connecting the dots a

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1 Connecting the Dots: An Overview of the Links Among Multiple Forms of Violence Prevention and ity we at the center of commun equity ll-being

2 Connecting the Dots: An Overview of the Links Among Multiple Forms of Violence is a publication of the Centers for Disease Control and Prevention and Prevention Institute. 1 Centers for Disease Control and Prevention Thomas R. Frieden, MD, MPH, Director National Center for Injury Prevention and Control Daniel M. Sosin, MD, MPH, FACP, Acting Director Division of Violence Prevention Howard R. Spivak, MD, Director 2 Prevention Institute Larry Cohen, MSW, Executive Director Authors 1 Natalie Wilkins, PhD 2 Benita Tsao, MPH, CHES 1 Marci Hertz, MS 2 Rachel Davis, MSW 1 Joanne Klevens, MD, PhD, MPH July 2014 Suggested citation: Wilkins, N., Tsao, B., Hertz, M., Davis, R., Klevens, J. (2014). Connecting the Dots: An Overview of the Links Among Multiple Forms of Violence. Atlanta, GA: National Center for Injury Prevention and Control, Centers for Disease Control and Prevention Oakland, CA: Prevention Institute.

3 “Gang violence is connected to bullying is connected to school violence is connected to intimate partner violence is connected to child abuse is connected to elder abuse. It’s all connected.” -Deborah Prothrow-Stith, MD, Adjunct Professor, Harvard School of Public Health Violence takes many forms, including intimate partner violence, sexual violence, child maltreatment, bullying, suicidal behavior, and elder abuse and neglect. These forms of violence are interconnected and often share the same root causes. They can also all take place under one roof, or in a given community 1 , 2 Understanding the or neighborhood and can happen at the same time or at different stages of life. overlapping causes of violence and the things that can protect people and communities is important, and can help us better address violence in all its forms. The purpose of this brief is to share research on the connections between different forms of violence and describe how these connections affect communities . It is our hope that this information, combined with your own practical experience, will help practitioners like you to think strategically and creatively about how you can: 1. Prevent all types of violence from occurring in the first place. 2. Coordinate and integrate responses to violence in a way that recognizes these connections and considers the individual in the context of their home environment, neighborhood, and larger community. “There are experiences, particularly early in childhood, that make it extremely predictable that individuals are at substantially higher risk for involvement with violence, be it interpersonal, youth violence, intimate partner violence, dating violence, or child abuse.” -Howard Spivak, MD, Director, Division of Violence Prevention, Centers for Disease Control and Prevention Vulnerability and Resilience: Risk Factors and Protective Factors Violent behavior is complex. Many things increase or decrease the likelihood of violence. The communities people live in can protect them from violence or can increase their risk of violence. Things that make it more likely that people will experience violence are called . Examples of risk risk factors factors are: rigid social beliefs about what is “masculine” and “feminine,” lack of job opportunities, and family conflict. Things that make it less likely that people will experience violence or that increase their resilience when they are faced with risk factors are called protective factors . Examples of protective factors are: connection to a caring adult or access to mental health services. Risk and protective factors can affect an entire community, and can occur in interactions with family and friends and within organizations and systems like schools, faith institutions, and workplaces. Individual experiences or traits can also be risk and protective factors, such as witnessing violence or having skills to solve problems non- violently. The table on pages 8 and 9 shows that some of the things that make it less likely for one type of violence to happen may also protect us from other types of violence. 1 Connecting the Dots

4 The Impact of Violence on Development People’s brains develop in response to their 3 , 5 , 6 4 When children grow up in safe, environments. 8 7 and nurturing relationships and environments, stable, they learn empathy, impulse control, anger management and problem-solving— all skills that 9 protect against violence. When children grow up in environments where they don’t feel safe, their brain cells form different connections with each other to 10 , 11 Children better recognize and respond to threats. in these environments may misinterpret neutral facial 12 expressions as anger, for example, and more situations may trigger a fight-or-flight response. Children living in a persistently threatening environment are more likely to respond violently (fight) or run away (flight) than children who grow up in safe, stable, and nurturing environments. Fight-or-flight responses are survival skills that people are born with and often override other skills that enable non-violent conflict resolution, such as impulse control, empathy, anger 13 , 14 , 11 , 15 management, and problem-solving skills. Childhood abuse, neglect, and exposure to other traumatic stressors, termed adverse childhood experiences (ACEs), are common. In the Adverse Childhood Experiences Study, over 17,000 adults from a Health Maintenance Organization (HMO) were asked about their experiences in childhood and subsequent behavioral and health outcomes. Almost two-thirds of participants reported at least one ACE, and more 3 The short- and long-term outcomes of these childhood than one in five reported three or more ACEs. exposures include multiple health and social problems. ACEs contribute to stress during childhood and put individuals at higher risk for health problems such as alcoholism and alcohol abuse, depression, illicit drug 16 , 3 use, intimate partner violence, and suicide attempts. The impact of ACEs is also cumulative , meaning the more ACEs a child is exposed to, the higher likelihood they will experience some of these health and social problems later in life. The life expectancy of people with six or more ACEs is 20 years shorter than those 17 without any ACEs. There are opportunities at every stage of life to remedy the negative effects of trauma and help people heal. Whether designed for children, youth, or adults, actions and activities that promote the protective factors listed in the table on pages 8 and 9 may prevent trauma for those exposed to violence and also reduce the likelihood of violence in the first place. Connecting the Dots 2

