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Trends and Characteristics of Terrorist Attacks Against Nightclub Venues Over 5 Decades

Published online by Cambridge University Press:  30 January 2024

Grace R. Rahman*
Affiliation:
Department of Cardiology, Boston Children’s Hospital, Boston, MA, USA
Stephen Y. Liang
Affiliation:
Department of Emergency Medicine and Division of Infectious Diseases, Department of Medicine, Washington University School of Medicine, St. Louis, MO, USA
Linlin Tian
Affiliation:
Department of Neurology, Washington University School of Medicine, St. Louis, MO, USA
Steve S. Sin
Affiliation:
National Consortium for the Study of Terrorism and Responses to Terrorism, University of Maryland, College Park, MD, USA
Gregory N. Jasani
Affiliation:
Department of Emergency Medicine, University of Maryland School of Medicine, Baltimore, MD, USA
*
Corresponding author: Grace R. Rahman; Email: grace.rahman@cardio.chboston.org.

Abstract

Introduction:

Nightclubs are entertainment and hospitality venues historically vulnerable to terrorist attacks. This study identified and characterized terrorist attacks targeting nightclubs and discotheques documented in the Global Terrorism Database (GTD) over a 50-y period.

Methods:

A search of the Global Terrorism Database (GTD) was conducted from 1970 to 2019. Precoded variables for target type “business” and target subtype “entertainment/cultural/stadium/casino” were used to identify attacks potentially involving nightclubs. Nightclub venues were specifically identified using the search terms “club,” “nightclub,” and “discotheque.” Two authors manually reviewed each entry to confirm the appropriateness for inclusion. Descriptive statistics were performed using R (3.6.1).

Results:

A total of 114 terrorist attacks targeting nightclub venues were identified from January 1, 1970, through December 31, 2019. Seventy-four (64.9%) attacks involved nightclubs, while forty (35.1%) attacks involved discotheques. A bombing or explosion was involved in 84 (73.7%) attacks, followed by armed assault in 14 (12.3%) attacks. The highest number of attacks occurred in Western Europe and Sub-Saharan Africa. In total, 284 persons died, and 1175 persons were wounded in attacks against nightclub venues.

Conclusions:

While terrorist attacks against nightclub venues are infrequent, the risk for mass casualties and injuries can be significant, mainly when explosives and armed assaults are used.

Type
Original Research
Copyright
© The Author(s), 2024. Published by Cambridge University Press on behalf of Society for Disaster Medicine and Public Health, Inc

