Which adolescents need to talk about safety and violence?

Exposure to violence has harmful psychological effects on adolescents, and when asked, inner-city adolescents will talk openly about violence in their lives. In response to a clinical self-assessment questionnaire, prospective adolescent mental health clients revealed high rates of exposure to physical, sexual, and community violence: 73.5% had witnessed violence, 43.6% had been a victim of violence, 26.4% had had their bodies touched in a way that made them feel uncomfortable, 24.4% had been threatened with a weapon, and 11.1% had experienced forced sex. Clients also expressed substantial worry about their own and their friends' dangerous behaviors. Desire to talk to a counselor about safety was significantly related to overall safety risk (p < .001), and over three-quarters of adolescents either wanted or needed to talk with a counselor. Age and gender differences in patterns of vulnerability and type of counseling need were explored.