5 Community Context and the Co-Occurrence of Multiple Forms of Violence Community risk and protective factors are critical because they make it more or less likely that entire communities will suffer from violence. The level of safety someone feels varies so much from community to community and even from block to block because safety is not evenly distributed. Often, a community experiences an overwhelming number of risk factors without an equal balance of protective factors. This means that families and children living in some communities where there are many risk factors (e.g., high poverty, unemployment, and crime) are more likely than families and children living in other communities to 1 8, 20 , 19 experience multiple forms of violence. For example: Neighborhoods where there is low cohesion, or where residents don’t support and trust each other, are • , 21 19 22 intimate partner violence, more likely to have residents that also experience child maltreatment, 20 and youth violence. • People who are socially isolated and who don’t have social support from family, friends, or neighbors are 23 25 , 26 24 27 suicide, intimate partner violence, more likely to perpetrate child maltreatment, and elder abuse. Lack of economic opportunities and unemployment are associated with perpetration of child • 23 28 31 , 19 30 29 , self-directed violence, sexual violence, maltreatment, and youth intimate partner violence, 32 violence. • Norms in society or in communities that support aggression or coercion are associated with physical 33 , 34 36 19 35 intimate partner violence, and elder assaults of children, youth violence, sexual violence, 27 maltreatment. 37 Witnessing community violence puts people at higher risk of being bullied and perpetrating sexual • 38 violence. However, this also means that community protective factors may make it less likely that an entire community will experience violence. Things that increase peoples’ and communities’ resilience to violence include: 27 39 , 40 , 41 , Coordination of resources and services among community agencies. • 42 , 41 • Access to mental health and substance abuse services. , 42 , 19 , 38 41 43 , 41 , 27 , 44 , 42 , 45 , 46 , 47 family, • Support and connectedness, including connectedness to one’s community, 41 45 , 48 45 , 49 , 50 , 46 , 37 , pro-social peers, and school. 3 Connecting the Dots

6 Other Shared Risk and Protective Factors In addition to the things in communities that put people at risk for and/or protect them from violence, there are other things in people’s relationships and past experiences that increase their risk or protect against violence. These other risk and protective factors are important because they often occur at the same time as larger community risk and protective factors and can further increase people’s risk or resilience related to violence. For example, parents may have a harder time preventing their children from using substances (drugs, alcohol) or weapons when there are high levels of community violence in their neighborhood, putting youth already exposed to violence in their community at even higher risk 51 There are a number of these risk factors that occur as a result for experiencing other forms of violence. of people’s experiences, skills, behaviors, and relationships that put them at higher risk of acting violently. For example: Conflict within the family is linked to almost all forms of violence perpetration including child • 42 maltreatment (children in homes with high conflict are at higher risk for being victims), teen dating 52 53 31 46 37 intimate partner violence, youth violence, violence, and bullying. sexual violence, • Youth who associate with delinquent peers or friends are at higher risk of harming others through 37 46 45 31 teen dating violence, and later in life sexual violence, youth violence, bullying, and intimate 54 partner violence. • Experiencing one form of violence places individuals at a higher risk of experiencing other forms of violence (See “Violence Can Lead to More Violence” on page 4). , 52 , 42 , 27 , 55 , 37 , 46 , 56 , 57 53 Lacking skills to cope with problems non-violently • and problems with substance 42 , 27 , 41 , 58 , 46 , 31 , 53 , 52 also place individuals at higher risk for acting violently. abuse Relationships and past experiences and skills can also help protect people from violence even if 59 they are exposed to violence in their community. For example, we know that people who live in communities that are violent can be “protected” from the effects of this violence (are less likely to perpetrate violence or engage in other destructive behaviors like substance use) if they have non- violent, supportive relationships with family, friends, and other groups, like schools or faith- 59 , 51 , 60 organizations. For example: • Youth who feel connected and committed to school are at a lower risk of harming others 46 45 youth violence, and through dating violence, 41 37 and are at lower risk for suicide. bullying, 42,41,47,46,45 • Strong family support and non-violent 45,41,37,46,56,57,31,53,52 problem solving skills have been shown to be protective against almost all forms of violence. Connecting the Dots 4

