Case Studies

Chapter 3: Epidemiology of Violence

In July 2010, a 14-year-old girl was killed by a rain of gunfire as she sat on a safari tourist bus with her relatives in the U.S. Virgin Islands. She was apparently caught in the crossfire between two rival gangs at war. The girl was on an on-shore excursion from a cruise ship that had stopped for the day at Sharma Amalie. Another passenger was injured in the shootout. The girl was found wounded on the bus while the intended victim was found dead in the street near the bus.

1: How would this act of violence be classified?
2: Briefly describe three other types violent events and the mechanisms by which they occur.
In the following workplace violence scenarios, explain the relationship between the parties involved (i.e., employer-employee, client care-giver, etc). In each case, present a feasible risk factor that could have preceded each incident.

3: An elderly patient verbally abused a nurse and pulled her hair when she prevented him from leaving the hospital to go home in the middle of the night.
4: An agitated, psychotic patient attacked a nurse, broke her arm, and scratched and bruised her.
5: A disturbed family member whose father had died in surgery at the community hospital walked into the emergency department and fired a small-caliber handgun, killing a nurse and an emergency medical technician and wounding the emergency physician (NIOSH, 2002, Case reports section).
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