Interpersonal violence is a major cause of morbidity and mortality amo
ng adolescents and young adults. In this study, 246 inner city, predom
inantly black youth (ages 14-23 years) were surveyed regarding their e
xposure to, and participation in, violent acts. An in-depth psychologi
cal interview was also completed. A total of 44% reported they could a
ccess a gun within one day, 42% have seen someone shot or knifed, and
22% have seen someone killed. In the preceding 3 months, 18% reported
carrying a gun, and 32% had been in a physical fight; 34 subjects were
rated by the psychologists as at high risk for involvement in violent
acts. Those subjects were more likely to be of lower socioeconomic st
atus (p < 0.01) and to have been physically abused (p < 0.001) but no
more likely to be a witness to violent events. Inner-city youth are fr
equently exposed to violence. Those at risk for perpetration of violen
ce were more likely to be at high risk for most other health-risk beha
viors.