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Violence  \nChuka Nestor Emezue, PhD, MPH, MPA, CHES®  \nAssistant Professor,  \nJohn L. and Helen Kellogg Endowed Faculty Scholar Rush University, College of Nursing,  \nDepartment of Women, Children and Family Nursing Director | EMERGE Innovation Lab  \nISBE and IDPH School Nurse Bootcamp, August 12, 2025  \nThis document is privileged and confidential under the Illinois Medical Studies Act and should not be shared or distributed other then through the Rush Quality Assurance Committee structure.  \nDisclosure(s)  \n❑ Dr. Chuka Emezue is the developer of the BrotherlyACT intervention referenced in this CE activity.  \n❑ The intervention is presented solely for educational purposes. No royalties, honoraria, or financial gain are received from its dissemination.  \n❑ This activity was developed independently and is free from commercial bias or influence.  \nEmezue, C. , 2025; ISBE and IDPH School Nurse Boot Camp. School Nurses and Staff on the Frontline: Caring for Youth and Communities Affected by Firearm Violence  \nRush University | 8/12/2025 2  \nSession Objectives  \n• Recognize common gaps and barriers in firearm violence response and referral workflows that affect youth and family care.  \n• Consider school nurse driven best practices to close the referral loop, including follow-up strategies, EHR-based prompts, and connections to mentors or trusted adults.  \n• Explore digital solutions (BrotherlyACT) to support structured referrals, youth engagement, and behavioral health integration.  \nEmezue, C. , 2025; ISBE and IDPH School Nurse Boot Camp. School Nurses and Staff on the Frontline: Caring for Youth and Communities Affected by Firearm Violence  \nRush University | 8/12/2025 3  \nFirearm Violence refers to any violence committed with the use of a gun, including homicides, suicides, unintentional shootings, and nonfatal firearm injuries. It encompasses a wide range of types.  \nSmith & Patton, 2016; Basile, 2020; Bernardinet al. , 2023; Carter et al. , 2020; Reingle et al. , 2012; Sheats et al. , 2018; Simon, 2022; Smith & Patton, 2016; Combe, L. G. , & Cogan, R.  \n(2023) . school nurse, 38(4), 205-212.  \nExamples include:  \n• Interpersonal violence (e.g., assaults, domestic violence, community violence)  \n• Self-directed violence (e.g. , suicide or suicide attempts using a firearm)  \n• Mass shootings and school shootings  \n• Unintentional firearm discharges (often involving children or unsecured firearms)  \n• Police-involved shootings  \n• Firearm-related threats or intimidation (e.g. , flossing, etc)  \n• Posting or flashing weapons on social media (\"cyberbanging\"),  \n• Emerging: Modified handguns (e.g. , automatic switches), carrying while intoxicated.  \nEmezue, C. , 2025; ISBE and IDPH School Nurse Boot Camp. School Nurses and Staff on the Frontline: Caring for Youth and Communities Affected by Firearm Violence  \nRush University | 8/12/2025 4  \n• In 2020-21, firearm-related injuries surpassed motor vehicle crashes (both traffic-related and nontraffic-related) and cancer as the leading cause of death among children and adolescents, 1 to 19 years of age.  \n• 1 of 10 firearm deaths are age 19 or younger.  \n• Daily 12 children die from gun violence in America. ~32 shot and injured (Combe & Cogan, 2023) .  \n• 30 million children live in homes with firearms.  \n4.6 million children live in homes with loaded and unlocked firearms.  \n• 80% of firearms used in school shootings were easily accessible from a family member.  \nGoldstick, J. E. , Cunningham, R. M. , & Carter, P. M. (2022) . Current causes of death in children and adolescents in the United States. New England journal of medicine, 386(20), 1955-1956.  \nEmezue, C. , 2025; ISBE and IDPH School Nurse Boot Camp. School Nurses and Staff on the Frontline: Caring for Youth and Communities Affected by Firearm Violence  \nRush University | 8/12/2025 5  \nWhere We Are  \nBlack youth at 12.2 per 100,000 in 20","cbCaiqpye9BlFOzn","https://ap.wps.com/l/cbCaiqpye9BlFOzn","pdf",1989863,37,"English","# Session Objectives\n## Define firearm violence and provide key prevalence indicators\n## Firearm-Related Suicides\n## Effects of Firearm Violence\n## Where We Are\n## Confidentiality, disclosure, and educational purpose","[{\"question\":\"What does the document define as “firearm violence”?\",\"answer\":\"It defines firearm violence as any violence committed with a gun, including homicides, suicides, unintentional shootings, and nonfatal firearm injuries.\"},{\"question\":\"Which gaps in firearm violence response does the session aim to address?\",\"answer\":\"The session focuses on common gaps and barriers in firearm violence response and referral workflows that affect youth and family care.\"},{\"question\":\"How does BrotherlyACT support school nurse referrals and follow-up?\",\"answer\":\"The document describes BrotherlyACT as a digital solution to support structured referrals, youth engagement, and behavioral health integration, including follow-up strategies and EHR-based prompts.\"}]","School Nurses and Staff on the Frontline - Caring for Youth and Communities Affected by Firearm Violence | PDF",1791604420,93]