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Background Interpersonal violence is the third leading cause of death within the European Region (as defined by World Health Organisation (WHO)) [1]. To address this concern the World Health Assembly passed a resolution (WHA 49.25) [2] declaring violence to be a public health priority. Furthermore the assembly passed resolution (WHA 56.24) [3] in 2003 urging continued development of a sciencebased public health approach to prevention of youth violence. The public health problem is also specifically present in England where in 2006/2007 National Health Service data shows that 5,720 people were admitted to hospital following “assault by sharp object”[4]. Of these 179 were aged under 16 and a further 752 were aged between 16 and 18. Analysing Home Office data Hall and Innes found that the most likely victims of violent crime are young men aged between 16 and 24. The risk of being a victim of violent crime in this cohort is 13.3%, over four times higher than the average risk (3%)[5]. Other features of high risk groups include; trauma recidivism, previous exposure to violence, fear of violence and social relationships with violent peers. Furthermore those young people who have previously been involved in delinquency and are known to the criminal system are significantly more likely to be participants in carrying and using a weapon[6].

Reducing the impact of penetrating trauma in the UK: a project by young doctors to teach first responder skills to young offenders