7 Violence Can Lead to More Violence Most people who are victims of violence do not act violently. However, people who experience or are exposed to one form of violence are at a higher risk for both being a victim of other forms of violence and for inflicting harm on others: Survivors of one form of violence are more likely to be victims of other forms of violence. • Girls who are sexually abused are more likely to suffer physical violence and sexual re-victimization, » 61 engage in self-harming behavior, and be a victim of intimate partner violence later in life. » Youth who have been physically abused by a dating partner are also more likely to have suffered 62 abuse as a child, been a victim of sexual assault, and witnessed violence in their family. » Youth who report attempting suicide are approximately five times more likely to have also been in 63 a physical fight in the last year. Women and girls involved in gangs often experience physical, emotional, and sexual abuse » by other gang members, and are more likely to have been physically or sexually abused as , 65 64 children. » Children who have been bullied are at greater odds for becoming involved in physical violence 58 (e.g. weapon carrying, physical fighting). • Survivors of violence are at higher risk for behaving violently. » Children who experience physical abuse or neglect early in their lives are at greater risk for 66 67 67 bullying, committing violence against peers (particularly for boys), teen dating violence, and 68 68 68 35 committing child abuse, and sexual violence intimate partner violence, later in life. elder abuse, » Youth who bully others are more likely to have witnessed parental violence (intimate partner 69 , 70 violence) than those who do not bully others. • People who behave violently are more likely to commit other forms of violence. 72 Adults who are violent toward their partners are at higher risk of also abusing their children. » 58 » Youth who bully are more likely to carry weapons and be physically violent. They are also more 73 74 likely to sexually harass peers over time and commit violence against partners as teens and as 75 adults than those who did not bully. Despite these connections, we know people who experience violence in their communities or relationships can be protected from experiencing other forms of violence through protective factors such 59 as the ones listed in the table on pages 8 and 9. 5 Connecting the Dots

8 Breaking Down the Silos: Working Together to Create Safer Communities “We have to figure out how we break down these barriers and work in a more collaborative way not just within the health system but across the social services system and the criminal justice system” –Georges Benjamin, MD, Executive Director, American Public Health Association Understanding shared risk and protective factors of violence can help us plan how to prevent multiple forms of violence at once. Violence prevention and intervention efforts that focus on only one form of violence can be broadened to address multiple, connected forms of violence and increase public health impact. For example, organizations working on child maltreatment, youth violence, and suicide prevention could work together on strategies that increase families’ connectedness to the community. Since community connectedness is a shared protective factor across these types of violence (and other types of violence as well), pooling resources to take action on this shared protective factor could have a broad violence prevention impact in the community. Also, knowing that experiencing one form of violence can increase families’ and individuals’ risk for other forms of violence can help practitioners develop services and strategies that would have the most impact for their clients. For example, practitioners working with survivors of intimate partner violence may recognize that children in families experiencing conflict and violence are at higher risk of being victims of bullying, or becoming bullies 69 70 , themselves and coordinate with schools to ensure that all members of the family are receiving the help and support they need to prevent future violence. “Professionally we have silos, and we operate in these silos we’ve got to break down. Across the country, people working to prevent child abuse are right across the hall from people working on violence against women, and they don’t work together. As we go into communities to bring everybody to the table, don’t let people say, ‘I work on child abuse, but this is about gang violence.’ Don’t let people say, ‘I work on violence against women, and this is about child abuse.’ This thing, all this violence, is connected.” -Deborah Prothrow-Stith, MD, Adjunct Professor, Harvard School of Public Health Practitioners can address the unique aspects of a form of violence, while still supporting joint action wherever possible. Understanding how different forms of violence are linked to one another is an important first step in coordinating strategies, activities, and resources to effectively prevent multiple forms of violence. This understanding might increase support for braided and blended funding streams and additional infrastructure for increased collaboration, which would advance the field as a whole. Together we can make a difference in preventing all forms of violence in our lives, families, relationships, and communities. Effective prevention efforts address common risk and protective factors, reduce overall violence, and improve outcomes. As the relationships among multiple forms of violence become clearer, it’s increasingly important for practitioners and researchers to consider these linkages in their work. Connecting the Dots 6

9 To Learn More • WHO Guide to Implementing the Recommendations of the World Report on Violence, http://whqlibdoc.who.int/publications/2004/9241592079.pdf Lifetime Spiral of Gender Violence, • www.apiidv.org • Public Health Contributions to Preventing Violence, www.preventioninstitute.org/unitylinks • The Relationship Between Bullying and Suicide: What We Know and What it Means for Schools, http://www.cdc.gov/violenceprevention/pdf/bullying-suicide-translation-final-a.pdf • The Bully-Sexual Violence Pathway in Early Adolescence, http://www.cdc.gov/violenceprevention/pdf/asap_bullyingsv-a.pdf • Harvard University’s Center on the Developing Child- Science of Early Childhood Series, http://developingchild.harvard.edu/topics/science_of_early_childhood/ Adverse Childhood Experiences Study, • http://www.cdc.gov/ace/index.htm • Adverse Childhood Experiences Infographic, http://vetoviolence.cdc.gov/childmaltreatment/phl/resource_center_infographic.html • http://www.preventioninstitute.org/unity- Webinar: Links Between Multiple Forms of Violence, resources/training-a-events/989-webinar-links-between-multiple-forms-of-violence-3182013.html • Webinar: The Relationships between Child Maltreatment and Suicide & A Comprehensive Approach to Suicide Prevention, http://www.childrenssafetynetwork.org/webinar/youth-suicide-prevention- community-practice-relationship-between-child-maltreatment-and-suic Acknowledgements For their review of this fact sheet and thoughtful feedback, the authors thank: • Cordelia Anderson, Sensibilities Prevention Services Emily Austin, • Peace Over Violence • Chic Dabby, Asian & Pacific Islander Institute on Domestic Violence Heather Fitzpatrick, • American Academy of Pediatrics • Sally Fogerty, Children’s Safety Network • Annie Gebhardt, Donna Greco and Liz Zadnik, National Sexual Violence Resource Center • Karthryn Harding and Jim Hmurovich, Prevent Child Abuse America • Futures Without Violence Laura Hogan and Lisa Sohn, • Gayle Jaffe, Suicide Prevention Resource Center • David Lee, PreventConnect , California Coalition Against Sexual Assault • Anne Menard, National Resource Center on Domestic Violence • Charles Ransford, Cure Violence • Kaile Shilling and Billie Weiss, Violence Prevention Coalition of Greater Los Angeles FRIENDS National Resource Center Valerie Spiva Collins, • 7 Connecting the Dots

