Appendix A

Factors Associated with Violent Behavior that Can Be
Modified or Prevented by Early Intervention

Several factors may be related to others in another category. None are in and of themselves considered causal. Most biological factors have been researched in interaction with social factors. For example, delivery complications and maternal rejection at one year have been linked to later violent behavior.

BIOLOGICAL FACTORS

Prenatal (zero to seven months’ gestation)

Teratogens (e.g., drugs, alcohol, nicotine)

Malnutrition

Genetic factors

Chronic maternal stress (including not wanting baby)

Minor physical anomalies

Perinatal (seven months’ gestation to one month after birth)

Delivery complications, birth trauma, head injury

Prematurity

Low birth weight

Postnatal (one month to twenty-four months)

Accidents, head injuries

Nutritional deficiencies

GENERAL FACTORS

Low verbal IQ

Attention-deficit/hyperactivity disorder

Post-traumatic stress

Exposure to toxins (e.g., lead)

FAMILIAL FACTORS

Parental mental illness

Criminal father

Low maternal IQ

Maternal rejection

Multiple breaks in caregivers; lack of consistent caregiver in early life

Maternal depression

Parental substance abuse

Child abuse

Parental discord

Child neglect

Ineffective discipline

LARGER ENVIRONMENTAL FACTORS

Living below community economic norm

Modeling of violent solutions to problems by key models

Modeling of weapon use in community; access to weapons

Unavailability of involved adult who teaches values and values child

Modeling of alcohol and/or drug use to deal with problems

Violence in entertainment: television, video games, movies, music, and toys