Association Between COVID-19 Lockdown Measures and Emergency Department Visits for Violence-Related Injuries in Cardiff, Wales | Emergency Medicine | JN Learning | AMA Ed Hub [Skip to Content]
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Association Between COVID-19 Lockdown Measures and Emergency Department Visits for Violence-Related Injuries in Cardiff, Wales

Educational Objective
To identify the key insights or developments described in this article
1 Credit CME

Government policy responses to coronavirus disease 2019 (COVID-19), especially social distancing measures, have generated speculation on behavioral health effects, including interpersonal violence, domestic violence, and child abuse.1 We investigated the association between COVID-19 lockdown and emergency department (ED) visits for violence-related injuries in Cardiff, Wales, using detailed violence screening for all ED patients.2 We hypothesized that lockdown measures would decrease violence outside the home but would increase violence at home.

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Article Information

Corresponding Author: Jonathan P. Shepherd, PhD, Crime and Security Research Institute, Cardiff University, Friary House, Greyfriars Road, Cardiff CF10 3AE, Wales (shepherdjp@cardiff.ac.uk).

Accepted for Publication: December 8, 2020.

Author Contributions: Dr Moore had full access to all of the data in the study and takes responsibility for the integrity of the data and the accuracy of the data analysis.

Concept and design: Shepherd, Moore, Sumner.

Acquisition, analysis, or interpretation of data: All authors.

Drafting of the manuscript: Shepherd, Moore, Mercer Kollar, Sumner.

Critical revision of the manuscript for important intellectual content: All authors.

Statistical analysis: Moore.

Administrative, technical, or material support: Shepherd, Long, Mercer Kollar, Sumner.

Supervision: Shepherd.

Conflict of Interest Disclosures: None reported.

Disclaimer: The findings and conclusions in this report are those of the authors and do not necessarily represent the official position of the US Centers for Disease Control and Prevention.

References
1.
Galea  S , Merchant  RM , Lurie  N .  The mental health consequences of COVID-19 and physical distancing: the need for prevention and early intervention.   JAMA Intern Med. 2020;180(6):817-818. doi:10.1001/jamainternmed.2020.1562PubMedGoogle ScholarCrossref
2.
Shepherd  JP , Sumner  SA .  Policing and public health—strategies for collaboration.   JAMA. 2017;317(15):1525-1526. doi:10.1001/jama.2017.1854PubMedGoogle ScholarCrossref
3.
Dimick  JB , Ryan  AM .  Methods for evaluating changes in health care policy: the difference-in-differences approach.   JAMA. 2014;312(22):2401-2402. doi:10.1001/jama.2014.16153PubMedGoogle ScholarCrossref
4.
Florence  C , Shepherd  J , Brennan  I , Simon  T .  Effectiveness of anonymised information sharing and use in health service, police, and local government partnership for preventing violence related injury: experimental study and time series analysis.   BMJ. 2011;342:d3313. doi:10.1136/bmj.d3313PubMedGoogle ScholarCrossref
5.
World Health Organization.  Global Status Report on Violence Prevention 2014. World Health Organization; 2014.
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