Swipe om te navigeren naar een ander artikel
Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.
Assessing firearm access among adolescents with behavioral health risk factors is important for the primary prevention of suicide and interpersonal violence. We describe self-reported firearm access and the associated behavioral risk factors and demographic characteristics in a cross-sectional study conducted in the emergency department of an urban pediatric hospital from June 2013 to June 2014. A total of 2258 adolescents received a behavioral health survey to assess access to firearms inside and outside the home, mental health symptoms, and risk behaviors. One of 6 patients in our sample (15%) endorsed access to a firearm. Male gender, lifetime alcohol use, lifetime marijuana use, and lifetime other drug use were associated with access. Participants reporting access were more likely to report clinical levels of lifetime suicidality and depression. The odds of current suicidality were highest in those with 24-h access (OR 2.77 CI 1.73–4.46), compared to those who did not endorse access.
Log in om toegang te krijgen
Met onderstaand(e) abonnement(en) heeft u direct toegang:
American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (DSM-5 ® ). Philadelphia: American Psychiatric Pub. CrossRef
Bevans, K. B., Diamond, G., & Levy, S. (2012). Screening for adolescents’ internalizing symptoms in primary care: Item response theory analysis of the behavior health screen depression, anxiety, and suicidal risk scales. Journal of Developmental and Behavioral Pediatrics, 33, 283–290. CrossRefPubMed
Brener, N. D., Kann, L., Shanklin, S., et al. (2013). Methodology of the youth risk behavior surveillance system—2013. MMWR. Morbidity and Mortality Weekly Report, 62, 1–20.
Centers for Disease Control and Prevention. (2016a). Fatal injury reports, national and regional, 1999–2016 (all races, both sexes, all ages). United States 2016. Available at: https://webappa.cdc.gov/sasweb/ncipc/mortrate.html. Accessed May 2018.
Centers for Disease Control and Prevention. (2016b). Deaths: Final data for 2016. United States 2016. Available at: https://www.cdc.gov/nchs/data/nvsr/nvsr67/nvsr67_05.pdf. Accessed May 2018.
Centers for Disease Control and Prevention, Youth Risk Behavior Surveillance—United States. (2017). Morbidity and mortality weekly report June 15, 2018 (Vol. 67). Available at: https://www.cdc.gov/healthyyouth/data/yrbs/pdf/2017/ss6708.pdf. Accessed May 2018.
Fowler, K. A., Dahlberg, L. L., Haileyesus, T., Gutierrez, C., & Bacon, S. (2017). Childhood firearm injuries in the United States. Pediatrics, 19, e20163486. CrossRef
Kellerman, A. L., Rivara, F. P., Somes, G., et al. (1992). Suicide in the home in relation to gun ownership. New England Journal of Medicine, 327, 467–472. CrossRef
Philadelphia Police Department. (2016). Annual murder and shooting victim report 2016. Available at: https://www.phillypolice.com/assets/crime-maps-stats/HomicideReport-2013.pdf. Accessed May 2018.
Xu, J., & Murphy, S. L. (2013). Deaths: Final data for 2013. National Vital Statistics Reports. 2016 (Vol. 64). Available at: https://www.cdc.gov/nchs/data/nvsr/nvsr64/nvsr64_02.pdf. Accessed May 2018.
- Characteristics and behavioral risk factors of firearm-exposed youth in an urban emergency department
Joel A. Fein
- Springer US