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In a prospective longitudinal study of substance-using youth 14 to 24 years of age presenting to a Flint, Michigan, emergency department (ED), investigators developed and validated a clinical screening tool for predicting the risk for future firearm violence.
Of 599 youth enrolled (average age, 20 years), 252 (42%) were involved in firearm violence during the 24-month follow-up period. To develop the 10-point SaFETy score, the investigators selected four variables (based on breadth and clinical feasibility) from among those most predictive of future firearm violence:
Serious fighting in the past 6 months (score, 0–4, depending on frequency
Friend weapon carrying (0−1, depending on number of friends)
Community Environment (0–1, depending on freq…