The Role of Families and Care Givers as Risk and Protective Factors in Preventing Youth Violence

This paper reviews research which discusses the risk and protective functions that families and other caregivers provide in influencing the development of aggressive behavior in youth. Currently, there is an emphasis on providing violence prevention programs in the school environment, typically with little parental or caregiver involvement. By enhancing the role of families and caregivers in youth violence prevention programs, we assert that an unique opportunity exists to both address specific risk factors for violence while enhancing the protective features of the family. Relatedly, the risk literature on youth violence indicates that the most influential risk factors (i.e., the family, community, and peers) have their principle impact on youth aggression outside the school. We suggest a shift in the focus of violence prevention programming that is more inclusive of families as both a risk and protective agent. In support of this position, relevant theory and reviews of exemplary family-involved programs are offered. Challenges to involving youth caregivers are identified and recommendations for overcoming those challenges suggested. Last, recommendations for future research and public policy in the prevention of youth violence are offered.     

Prevalence of Children's Exposure to Domestic Violence and Child Maltreatment: Implications for Prevention and Intervention

The purpose of this paper is to review research on the prevalence of children's exposure to domestic violence, to consider the available literature on the co-occurrence of domestic violence and child maltreatment, and to gain more understanding about the impact of exposure on children. There is clear evidence indicating that both severe and moderate violence occurs frequently in homes among family members and that children are exposed to this violence. However, because of differing definitions of what constitutes domestic violence and variability in research methodologies for collecting the data, there are significant discrepancies in prevalence reports across studies. Of great concern is the immediate impact on the children and the long-term consequences for their later relationships. Fewer studies have been done on the co-occurrence of domestic violence and child maltreatment. However, it is likely that children who live in homes where domestic violence occurs are more likely to be abused and neglected. On the basis of available research, there is little doubt that vast numbers of children are exposed to domestic violence and that children's responses vary widely depending on their risk and vulnerability, as well as the structure of their environments. A developmental risk and protective factors framework will be used to integrate the information on children's exposure to violence.     

A review of the evidence on the relationship between gender and adolescents' involvement in violent behavior

Adolescents' involvement in violence is a public health concern worldwide, with male adolescents more likely than female adolescents to be involved. A review of the literature published between 1990 and 2011 was conducted to examine the risk and protective factors associated with gender and adolescents' involvement in violent behavior. While research suggests there is an association between gender and involvement in violent behavior, the strength of this association appears to be mediated by gender relationships with other risk and protective factors. Moreover, these relationships appear to vary amongst different communities. Prior to the development and implementation of violence prevention strategies, consideration should be given to collecting longitudinal data specific to the target community. These data would guide the development of effective prevention strategies to ensure they address local needs, influences, and associations between gender and other risk and protective factors.     

Where do we go from here? Moving toward an integrated approach to family violence

This article discusses patterns across reviews of the risk and protective factors for each of seven forms of family violence: partner physical, psychological, and sexual abuse; child physical, psychological, and sexual abuse and child neglect. We note that both child and partner literatures have large research bases on risk factors for physical abuse, but relatively few articles on psychological or sexual abuse (or child neglect). In addition, co-occurrence of forms of maltreatment within families is high, but little integrative work has been conducted. We argue that the overlap of both occurrence and risk factors across forms of maltreatment suggests that both etiological and intervention models would be improved by considering all forms of maltreatment more explicitly in a family (rather than dyadic) context.     

Preventing Violence among Gang-Involved and High-Risk Youth in El Salvador: The Role of School Motivation and Self-Control

El Salvador, as a country of the Northern Triangle, exhibits significantly higher rates of crime and delinquency than the rest of the Latin American countries (World Bank 2011). Mass media portray transnational youth gangs in marginalized communities in Central American nations, such as El Salvador, as one of the main factors responsible for the high levels of violence. Few studies have empirically studied active youth gang members and high-risk youth in these contexts. Among the studies that have accessed active youth gang members, the focus has been on problem behaviors and risk factors analyses; little is known about what variables appear to serve as protective factors for these youth. Based on a cross-sectional sample of high-risk youth and youth gang members (n = 184) between the ages of 13 and 25 living in 10 urban communities in San Salvador, this study used linear regression modeling to analyze protective factors for three outcome variables: aggression, violence, and delinquency. Results reveal that self-control and school motivation act as important protective factors across the three domains, while school behavior is a protective factor of aggression and delinquency. Implications for community-based prevention and harm reduction policies are discussed.     

