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The epidemic of youth violence is sweeping the nation and has become a public health crisis. The impact of hospitalbased interventions on risk (violent attitudes and behaviors) and protective factors [attitudes toward school (ATS) and attitudes toward employment (ATE)] remains unknown. This study will assess changes in attitudes toward violence (ATV) in response to a hospital-based brief violence intervention (BVI) and community case management services (CCMS). Youths (10–24 years) who were intentionally injured and admitted to a level 1 trauma center were prospectively randomly assigned to BVI alone (group I) or in combination with BVI+ CCMS (group II). Recidivism, ATV, triggers for fighting (TFF), ATS, ATE, and future aspirations (FAs) were assessed at baseline (BsL) during admission, 6 weeks (6W), and 6 months (6M) postdischarge. A total of 75 injured patients were enrolled. The groups did not significantly differ in demographics or injuries. Around 21% of the participants reported having a history of violent recidivism. ATS improved from 64% BsL to 81% 6W (p= 0.14) and 92% 6M (p= 0.07). ATV improved from 68% BsL to 79% at 6W (p= 0.0061) and (78%) at 6M (p= 0.0199). TFF was transiently decreased (< 50%) at 6W, returning back to BsL (> 50%) at 6M. ATE was high,> 90% at all levels. The hospital experience was associated with a positive change in future outlook and aspirations in 70 to 80%(group I 75% and group II 78%) at all time periods. Hospital BVI has a positive impact on youths’ perception of and vulnerability to violence …