18
Authors: Patrick M Carter; Maureen A Walton; Marc A Zimmerman; Stephen T Chermack; Jessica S Roche; Rebecca M Cunningham Journal: Acad Emerg Med Date: 2016-09-07 Impact factor: 3.451
Authors: Rebecca M Cunningham; Stella M Resko; Stephanie Roahen Harrison; Marc Zimmerman; Rachel Stanley; Stephen T Chermack; Maureen A Walton Journal: Acad Emerg Med Date: 2010-02 Impact factor: 3.451
Authors: Kevin Loh; Maureen A Walton; Stephanie Roahen Harrison; Marc Zimmerman; Rachel Stanley; Stephen T Chermack; Rebecca M Cunningham Journal: Accid Anal Prev Date: 2010-01-19
Authors: Jason E Goldstick; Patrick M Carter; Maureen A Walton; Linda L Dahlberg; Steven A Sumner; Marc A Zimmerman; Rebecca M Cunningham Journal: Ann Intern Med Date: 2017-04-11 Impact factor: 25.391
Authors: Quyen M Ngo; Eric Sigel; Allante Moon; Sara F Stein; Lynn S Massey; Frederick Rivara; Cheryl King; Mark Ilgen; Rebecca Cunningham; Maureen A Walton Journal: J Behav Med Date: 2019-08-01