Violence by young people is one of the most visible forms of social disorder in urban settlements. This study assesses the causes and consequences of youth violence in the Kumasi metropolis. The study design was a nonexperimental cross-sectional survey. A mixed method approach facilitated the random sampling of 71 young people in the Kumasi metropolis through a stratified procedure between December 2014 and November 2015. Ten (10) participants were purposively selected and enrolled in a focus group discussion. Descriptive statistics formed the basis for the analysis. This was supported with a matched discourse analysis of the emerging themes. More than half of the youth (39, 54.9%) demonstrated history of ever engaging in violence in the past one year of whom 24 (61.5%) were without formal education. The frequency of the violence perpetuation ranged from daily engagement (3, 4%) to weekly engagement in violence (12, 17%). Principally, the categories of youth violence were manifested in noise making, rape, murder, stealing, drug addiction, obscene gestures, robbery, sexual abuse, and embarrassment. Peer pressure and street survival coping approaches emerged as the pivotal factors that induced youth violence. Addressing youth violence requires an integrative framework that incorporates youth perspectives, government, chiefs, and nongovernmental organizations in Ghana, and religious bodies.