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Mary E. Fallat, MD
Louisville, Ky
(e-mail: mefall01@athena.louisville.edu)

Arch Surg. 2000;135:843.

	Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings.

Violence is a major public health problem and violence prevention is a maturing discipline. Areas in which progress has been made can be compared with areas of continuing concern when considering thoughtful interventions. The good news is that national data from 1993-1997 show a decline in nonfatal/fatal firearm-related injury rates that was substantial and consistent by sex, race/ethnicity, age, and intent of injury. This was consistent with a 21% decrease in violent crime during this same period.¹ Data from the Youth Risk Behavior Survey between 1991 and 1997 would similarly indicate that violent behavior among US adolescents has been declining, including a 25% decrease in carrying guns and 9% decrease in engaging in a physical fight on school grounds.¹ Evidence-based comprehensive strategies that have contributed to declines in violence include gun-oriented policing, gang-based interventions, the Brady Handgun Violence Prevention Act and Bureau of Alcohol, Tobacco, and . . . [Full Text of this Article]

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