Risk Factors for Community Violence Exposure in Adolescence

Community violence is recognized a significant public health problem. However, only a paucity of research has examined risk factors for community violence exposure across domains relevant to adolescents or using longitudinal data. This study examined youth aggressive behavior in relation to community violence exposure among a community epidemiologically defined sample of 582 (45% female) urban adolescents. Internalizing behaviors, deviant peer affiliation, and parental monitoring were examined as moderators of the association between aggressive behavior and exposure to community violence. For males with aggressive behavior problems and deviant peer affiliation or low parental monitoring, co-occurring anxiety symptoms protected against subsequent witnessing community violence. In contrast, males with aggressive behavior problems and co-occurring depressive symptoms were at increased risk for witnessing community violence. Implications of the findings for preventive interventions and future research are discussed.     

Risk and Protective Factors that Distinguish Adolescents Who Attempt Suicide from Those Who Only Consider Suicide in the Past Year

Data from the 2010 Minnesota Student Survey was analyzed to identify risk and protective factors that distinguished adolescents across three groups: no suicidality, suicidal ideation only, and suicide attempt. The population‐based sample included 70,022 students in grades 9 and 12. Hopelessness and depressive symptoms emerged as important risk factors to distinguish youth who reported suicidal ideation or behavior from those without a history of suicidality. However, these factors were not as important in differentiating adolescents who attempted suicidal from those who considered suicide but did not act on their thoughts. Instead, for both genders, self‐injury represented the most important factor to distinguish these youth. Other risk factors that differentiated the latter groups, but not the former groups, for males were dating violence victimization and cigarette smoking, and for females was a same‐sex sexual experience. Running away from home also seemed to increase the risk of a suicide attempt among youth in this study. Parent connectedness and academic achievement emerged as important protective factors to differentiate all the groups, yet neighborhood safety appeared to protect against the transition from suicidal thoughts to behavior. Findings from this study suggest risk and protective factors practitioners should target in clinical assessments and intervention programs to help prevent suicidal behavior among youth at greatest risk.     

Risk and protective factors at school: Reducing bullies and promoting positive bystanders' behaviors in adolescence

Identifying protective factors present at schools located in neighborhoods with high structural violence is fundamental to help prevent the perpetuation of violence . Therefore, the aim of this study was to observe how some school micro‐system variables, such as school environment and interpersonal relationships that adults establish with adolescents, may lead to bullying behaviors or, on the contrary, to positive bystander behavior in the bully‐victim dynamic. The sample was composed of 5,774 adolescents from 71 schools located in violent neighborhoods in Lima (Peru). 31.9 per cent of the sample experienced verbal violence and the prevalence of cyberbullying was 24.6%. Boys were more prone to experience both types of bullying than girls, although no differences were seen in the probability of becoming aggressors during early and late adolescence. The protective model showed that a positive atmosphere based on a supportive environment with clear rules encouraged adults at school to show more support and to provide more orientation in bullying situations, thus promoting a positive bystander behavior between peers. Opposite results were observed in the risk model. Actions at the micro‐system school level are discussed to enhance protective factors and reduce risk factors.     

Female Juvenile Offending: A Review of Characteristics and Contexts

We reviewed current literature on female juvenile offending including the scope and nature of offending by female adolescents and the risk and protective factors across ecological contexts. We suggested that female juvenile offending is best viewed within a multidimensional framework in which female adolescent developmental characteristics as well as the ecological contexts must be considered for effective preventions and interventions. An ecological framework may assist professionals to target adolescent female offenders who are most likely to be chronic offenders. We offered both an intervention and research frame for addressing the issue of offending among our female youth and concluded that, as the incidence of female juvenile offending increases, researchers and practitioners are well advised to consider both the contexts surrounding the potential female adolescent offender as well as the contexts that contribute to her resiliency against offending.     

Aggressive and Prosocial Behavior: Community Violence, Cognitive, and Behavioral Predictors Among Urban African American Youth

We use longitudinal multilevel modeling to test how exposure to community violence and cognitive and behavioral factors contribute to the development of aggressive and prosocial behaviors. Specifically, we examine predictors of self-, peer-, and teacher-reported aggressive and prosocial behavior among 266 urban, African American early adolescents. We examine lagged, within-person, between-person, and protective effects across 2 years. In general, results suggest that higher levels of violence exposure and aggressive beliefs are associated with more aggressive and less prosocial peer-reported behavior, whereas greater self-efficacy to resolve conflict peacefully is associated with less aggression across reporters and more teacher-reported prosocial behavior. Greater knowledge and violence prevention skills are associated with fewer aggressive and more prosocial teacher-reported behaviors. Results also suggest that greater self-efficacy and lower impulsivity have protective effects for youth reporting higher levels of exposure to community violence, in terms of teacher-reported aggressive behavior and peer-reported prosocial behavior. Differences among reporters and models are discussed, as well as implications for intervention.     

