Author Affiliations: Dr Cole (email@example.com) is a Contributing Editor and Ms Flanagin (firstname.lastname@example.org) is Managing Deputy Editor, JAMA.
Too often, trauma is self-perpetuating. On a cataclysmic scale, the adverse consequences of disasters, armed conflicts, and other forms of mass violence include physical injury, displacement, lack of access to food, shelter, and basic health care, preventable diseases, grief, depression, anxiety, intrusion and avoidance of memories, hyperarousal, anger, hatred, substance abuse, and feelings of revenge, consequences that may lead to further violence and trauma.1- 5 Investigators have studied the impact of disasters, armed conflicts, and other forms of violence on affected populations, but whether the cycles of violence can be broken has been beyond the scope of most current health research.
Cole TB, Flanagin A. Violence and Human RightsA Call for Papers. JAMA. 2006;296(18):2261-2262. doi:10.1001/jama.296.18.2261