Nurse-Led Ambient AI Scribe for Patient Safety Incident Investigation Reports (Project NARRATE): Retrospective Pre-Post Comparative Document-Quality Study.

Adolescence is a unique life stage, associated with extensive biological, cognitive, and social-emotional transitions []. Adolescents also begin to move from an egocentric mode of thought to a more abstract and introspective kind []. Unfortunately, immature cognitive development tends to make adolescents “thoughtless,“ “irritable,” and “reckless,” accompanied by increases in the risk of violent behaviors as well []. Emotional dysregulation and the obsessive quest for autonomy in a context of insufficient cognitive maturity render adolescents susceptible to inappropriate outbursts of anger [,]. The World Health Organization defines violence as the intentional use of physical force or power that may result in injury, psychological harm, developmental disruption, or death []. Adolescent violent behavior may manifest in various forms, including physical aggression, verbal aggression, threatening behavior, bullying perpetration, fighting, emotional violence, and other externalizing behaviors [,]. These behaviors are associated with serious short- and long-term consequences, including physical injury, substance misuse, academic problems, criminal involvement, impaired social functioning, and mental health disorders [,]. Violence among adolescents also contributes substantially to the burden experienced by families, schools, health care systems, and communities []. Recent evidence indicates increasing trends in peer aggression, physical violence, emotional violence, and other forms of externalizing behavior among adolescents worldwide []. A UNESCO (United Nations Educational, Scientific and Cultural Organization) report estimated that approximately one-third of adolescents aged 11‐15 years have experienced involvement in bullying or peer violence within school environments []. Over the past year, one-third of students (36%) aged 13‐15 years were involved in a physical fight with another student, and almost one in three (32%) had been physically attacked at least once []. A study in Indonesia, the National Survey on the Life Experiences of Children and Adolescents [], found two in three children and adolescents have experienced violence at least once in their lives, with this figure increasing []. These findings highlight the urgent need for early identification, prevention, and intervention strategies targeting adolescents at risk of violent behavior, particularly within community and primary health care settings [].