10 Shared Risk and Protective Factors Across Multiple Forms of Violence. Research on risk and protective factors for violence is continuing to evolve. In this table, “X’s” indicate NOTE: the existence of at least one study published in a peer reviewed journal demonstrating an association between the risk or protective factor and that type of violence. Also, some of the “community” risk and protective factors were measured through surveys of individuals (e.g. surveys asking people about neighborhood support and cohesion) versus measures at the actual community level (e.g. city alcohol licensing lists to measure alcohol outlet density), so may be considered proxies for community level risk and protective factors. Type of Violence Perpetration Teen Dating Child Intimate Elder Suicide Sexual Bullying Youth maltreat- Violence Violence Partner Maltreat- Violence Violence ment ment Risk Factors Cultural norms that , , 77 78 , 33,76 81 53 31 80 27 79 x x x x support aggression toward x x others , 85 57 , 82 37 83 84 x x x Media Violence x 86 87 , 88 , 89 47 108 Societal income inequity x x x x Weak health, educational, Societal 90 53 31 91 economic, and social x x x x policies/laws Harmful norms around 92 54 53 31 , 73 , 74 93 94 x x x x x x masculinity and femininity 31 53 42 46 95 Neighborhood poverty x x x x x High alcohol outlet 99 42 98 96 , 97 x x x x density 42 38 100 37 x x x Community violence x Diminished economic 30 , 29 42 46 28 , 19 31 x x x opportunities/high x x Community unemployment rates Poor neighborhood 45 53 41 46 , 20 42 x x x x x support and cohesion Social isolation/Lack of 27 42 45 53 46 58 41 x x x x x x x social support Poor parent-child 55 37 42 46 52 , 101 49 53 , 57 x x x x x x x relationships 42 52 53 37 31 46 x x x x x Family conflict x 46 42 53 41 27 x x x x x Economic stress Relationship Associating with 37 45 54 31 46 x x x x x delinquent peers 64 46 64 64 x x Gang Involvement x x Connecting the Dots 8

11 Type of Violence Perpetration Teen Dating Intimate Child Sexual Youth Bullying Suicide Elder Partner Violence Violence maltreat- Violence Maltreat- ment Violence ment Low educational 55 42 58 52 46 53 x x x x x x achievement Lack of non-violent social 55 42 37 52 46 53 27 57 , 56 x x x x x x x x problem-solving skills Poor behavioral control/ 41 46 42 31 52 53 x x x x x x Impulsiveness History of violent 27 42 41 102 67 53 46 31 x x x x x x x x Individual victimization 52 45 31 46 103 , 37 85 42 x x x Witnessing violence x x x x Psychological/mental 27 42 52 53 46 41 x x x x x x health problems 42 52 53 31 46 58 41 27 x x x x x x x Substance use x Protective Factors Coordination of resources 39 40 41 27 x x x and services among x community agencies Access to mental health 42 41 and substance abuse x x services Community Community support/ 27 42 19 38 , 44 43 41 x x x x x x connected-ness Family support/ 27 41 42 47 45 46 x x x x x x connected-ness Connection to a caring 41 45 46 x x x adult Association with pro- 104 45 48 x x x social peers Relationship Connection/commitment 41 47 45 , 105 , 49 , 50 37 46 x x x x x to school Skills in solving problems 46 41 107 106 x x x x non-violently Individual 9 Connecting the Dots