Psychological and criminological factors associated with desistance from violence: A review of the literature

Ample evidence exists that offenders eventually terminate their criminal careers, and this holds true for violent offenders. The causal mechanisms responsible for triggering and maintaining this process remain unclear; meaning that desistance from violence is poorly understood. This comprehensive review of the literature revealed that research in this area is hampered by definitional, operational, and measurement inconsistencies. Several of the conceptual frameworks used to explain desistance from delinquency have not been specifically applied in relation to violence. However, it was found that criminological enquiry suggests that informal social control (e.g., stable relationship and employment) play a role in desistance from violence and that theoretical frameworks which examine both internal and external change seem to show promise as an aid to understanding the desistance process. Psychological research has tended to focus on the role of risk and protective factors in relation to desistance but this, particularly protective factors, is currently under-researched. More knowledge needs to be assembled about how: (1) the mechanics of protective factors mitigate risk of future violence, and (2) how they play a role in the maintenance of violent free behaviors. Findings from criminology and psychology need to be expanded and integrated to extend our understanding of desistance from violence.     

Risk and protective factors for urban African-American youth

The present study investigated risk and resilience processes in a sample of urban African-American youth. Risk and protective factors were assessed across ecological levels including individual, family and community. Both externalizing and internalizing symptomatology were included as measures of child adjustment. Youth and parental reports as well as various methods, such as the Experience Sampling Method, were used to capture the daily experiences of the adolescents from different perspectives. Poverty, hassles, and exposure to violence predicted higher rates of externalizing and internalizing symptoms. Individual and family protective variables emerged as powerful sources of resilience. An inner sense of confidence and helpful family support were associated with reductions in the deleterious effects of community poverty. Two main patterns, protective-stabilizing and overwhelming-risk, seemed to characterize most of the risk by protective factor interactions. The present findings are important for understanding the complex experiences of urban youth and furthering the literature on sources of risk and protection for African-Americans.     

Developmental differences in risk factors for suicide attempts between ninth and eleventh graders

In order to identify differences in risk factors for suicide attempts throughout adolescence, this study utilized a school-based survey of ninth (n = 1,192) and eleventh graders (N = 1,055). Suicide attempts were associated with cigarette and alcohol use, family violence, and depression for ninth graders and with illicit drug use, school violence, and sexual abuse for eleventh graders, while having friends was protective for both groups. Additionally, having more than one risk factor imparted an exponential risk for suicide attempts (ninth > eleventh graders). The differences detected are consistent with developmental changes of adolescence and represent important information for identification of at-risk youth.     

Changing Rates of Suicide Ideation and Attempts Among Inuit Youth: A Gender‐Based Analysis of Risk and Protective Factors

Inuit in Canada currently suffer from one of the highest rates of suicide in the world. The objective of this study was to explore the prevalence of suicide ideations and attempts among 15–24 year olds living in Nunavik, Québec, and to explore risk and protective factors of suicide attempts as a function of gender. A cross‐sectional survey was conducted in 2004 across Nunavik. Univariate and multivariate logistic regressions were conducted. A total of 22% of young males and 39% of females adults reported past suicidal attempts. Gender differences were observed in relation to associated risk and protective factors as well as degree of exposure to risk factors. Suicide prevention must include alcohol and drug prevention programs and rehabilitation services, interventions to reduce physical and sexual violence and their long‐term impacts on Inuit youth, as well as exposure to culturally meaningful activities.     

Children Exposed to Community Violence: The Rationale for Early Intervention

Children are exposed to violence in their homes and communities at extraordinarily high rates. Given the alarming rates of exposure and its known impact on child developmental outcomes, crisis intervention geared at interrupting the negative effects of violence exposure are increasingly important. This review provides a rationale for the implementation of early and crisis intervention strategies for children exposed to community violence and recommends principles for applying these interventions. These principles are based on the body of research concerning risk and protective factors for children who have been exposed to violence. Relevant factors are reviewed and recommended principles are explicated that correlate to these factors. Issues concerning developmentally informed crisis intervention, support of parental executive functioning, and the need for active community partnership to help ameliorate risk factors are highlighted.     

