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Which Types of Providers Have Firearm Discussions in a Pediatric Primary Care Clinic?
Sheline, Erica K; Sigel, Eric J; Bunik, Maya E; Leonard, Jan; Dillon, Mairead; Haasz, Maya.
Afiliación
  • Sheline EK; Department of Pediatrics, University of Colorado School of Medicine, 13123 E 16(th) Ave B251, Aurora, CO, 80045, USA. Electronic address: sheline.es@gmail.com.
  • Sigel EJ; Department of Pediatrics, University of Colorado School of Medicine, 13123 E 16(th) Ave B251, Aurora, CO, 80045, USA; Children's Hospital Colorado, Adolescent Medicine Clinic, 860 N Potomac Cir, Aurora, Colorado, 80011 USA.
  • Bunik ME; Department of Pediatrics, University of Colorado School of Medicine, 13123 E 16(th) Ave B251, Aurora, CO, 80045, USA; Children's Hospital Colorado, Child Health Clinic, 860 N Potomac Cir, Aurora, Colorado, 80011 USA; Adult and Child Consortium for Health Outcomes Research and Delivery Science, Unive
  • Leonard J; Department of Pediatrics, University of Colorado School of Medicine, 13123 E 16(th) Ave B251, Aurora, CO, 80045, USA.
  • Dillon M; Department of Pediatrics, University of Colorado School of Medicine, 13123 E 16(th) Ave B251, Aurora, CO, 80045, USA.
  • Haasz M; University of Colorado School of Medicine, Department of Pediatrics, Section of Emergency Medicine, 13123 E 16(th) Ave B251, Aurora, CO, 80045, USA.
Acad Pediatr ; 2024 Jul 25.
Article en En | MEDLINE | ID: mdl-39067784
ABSTRACT

OBJECTIVE:

Safe firearm storage decreases self-inflicted and unintentional firearm injury in youth. Medical providers are well-positioned to discuss safe firearm storage with families. The primary objective of this study was to determine which providers are most likely to discuss firearms with their patients. Our secondary objective was to determine whether providers were more likely to discuss firearms with patients at elevated suicide risk.

METHODS:

This was a retrospective chart review of primary care well child visits occurring January-December 2019 in a large, urban academic clinic. We documented provider-type and training level (exposure); any documentation of firearms in the chart (counseling, screening) was considered as having a firearm discussion (outcome). We also collected demographics, patient mental health history, PHQ-9 scores, and assessed suicide risk.

RESULTS:

Of the 743 charts reviewed, firearms were discussed in 9% (n=66). Medical students were most likely to discuss firearms (15%), attending physicians were least likely (1%, p < 0.001). Providers did not discuss firearms more frequently among youth at elevated suicide risk.

CONCLUSION:

Though providers do not frequently discuss and document firearm discussions overall, the higher rates among medical students is promising. Given the lethality of firearms in a suicide attempt, the lack of firearm safety discussions with those at elevated suicide risk was concerning. Further study should evaluate factors that facilitate discussions in this cohort and identify strategies to improve counseling among more senior providers. WHAT'S NEW Pediatric providers have an opportunity to counsel families about the risk of firearm access. We found that trainees are most likely to counsel families about firearms, and that providers are not more likely to counsel youth at elevated suicide risk.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Idioma: En Revista: Acad Pediatr Año: 2024 Tipo del documento: Article Pais de publicación: Estados Unidos
Texto completo
Añadir a Mi BVS
Imprimir
XML
PubMed Links
Buscar en Google

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Idioma: En Revista: Acad Pediatr Año: 2024 Tipo del documento: Article Pais de publicación: Estados Unidos