12 References 1. Preventing violence: a guide to implementing the recommendations of the World Report Butchart A, Phinney A, Check P, Villaveces A. on Violence and Health . Geneva, Switzerland: World Health Organizaiton; 2004. 2. Klevens J, Simon TR, Chen J. Are the perpetrators of violence one and the same? Exploring the co-occurrence of perpetration of 2012;27(10):1987-2002. J Interpers Violence. physical aggression in the United States. Anda RF, Felitti VJ, Bremner JD, et al. The enduring effects of abuse and related adverse experiences in childhood. A convergence of 3. 2006;256(3):174-186. evidence from neurobiology and epidemiology. Eur Arch Psychiatry Clin Neurosci. Topitzes J, Mersky JP, Reynolds AJ. From child maltreatment to violent offending: an examination of mixed-gender and gender- 4. 2012;27(12):2322-2347. specific models. J Interpers Violence. 5. Child Mersky JP, Reynolds AJ. Child maltreatment and violent delinquency: disentangling main effects and subgroup effects. Maltreat. 2007;12(3):246-258. Colman RA, Widom CS. Childhood abuse and neglect and adult intimate relationships: a prospective study. Child Abuse Negl. 6. 2004;28(11):1133-1151. 7. Chaos and its influence on children’s development. Washington, DC: American Psychological Association; 2010. Evans GW, Wachs TD. Bull World Health Organ. 8. Eshel N, Daelmans B, de Mello MC, Martines J. Responsive parenting: interventions and outcomes. 2006;84(12):991-998. 9. National Research Council and Institute of Medicine. From neurons to neighborhoods: The science of early childhood development. Shonkoff JP, Phillips DA, eds. Washington, D.C.: National Academy Press; 2000. Middlebrooks JS, Audage NC. . Atlanta, GA: Centers for Disease Control The effects of childhood stress on health across the lifespan 10. and Prevention, National Center for Injury Prevention and Control; 2008. 11. National Scientific Council on the Developing Child (2010). Persistent Fear and Anxiety Can Affect Young Children’s Learning and . Retrieved from www.developingchild.harvard.edu. Development: Working Paper No. 9 Pollak SD. Mechanisms linking early experience and the emergence of emotions: illustrations from the study of maltreated children. 12. Curr Dir Psychol Sci. 2008;17(6):370-375. 13. Kotulak R. Inside the brain: Revolutionary discoveries of how the mind works . Kansas City, MO: Andrews McMeel Publishing; 1997. 14. Karr-Morse R, Wiley MS. . New York, NY: Atlantic Monthly Press; 1997. Ghosts from the nursery: Tracing the roots of violence Gunnar MR. Quality of early care and the buffering of stress physiology: its potential role in protecting the developing human 15. . IMPrint: Newsletter of the Infant Mental Health Promotion Project. 1998;21:4-7. brain 16. Centers for Disease Control and Prevention, Adverse Childhood Experiences Study. Available at: http://www.cdc.gov/nccdphp/ace/index.htm . Accessed April 4, 2014. Adverse Childhood Experiences: Looking at how ACEs affect our lives & society . Atlanta, GA: Centers for Disease Control and 17. http://vetoviolence.cdc.gov/childmaltreatment/phl/resource_center_infographic.html Prevention; 2012. Available at: . Accessed April 4, 2014. 18. Acevedo-Garcia D, Lochner KA, Osypuk TL, Subramanian SV. Future directions in residential segregation and health research: a multilevel approach. 2003;93(2):215-221. Am J Public Health. 19. Pinchevsky GM, Wright EM. The impact of neighborhoods on intimate partner violence and victimization. Trauma Violence Abuse. 2012;13(2):112-132. 20. Sampson RJ, Morenoff JD, Gannon-Rowley T. Assessing “neighborhood effects”: Social processes and new directions in research. Annual review of sociology. 2002;28:443-478. Coulton CJ, Crampton DS, Irwin M, Spilsbury JC, Korbin JE. How neighborhoods influence child maltreatment: a review of the 21. Child Abuse Negl. 2007;31(11-12):1117-1142. literature and alternative pathways. Freisthler B, Merritt DH, LaScala EA. Understanding the ecology of child maltreatment: a review of the literature and directions for 22. Child Maltreat. 2006;11(3):263-280. future research. 23. Runyan D, Wattam, C, Ikeda, R., Hassan, F, Ramiro, L. Child abuse and neglect by parents and caregivers. In: Krug E, Dahlberg LL, Mercy, JA, Zwi AB, Lozano R, ed. World report on violence and health . Geneva, Switzerland: World Health Organization; 2002:59-86. 24. Extent, nature, and consequences of intimate partner violence : findings from the National Violence Against Tjaden PG, Thoennes N. Women Survey. Washington DC: US Department of Justice, Office of Justice Programs, National Institute of Justice; 2000. 25. Moscicki E, Crosby A. Epidemiology of attempted suicide in adolescents: issues for prevention. Trends in Evidence-Based Neuropsychiatry. 2003;5(2):36-44. Crosby AE, Buckner AV, Taylor BD. Addressing self-directed violence prevention for preventive medicine practitioners. 26. American Journal of Lifestyle Medicine. 2011;5(5):418-427. Connecting the Dots 10