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References

Bourdeau, B, Miller, BA, Voas, RB, et al. Social drinking groups and risk experience in nightclubs: latent class analysis. Health Risk Soc. 2017;19(5-6):316-335. doi: 10.1080/13698575.2017.1393048 CrossRefGoogle ScholarPubMed
National Consortium for the Study of Terrorism and Response to Terrorism (START), University of Maryland. The Global Terrorism Database (GTD). Accessed January 3, 2023. https://www.start.umd.edu/gtd Google Scholar
R Core Team. R: a language and environment for statistical computing. R Foundation for Statistical Computing. Vienna, Austria. 2019. Accessed January 6, 2024. https://www.gbif.org/tool/81287/r-a-language-and-environment-for-statistical-computing Google Scholar
Luke, LC, Dewer, C, Bailey, M, et al. A little nightclub medicine: the healthcare implications of clubbing. Emerg Med J. 2002;19(6):542-545. doi: 10.1136/emj.19.6.542 CrossRefGoogle ScholarPubMed
Melmer, P, Carlin, M, Castater, CA, et al. Mass casualty shootings and emergency preparedness: a multidisciplinary approach for an unpredictable event. J Multidiscip Healthc. 2019;12:1013-1021. doi: 10.2147/JMDH.S219021 CrossRefGoogle ScholarPubMed
DuPree, C, Pinnola, A, Gibson, S, et al. Can planned traffic patterns improve survival among the injured during mass casualty motorcycle rallies? J Surg Res. 2019;234:262-268. doi: 10.1016/j.jss.2018.09.014 CrossRefGoogle ScholarPubMed
Kennedy, PJ, Haertsch, PA, Maitz, PK. The Bali Burn Disaster: implications and lessons learned. J Burn Care Rehabil. 2005;26(2):125-131. doi: 10.1097/01.BCR.0000155532.31639.0d CrossRefGoogle ScholarPubMed
Chim, H, Yew, WS, Song, C. Managing burn victims of suicide bombing attacks: outcomes, lessons learnt, and changes made from three attacks in Indonesia. Crit Care. 2007;11(1):R15. doi: 10.1186/cc5681 CrossRefGoogle ScholarPubMed
Edgar, DW, Wood, F, Goodwin-Walters, A. First response, rehabilitation, and outcomes of hand and upper limb function: survivors of the Bali Bombing Disaster. A case series report. J Hand Ther. 2006;19(3):283-298. doi: 10.1197/j.jht.2006.04.003 CrossRefGoogle ScholarPubMed
Palmer, DJ, Stephens, D, Fisher, DA, et al. The Bali bombing: the Royal Darwin Hospital response. Med J Aust. 2003;179(7):358-361. doi: 10.5694/j.1326-5377.2003.tb05593.x CrossRefGoogle ScholarPubMed
Smith, ER, Shapiro, G, Sarani, B. Fatal wounding pattern and causes of potentially preventable death following the Pulse Night Club shooting event. Prehosp Emerg Care. 2018;22(6):662-668. doi: 10.1080/10903127.2018.1459980 CrossRefGoogle ScholarPubMed
Albert, E, Training, Bullard T., drills pivotal in mounting response to Orlando shooting. ED Manag. 2016;28(8):85-89.Google ScholarPubMed
Smith, CP, Cheatham, ML, Safcsak, K, et al. Injury characteristics of the Pulse Nightclub shooting: Lessons for mass casualty incident preparation. J Trauma Acute Care Surg. 2020;88(3):372-378. doi: 10.1097/TA.0000000000002574 CrossRefGoogle ScholarPubMed
Russo, RM, Galante, JM, Holcomb, JB, et al. Mass casualty events: what to do as the dust settles? Trauma Surg Acute Care Open. 2018;3(1):e000210. doi: 10.1136/tsaco-2018-000210 CrossRefGoogle Scholar
DeAngeles, D, Schurr, M, Birnbaum, M, et al. Traumatic asphyxia following stadium crowd surge: stadium factors affecting outcome. WMJ. 1998;97(9):42-45.Google ScholarPubMed
Sharma, A, McCloskey, B, Hui, DS, et al. Global mass gathering events and deaths due to crowd surge, stampedes, crush and physical injuries – lessons from the Seoul Halloween and other disasters. Travel Med Infect Dis. 2023;52:102524. doi: 10.1016/j.tmaid.2022.102524 CrossRefGoogle ScholarPubMed
Walker, BB, Schuurman, N, Hameed, SM. A GIS-based spatiotemporal analysis of violent trauma hotspots in Vancouver, Canada: identification, contextualisation and intervention. BMJ Open. 2014;4(2):e003642. doi: 10.1136/bmjopen-2013-003642 CrossRefGoogle ScholarPubMed
Gill, P, Horgan, J, Deckert, P. Bombing alone: tracing the motivations and antecedent behaviors of lone-actor terrorists. J Forensic Sci. 2014;59(2):425-435. doi: 10.1111/1556-4029.12312 CrossRefGoogle ScholarPubMed
Jacobs, LM, Wade, DS, McSwain, NE, et al. The Hartford Consensus: THREAT, a medical disaster preparedness concept. J Am Coll Surg. 2013;217(5):947-953. doi: 10.1016/j.jamcollsurg.2013.07.002 CrossRefGoogle ScholarPubMed
Smith, AA, Ochoa, JE, Wong, S, et al. Prehospital tourniquet use in penetrating extremity trauma: decreased blood transfusions and limb complications. J Trauma Acute Care Surg. 2019;86(1):43-51. doi: 10.1097/TA.0000000000002095 CrossRefGoogle ScholarPubMed
Rothschild, HR, Mathieson, K. Effects of tactical emergency casualty care training for law enforcement officers. Prehosp Disaster Med. 2018;33(5):495-500. doi: 10.1017/S1049023X18000730 CrossRefGoogle ScholarPubMed