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The investigators will conduct a cluster randomized trial of an intervention program that combines a hospital-based intervention, structured outreach program, and multi-agency attention. The goal of the study is to test the effect of this multi-component intervention on subsequent injury, substance abuse, mental health, quality of life, violent behavior, criminal activity, and death.
Investigators aim to enroll a total of 304 subjects admitted to the Harborview Medical Center (HMC) for firearm-related injuries. Subjects will be randomized to receive a multi-component intervention or treatment as usual. All subjects will complete surveys at the time of study consent (baseline) and then at designated time points for 12 months post-consent. Study staff will routinely collect subject records from Washington State Emergency Department Information Exchange, Administrative Office of the Courts, Washington State Department of Health. The investigators will test the impact of the intervention against standard care. The primary hypothesis is that participants in the intervention group will see greater improvements in aforementioned outcomes than those in the control group.