Nicholas Szoko

Promoting Health Through Empowerment: Pilot Evaluation of a Youth Participatory Action Research Program

Nicholas Szoko, Tyia K. Wilson, Ebonie Slade, Alana D. Fields et autres

Youth participatory action research (YPAR) elevates youth as change agents in their schools and communities. The YPAR studies have demonstrated impact on psychological empowerment and civic engagement, both thought to lead to improved health. This exploratory evaluation assessed physical and emotional health …

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The Crisis of Adolescent Firearm Reinjury: A 14-Year Retrospective Cohort Analysis

Kristen L. Mueller, Daphne Lew, Nicholas Szoko, Zoë M. Miller et autres

BACKGROUND: Firearm injuries are the leading cause of death among US adolescents. Adolescents are among the highest risk, and those with nonfatal injuries experience high rates of reinjury. Identifying factors that predict firearm reinjury among adolescents may support tailored prevention strategies. This …

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Initial Injury Type and Violent Reinjury

Nicholas Szoko, Daphne Lew, Taylor Kaser, Zoë M. Miller et autres

Importance: Violent injuries are the leading cause of death among children and young adults in the United States. Violent injury may increase the risk of subsequent injury (ie, violent reinjury), but it is unclear how this risk varies across different injury types …

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High prevalence of criminal legal involvement among non-fatally injured ED patients – an exploratory retrospective observational cohort analysis

Vidya Eswaran, Raphael Cohen, Taylor Kaser, Alysse G. Wurcel et autres

BACKGROUND: Individuals who have been incarcerated are at high risk of death by homicide after release from carceral settings. Our study aimed to assess the prevalence of criminal legal system involvement (CLSI) among non-fatal violently injured patients enrolled in a hospital-based violence …

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Protective Factors Against Violence and Substance Use in Adolescents: A Latent Class Analysis

Nicholas Szoko, Patrece L. Joseph, Casey D. Hanner, Alex Ramsey et autres

PURPOSE: Substance use (SU) and violence drive a significant proportion of adolescent mortality. Identifying shared protective factors is crucial. We aimed to characterize adolescent SU and violence typologies and examine associations with protective factors. METHODS: Using cross-sectional surveys from 17 high schools, …

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Exploring the role of social networks in youth mental health

Nicholas Szoko, Alexander Riley, Jacquelin Rankine, Alison Journey Culyba

Social network analysis (SNA) offers an innovative approach to understand youths' complex social support systems. Growing work highlights links between youths' social networks and mental health. We used SNA to examine associations between social network characteristics and psychological empowerment, depression, anxiety, and …

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3. Mapping Real-Time Links Between Community Assets, Trauma Reminders, and Well-Being in Black Youth

Aniruddh U. Ajith, Nicholas Szoko, Kristen S. Kurland, Tyia K. Wilson et autres

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Strengthening Connections for Change: A Pilot Cluster-Randomized Trial of an Adolescent-Adult Social Network-Based Intervention

Nicholas Szoko, Tyia K. Wilson, Alexander Riley, Kathleen M. Carley et autres

PURPOSE: Youth violence remains a leading cause of morbidity and mortality. Social network-based interventions offer opportunities to strategically leverage relationships to reduce youth violence. This study evaluates feasibility and acceptability of a social network-based intervention aimed at strengthening adolescent-adult relationships. METHODS: We …

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Combating Racism: Effects of a Longitudinal Community-Based Curriculum at the Graduate Medical Level

Harnoor Mann, Nicholas Szoko, Orquidia A. Torres, Eloho O. Ufomata et autres

OBJECTIVES: Racism is a public health crisis, and it is imperative that healthcare providers act to dismantle it. Although social determinants of health have been incorporated into graduate medical education, few longitudinal antiracism curricula exist. We evaluated a longitudinal antiracism curriculum for …

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Integrating Motivational Interviewing and Mindfulness-Based Care for Patients with Histories of Trauma

Nicholas Szoko, Elizabeth A. Miller

Abstract This chapter focuses on how motivational interviewing and mindfulness practices can be integrated in treating patients with histories of trauma. It is based on the healing-centered engagement (HCE) framework, which de-emphasizes the need to be informed about trauma and instead respects …

Emergency department utilization among youth in foster care: benefits of a patient-centered medical home

Nicholas Szoko, Allison Phad, Mary E. Fournier, George M. Hoganson et autres

Background: Foster youth face unique medical, psychological, and social challenges, which can impact patterns of emergency department (ED) utilization. The patient-centered medical home (PCMH) offers a potential model to reduce overutilization of healthcare resources. Little work has examined relationships between PCMHs and …

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Applying the practical, robust, implementation and sustainability model (PRISM) to a community-based youth participatory action research program

Nicholas Szoko, Tyia K. Wilson, Ebonie Slade, Ti'yanna Risher et autres

BACKGROUND: Youth participatory action research (YPAR) represents an empowerment-based process in which youth identify and address issues in their schools and communities. YPAR has been applied in diverse settings, but evaluations of YPAR implementations using an implementation and dissemination science (IDS) framework …

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