Prevalence,dynamic risk factors and the efficacy of primary interventions for adolescent dating violence: An international review

Adolescent dating violence is a pressing international issue: yet, there have been few attempts to collate the international evidence regarding this phenomenon. This article reviews contemporary evidence from Europe and North America on prevalence, dynamic risk factors, and the efficacy of intervention programs for adolescent dating violence. Prevalence findings suggest that victimization rates are comparable across Europe and North America. Although individual studies report differing prevalences, the overall hierarchy of violence types – in which psychological/emotional violence is most and sexual violence least prevalent – is consistent across almost all investigations. Four dynamic risk factors for perpetration are identified: peer influence, substance use, psychological adjustment and competencies, and attitudes towards violence. Peer influences and attitudes towards violence appear to be the most extensively evidenced factors in the literature. Nine existing intervention programs are identified, all located within North America. Intervention results are mixed, with some evaluations reporting significant long-term benefits while others report positive intervention effects dissipate throughout follow-up. Tentative analysis suggests that programs focused on behavioral change may elicit sustainable effects more readily. However, this is difficult to ascertain with no data on program repetitions and variations across intervention pedagogy and sample. Concerns with existing research and interventions and possible future directions are discussed.     

Social risk and protective factors for suicide attempts in low income African American men and women

A case-control study was conducted to examine a broad array of potential social risk and protective factors for suicide attempt among 200 African American men and women receiving care at a large, public, urban hospital. Specifically, we examined the effect of the following potential risk factors for suicide attempt: life hassles, partner abuse, partner dissatisfaction, and racist events; as well as the following potential protective factors: effectiveness of obtaining resources, social embeddedness, and social support. Using logistic regression, suicide attempter status was predicted by two independently significant social variables: one risk factor (life hassles) and one protective factor (social support). Male versus female suicide attempters were not distinguished by the social variables. These findings, which support the utility of an ecological conceptualization of risk and protective factors for suicide attempt, help to clarify the independently significant social environment risk and protective factors for suicide attempts among economically disadvantaged African Americans in particular. Research on both risk factors and protective factors provide a basis for culturally competent interventions aimed at reducing both the risk of future suicide attempts and completions.     

儿童侵犯性性别差异的社会认知技能视角

影响侵犯性性别差异的因素众多,本研究认为的社会认知技能的性别差异与侵犯性性别差异有密切关系,认知技能是风险因素和行为之间的调节者。女性相比于男性侵犯性行为少与女性神经机制的发展缺陷概率小,生理成熟早,最终发展形成较男性更好的社会认知技能有密切关系。     

Exploring Violence Exposure, Stress, Protective Factors and Behavioral Problems Among Inner-City Youth

This study examined relationships between violence exposure, other stressors, family support, and self-concept on self-reported behavioral problems among 320 urban adolescents (aged 11–18) referred for mental health treatment. Overall, participants reported high levels of violence exposure, with a median of six past encounters with violence as a witness, victim, or through the experiences of associates. All forms of violence exposure (witnessing, being a victim, knowing of victims) were correlated with internalizing and externalizing behavioral problems for males and females. Total violence exposure predicted behavioral problems among participants, even after controlling for the effects of other risk, demographic and protective factors. Family support and self-concept moderated the influence of life stress and cumulative risk on problem behavior outcomes, but these protective variables did not significantly moderate violence exposure.     

Youth Exposed to Violence: Stability, Co-occurrence, and Context

With considerable literature establishing how separate types of violence disrupt the lives of children, there is emerging interest in examining violence across multiple interpersonal domains. This article examines four commonly occurring and frequently researched domains of violence exposure: marital physical aggression, mother-to-youth aggression, father-to-youth aggression, and community violence. A community-based sample of 103 parents and youth provided three waves of data at annual intervals beginning when the youth were aged 9–10. We explored stability of exposure, co-occurrence across different types of violence exposure, and associations with co-occurring risk factors. Approximately 30–45% of youth reported intermittent exposure over the 3 years. In addition to overlap among types of violence exposure within the family, we found overlap between parent-to-youth aggression and community violence, an association that was exacerbated in families where fathers reported high levels of global distress symptoms. Mother-to-youth, father-to-youth, and community violence related to youth behavior problems beyond the contextual risk factors of low income, stressful life events, and parents’ global distress symptoms. These results highlight the importance of examining violence longitudinally, across multiple types, and with attention to contextual factors.