Recruiting

Observational Study

Sponsor:

Medical University of South Carolina

Code:

NCT06582953

Conditions

Firearm Injury

Violence, Physical

Eligibility Criteria

Sex: All

Age: 16+

Healthy Volunteers: Accepted

Interventions

Turning the Tide Violence Intervention Program (hospital violence intervention program)

Study Details

Brief summary:

The study's goal is to perform an evaluation of a Southeastern hospital violence intervention program (HVIP) that includes comprehensive patient outcomes, perceived benefits and opportunities for improvement of an HVIP from the perspectives of multiple stakeholders including patients, family members and healthcare providers.

Conditions

Firearm Injury

Violence, Physical

Study ID

NCT06582953

Start date

Dec 5, 2024

Status verified date

Apr, 2026

Completion date

Nov 30, 2027

Anticipated

Primary completion date

Sep 30, 2027

Anticipated

Eligibility Criteria

Eligibility Criteria

Sex: All

Age: 16+

Healthy Volunteers: Accepted

Inclusion Criteria (patients):

  • Patients ages 16 and above treated at MUSC Charleston that experience an injury due to interpersonal or community violence
  • Glasgow coma score (GCS) of 15 at the time of study enrollment

Exclusion Criteria (patients):

  • Lack of capacity to consent due to altered mental status (AMS) or severe untreated mental illness
  • Being under arrest or incarcerated at the time of assessment for enrollment
  • Non-English speaking patients
  • Ages under 16

Inclusion Criteria (loved ones/caregivers):

-Loved ones (partners), caregivers and family members of patients that enroll in the study that experienced violent injuries

Exclusion Criteria (loved ones/caregivers):

  • Non-English speaking
  • Cognitive impairment
  • Under age 16

Inclusion Criteria (Healthcare Providers):

-Healthcare team members that cared for victims of violence in the past 6 months

Study Design

Enrollment

220 participants

Anticipated

Intervention Model

Single group

Primary purpose

Health Services Research

Interventions and Outcome Measures

Arms

other: Patients, family members and healthcare providers

Patients that experience violent injuries or are high risk of violence between ages of 15-35 and treated at MUSC Charleston will be enrolled. The hospital violence intervention program is incorporated into regular care of patients, and they may opt to receive services from the program (TTVIP) if they qualify and opt to participate. There is no randomization or assignment. Investigators will assess outcomes of these patients and outcomes will be assessed for between group differences between those that receive services from the program and those that do not. Patient family members and healthcare providers that care for patients will be included and are exposed to the regular healthcare and services provided to patients.

Interventions

Turning the Tide Violence Intervention Program (hospital violence intervention program)

TTVIP is already integrated into the regular care of patients who are violently injured and treated at MUSC Charleston. Client advocates provide immediate support, help with communication and provide anti-retaliation messaging to victims of violence and their families, in addition to helping support their healthcare. Patients that opt to be followed for long-term wrap-around services and live in the surrounding 3-county area are supported for months (up to 1 year) after injury and provided mentorship, service referrals (i.e. education, employment, substance abuse, injury recovery, pro-social activities, housing) and mental health services.

Primary outcome measure

  • Post Traumatic Stress Disorder [ Time Frame: Victims of violence will be screened at baseline enrollment, 3 months, 6 months and 12 months after enrollment ]
  • Self-Esteem [ Time Frame: Victims of violence will be assessed at baseline, 3 months, 6 months and 12 months ]
  • Future Firearm Violence Risk [ Time Frame: Victims of violence will be assessed at baseline, 3 months, 6 months and 12 months after enrollment. ]
  • Depression [ Time Frame: Victims of violence will be assessed at baseline enrollment, 3 months, 6 months and 12 months after enrollment. ]
  • Benefits of hospital violence intervention program implementation [ Time Frame: Healthcare providers will be assessed with baseline assessment at enrollment (1 time cross-sectional survey) ]
  • Percentage of Patients with Criminal justice system involvement [ Time Frame: Victims of violence will be assessed at baseline enrollment, 3 months, 6 months and 12 months after enrollment ]
  • Percentage of Patients with Adverse Social Determinants of Health [ Time Frame: Victims of violence will be assessed at baseline, 3 months, 6 months and 12 months after enrollment ]
  • Percentage of patients with perceived risk of violence [ Time Frame: Victims of violence will be assessed at baseline enrollment, 3 months, 6 months and 12 months after enrollment. ]
  • Percentage of patients experiencing a repeat injury [ Time Frame: Victims of violence will be assessed at 3 months, 6 months and 12 months after enrollment ]
  • Percentage of patients with recovery service needs [ Time Frame: Victims of violence will be assessed at baseline enrollment, 3 months, 6 months and 12 months after injury. Patient loved ones/caregivers will be assessed at baseline and 3-6 months after injury. ]
  • Percentage of patients reporting threats of violence [ Time Frame: Victims of violence will be assessed 3 months, 6 months and 12 months after enrollment. ]
  • Percentage of patients reporting favorable outcomes of Violence Intervention Services [ Time Frame: Patients enrolled in TTVIP will be assessed at the following intervals after enrollment: 3 months, 6 months and 12 months. Loved ones/caregivers will be assessed with proxy questions 3-6 months after their loved one was enrolled. ]
  • Percentage of Patients Reporting Favorable Quality of Health Care [ Time Frame: Victims of violence and loved ones/caregivers will be assessed at baseline enrollment and 3 months after enrollment. ]
  • Percentage of patients enrolled in hospital violence intervention program [ Time Frame: Victims of violence will be asked at baseline enrollment, 3 months, 6 months and 12 months after enrollment. ]

Central Contacts and Locations

Central contacts

Ashley Hink, MD

843-792-7082hink@musc.edu

Locations

Medical University of South Carolina

Recruiting

Charleston, South Carolina, United States, 29407

Contacts

Ashley Hink, MD, MPH

843-792-6304hink@musc.edu

More Information

Sponsor

Medical University of South Carolina

Last update posted

Apr 9, 2026

Last verified

Apr, 2026

Keywords

  • violence
  • violence intervention programs

Trial information was received from ClinicalTrials.gov and was last updated on 2026-09-10. This information was provided to ClinicalTrials.gov by Medical University of South Carolina on 2026-04-09.