13 27. Centers for Disease Control and Prevention, Elder Maltreatment: Risk and Protective Factors. Available at: . Accessed April 4, 2014. http://www.cdc.gov/ViolencePrevention/eldermaltreatment/riskprotectivefactors.html Wo r l d 28. Heise L, Garcia-Moreno C. Violence by intimate partners. In: In: Krug E, Dahlberg LL, Mercy, JA, Zwi AB, Lozano R, ed. . Geneva, Switzerland: World Health Organization; 2002:87-121 report on violence and health 29. American Luo F, Florence CS, Quispe-Agnoli M, Ouyang L, Crosby AE. Impact of business cycles on US suicide rates, 1928-2007. journal of public health. 2011;101(6):1139-1146. Reeves A, Stuckler D, McKee M, Gunnell D, Chang SS, Basu S. Increase in state suicide rates in the USA during economic 30. recession. The Lancet. 2012;380(9856):1813-1814. Centers for Disease Control and Prevention, Sexual Violence: Risk and Protective Factors. Available at: 31. http://www.cdc.gov/ViolencePrevention/sexualviolence/riskprotectivefactors.html Accessed April 4, 2014. 32. When work disappears: The world of the new urban poor . New York, NY: Random House LLC; 2011. Wilson WJ. 33. Jackson S, Thompson RA, Christiansen EH, et al. Predicting abuse-prone parental attitudes and discipline practices in a nationally representative sample. Child Abuse & Neglect. 1999;23(1):15-29. 34. Zolotor AJ, Theodore AD, Runyan DK, Chang JJ, Laskey AL. Corporal punishment and physical abuse: population-based trends for Child abuse review. three-to-11-year-old children in the United States. 2011;20(1):57-66. Jewkes R. Rape perpetration: a review. Pretoria, Sexual Violence Research Initiative. 2012. 35. Stewart EA, Simons RL. The code of the street and African-American adolescent violence . Washington, DC: US Department of 36. Justice, Office of Justice Programs, National Institute of Justice; 2009. 37. Hong JS, Espelage DL. A review of research on bullying and peer victimization in school: An ecological system analysis. Aggression and Violent Behavior. 2012;17(4):311-322. 38. Basile KC, Hamburger ME, Swahn MH, Choi C. Sexual violence perpetration by adolescents in dating versus same-sex peer relationships: differences in associated risk and protective factors. The Western Journal of Emergency Medicine. 2013;14(4):329-340. 39. Daro D, Huang LA, English B. The Duke Endowment Child Abuse Prevention Initiative: Midpoint Assessment. Chicago, IL: Chapin Hall at the University of Chicago; 2009. 40. Klevens J, Baker CK, Shelley GA, Ingram EM. Exploring the links between components of coordinated community responses and Violence Against Women. their impact on contact with intimate partner violence services. 2008;14(3):346-358. 41. Centers for Disease Control and Prevention. Suicide: Risk and Protective Factors. Available at: . Accessed April 4, 2014. http://www.cdc.gov/violenceprevention/suicide/riskprotectivefactors.html 42. Centers for Disease Control and Prevention. Child Maltreatment: Risk and Protective Factors. Available at: . Accessed April 4, 2014. http://www.cdc.gov/violenceprevention/childmaltreatment/riskprotectivefactors.html 43. Widome R, Sieving RE, Harpin SA, Hearst MO. Measuring neighborhood connection and the association with violence in young adolescents. Journal of Adolescent Health. 2008;43(5):482-489. Borowsky IW, Hogan M, Ireland M. Adolescent sexual aggression: risk and protective factors. 44. 1997;100(6):e7-e7. Pediatrics. 45. Partner Abuse. Capaldi DM, Knoble NB, Shortt JW, Kim HK. A systematic review of risk factors for Intimate partner violence. 2012;3(2):231-280. 46. Centers for Disease Control and Prevention. Youth Violence: Risk and Protective Factors. Available at: http://www.cdc.gov/violenceprevention/youthviolence/riskprotectivefactors.html . Accessed April 4, 2014. 47. Elgar FJ, Craig W, Boyce W, Morgan A, Vella-Zarb R. Income inequality and school bullying: multilevel study of adolescents in 37 countries. Journal of Adolescent Health. 2009;45(4):351-359. 48. Lösel F, Farrington DP. Direct protective and buffering protective factors in the development of youth violence. American Journal of 2012;43(2):S8-S23. Preventive Medicine. 49. DeGue S, Massetti GM, Holt MK, et al. Identifying links between sexual violence and youth violence perpetration. Psychology of Violence. 2013;3(2):140-156. 50. Basile KC, Espelage DL, Rivers I, McMahon PM, Simon TR. The theoretical and empirical links between bullying behavior and male sexual violence perpetration. Aggression and Violent Behavior. 2009;14(5):336-347. 51. Spano R, Vazsonyi AT, Bolland J. Does parenting mediate the effects of exposure to violence on violent behavior? An ecological– transactional model of community violence. Journal of Adolescence. 2009;32(5):1321-1341. 52. Vagi KJ, Rothman EF, Latzman NE, Tharp AT, Hall DM, Breiding MJ. Beyond correlates: a review of risk and protective factors for adolescent dating violence perpetration. Journal of Youth and Adolescence. 2013;42(4):633-649. 53. Centers for Disease Control and Prevention. Intimate Partner Violence: Risk and Protective Factors. Available at: Accessed April 4, 2014. . http://www.cdc.gov/violenceprevention/intimatepartnerviolence/riskprotectivefactors.html 11 Connecting the Dots

14 54. Reitzel-Jaffe D, Wolfe DA. Predictors of relationship abuse among young men. 2001;16(2):99-115. Journal of Interpersonal Violence. Lubell KM, Vetter JB. Suicide and youth violence prevention: the promise of an integrated approach. Aggression and Violent 55. B ehav ior. 2006;11(2):167-175. 56. Moffitt TE. Adolescence-limited and life-course-persistent antisocial behavior: a developmental taxonomy. Psychological Review. 1993;100(4):674-701. 57. Tharp AT, DeGue S, Valle LA, Brookmeyer KA, Massetti GM, Matjasko JL. A systematic qualitative review of risk and protective Trauma, Violence, & Abuse. 2013;14(2):133-167. factors for sexual violence perpetration. Nansel TR, Overpeck MD, Haynie DL, Ruan WJ, Scheidt PC. Relationships between bullying and violence among US youth. 58. 2003;157(4):348-353. Archives of Pediatrics & Adolescent Medicine. Resnick MD, Ireland M, Borowsky I. Youth violence perpetration: what protects? What predicts? Findings from the National 59. Journal of Adolescent Health. Longitudinal Study of Adolescent Health. 2004;35(5):e421-e424 60. Margolin G, Gordis EB. The effects of family and community violence on children. Annual Review of Psychology. 2000;51(1):445-479. 61. Trickett PK, Noll JG, Putnam FW. The impact of sexual abuse on female development: lessons from a multigenerational, longitudinal research study. Development and Psychopathology. 2011;23(2):453-476. Hamby S, Finkelhor D, Turner H. Teen dating violence: co-occurrence with other victimizations in the National Survey of Children’s 62. Exposure to Violence (NatSCEV). Psychology of Violence. 2012;2(2):111-124. 63. Swahn M, Lubell, K, Simon, T. Suicide attempts and physical fighting among high school students--United States, 2001. MMWR. Morbidity and Mortality Weekly Report. 2004;53(22):474-476. 64. Ulloa EC, Dyson RB, Wynes DD. Inter-partner violence in the context of gangs: a review. Aggression and Violent Behavior. 2012;17(5):397-404. Archer L, Grascia AM. Girls, gangs and crime: profile of the young female offender. Journal of Gang Research. 2006;13(2):37-48. 65. 66. Logan JE, Leeb RT, Barker LE. Gender-specific mental and behavioral outcomes among physically abused high-risk seventh-grade youths. Public Health Reports. 2009;124(2):234-245. 67. Duke NN, Pettingell SL, McMorris BJ, Borowsky IW. Adolescent violence perpetration: associations with multiple types of adverse childhood experiences. Pediatrics. 2010;125(4):e778-e786. 68. . Violence and the Family: Report of the American Psychological Association Presidential Task Force on Violence and the Family Washington, DC: American Psychological Association; 1996. 69. Child Abuse & Neglect. 2003;27(7):713-732. Baldry AC. Bullying in schools and exposure to domestic violence. 70. McKenna M, Hawk, E, Mullen, J, Hertz, M. Bullying among middle school and high school students--Massachusetts, 2009. MMWR Morbidity and Mortality Weekly Report. Apr 22 2011;60(15):465-471. Reference Removed 71. 72. Knickerbocker L, Heyman RE, Smith Slep AM, Jouriles EN, McDonald R. Co-occurrence of child and partner maltreatment. 2007;12(1):36-44. European Psychologist. Espelage DL, Basile KC, Hamburger ME. Bullying perpetration and subsequent sexual violence perpetration among middle school 73. Journal of Adolescent Health. students. 2012;50(1):60-65. 74. Connolly J, Pepler D, Craig W, Taradash A. Dating experiences of bullies in early adolescence. Child Maltreatment. 2000;5(4):299-310. 75. Falb KL, McCauley HL, Decker MR, Gupta J, Raj A, Silverman JG. School bullying perpetration and other childhood risk factors as predictors of adult intimate partner violence perpetration. Archives of Pediatrics & Adolescent Medicine. 2011;165(10):890-894. Briggs CM, Cutright P. Structural and cultural determinants of child homicide: a cross-national analysis. Violence and Victims. 76. 1994;9(1):3-16. Ferrari AM. The impact of culture upon child rearing practices and definitions of maltreatment. Child Abuse & Neglect. 77. 2002;26(8):793-813. 78. Reeves PM, Orpinas P. Dating norms and dating violence among ninth graders in northeast Georgia reports from student surveys and focus groups. Journal of Interpersonal Violence. 2012;27(9):1677-1698. 79. Flisher AJ, Myer L, Merais A, Lombard C, Reddy P. Prevalence and correlates of partner violence among South African adolescents. Journal of Child Psychology and Psychiatry. 2007;48(6):619-627. 80. Mercy J, Butchart, A, Farrington, D, Cerdá, M. Youth violence. In: Krug E, Dahlberg LL, Mercy, JA, Zwi AB, Lozano R, ed. Wo r l d report on violence and health . Geneva (Switzerland): World Health Organization; 2000: 25-56. 81. Kosberg JI, Nahmiash D. Characteristics of victims and perpetrators and milieus of abuse and neglect. In: Baumhorer LA, Bell SC, ed. Abuse, neglect and exploitation of older persons: strategies for assessment and intervention. Baltimore, MD: Health Professions Press; 1996:31-50. Connecting the Dots 12

15 82. Ybarra ML, Diener-West M, Markow D, Leaf PJ, Hamburger M, Boxer P. Linkages between Internet and other media violence with 2008;122(5):929-937. seriously violent behavior by youth. Pediatrics. Anderson CA, Shibuya A, Ihori N, et al. Violent video game effects on aggression, empathy, and prosocial behavior in eastern and 83. Psychological Bulletin. 2010;136(2):151-173. western countries: a meta-analytic review. 84. Niederkrotenthaler T, Voracek M, Herberth A, et al. Role of media reports in completed and prevented suicide: Werther v. Papageno effects. The British Journal of Psychiatry. 2010;197(3):234-243. 2008;31(2):293-316. Psychiatric Clinics of North America. Insel BJ, Gould MS. Impact of modeling on adolescent suicidal behavior. 85. Politics & Policy. 86. Asal V, Brown M. A cross- national exploration of the Conditions that produce interpersonal violence. 2010;38(2):175-192. Journal of Law & Economics. 2002;45:1-40. 87. Fajnzlber P, Lederman D, Loayza N. Inequality and violent crime. Nivette AE. Cross-national predictors of crime: a meta-analysis. 2011;15(2):103-131. 88. Homicide Studies. 89. Kennedy BP, Kawachi I, Prothrow-Stith D, Lochner K, Gupta V. Social capital, income inequality, and firearm violent crime. Social 1998;47(1):7-17. Science & Medicine. Metzler M, Klevens, J, Mercy, JA, Saul, J. A conceptual framework for exploring the social determinants of child maltreatment. In: 90. . St. Louis, MO: STM Learning; in press. Prevention of Child Maltreatment Alexander S, Alexander R, Guterman, N ed. Flavin P, Radcliff B. Public policies and suicide rates in the American states. Social Indicators Research. 2009;90(2):195-209. 91. 92. Deyoung Y, Zigler EF. Machismo in two cultures: relation to punitive child-rearing practices. American Journal of Orthopsychiatry. 1994;64(3):386-395. 93. Whitehead A. Man to man violence: How masculinity may work as a dynamic risk factor. The Howard Journal of Criminal Justice. 2005;44(4):411-422. Espelage DL, Swearer SM. Addressing research gaps in the intersection between homophobia and bullying. School Psychology 94. Review. 2008;37(2):155-159. 95. Rehkopf DH, Buka SL. The association between suicide and the socio-economic characteristics of geographical areas: a systematic Psychological Medicine. 2006;36(2):145-158. review. Cunradi CB, Mair C, Ponicki W, Remer L. Alcohol outlet density and intimate partner violence-related emergency department 96. visits. Alcoholism: Clinical and Experimental Research. 2012;36(5):847-853. 97. Livingston M. A longitudinal analysis of alcohol outlet density and domestic violence. 2011;106(5):919-925. Addiction. Resko SM, Walton MA, Bingham CR, et al. Alcohol availability and violence among inner-city adolescents: a multi-level analysis of 98. American Journal of Community Psychology. 2010;46(3-4):253-262. the role of alcohol outlet density. 99. Escobedo LG, Ortiz M. The relationship between liquor outlet density and injury and violence in New Mexico. Accident Analysis & Prevention. 2002;34(5):689-694. Kelly S. The psychological consequences to adolescents of exposure to gang violence in the community: an integrated review of 100. Journal of Child and Adolescent Psychiatric Nursing. the literature. 2010;23(2):61-73. Tharp AT, Noonan RK. Associations between three characteristics of parent–youth relationships, youth substance use, and dating 101. attitudes. 2012;13(4):515-523. Health Promotion Practice. 102. Espelage DL, Holt MK. Dating violence & sexual harassment across the bully-victim continuum among middle and high school students. Journal of Youth and Adolescence. 2007;36(6):799-811. 103. Aggression Corvo K, deLara E. Towards an integrated theory of relational violence: is bullying a risk factor for domestic violence? 2010;15(3):181-190. and Violent Behavior. 104. Scandinavian Journal of Psychology. Salmivalli C, Huttunen A, Lagerspetz KM. Peer networks and bullying in schools. 1997;38(4):305-312. 105. Cleveland HH, Herrera VM, Stuewig J. Abusive males and abused females in adolescent relationships: risk factor similarity and dissimilarity and the role of relationship seriousness. Journal of Family Violence. 2003;18(6):325-339. 106. Sanders MR, Pidgeon AM, Gravestock F, Connors MD, Brown S, Young RW. Does parental attributional retraining and anger management enhance the effects of the Triple P-Positive Parenting Program with parents at risk of child maltreatment? Behavior Therapy. 2004;35(3):513-535. 107. Foshee VA, Bauman KE, Ennett ST, Linder GF, Benefield T, Suchindran C. Assessing the long-term effects of the Safe Dates program and a booster in preventing and reducing adolescent dating violence victimization and perpetration. American Journal of Public Health. 2004;94(4):619-624. Pediatrics 108. Eckenrode J, Smith EG, McCarthy, ME, Dineen Ml. Income inequality and child maltreatment in the United States. . 2014; 133(3):454-461. 13 Connecting the Dots

16 For more information please contact: Centers for Disease Control and Prevention National Center for Injury Prevention and Control Division of Violence Prevention 4770 Buford Hwy NE, MS F-64 Atlanta, GA 30341 1-800-CDC-INFO • www.cdc.gov/violenceprevention CS248057

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