Skip to main content
Top
Gepubliceerd in: Journal of Behavioral Medicine 4/2019

01-08-2019

Characteristics and behavioral risk factors of firearm-exposed youth in an urban emergency department

Auteurs: Ruth Abaya, Tita Atte, Joanna Herres, Guy Diamond, Joel A. Fein

Gepubliceerd in: Journal of Behavioral Medicine | Uitgave 4/2019

Log in om toegang te krijgen
share
DELEN

Deel dit onderdeel of sectie (kopieer de link)

  • Optie A:
    Klik op de rechtermuisknop op de link en selecteer de optie “linkadres kopiëren”
  • Optie B:
    Deel de link per e-mail

Abstract

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.
Literatuur
go back to reference American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (DSM-5 ® ). Philadelphia: American Psychiatric Pub.CrossRef American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (DSM-5 ® ). Philadelphia: American Psychiatric Pub.CrossRef
go back to reference 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 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
go back to reference 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. 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.
go back to reference Carter, P. M., Walton, M. A., Goldstick, J., et al. (2017). Violent firearm-related conflicts among high-risk youth: An event-level and daily calendar analysis. Preventive Medicine, 102, 112–119.CrossRefPubMedPubMedCentral Carter, P. M., Walton, M. A., Goldstick, J., et al. (2017). Violent firearm-related conflicts among high-risk youth: An event-level and daily calendar analysis. Preventive Medicine, 102, 112–119.CrossRefPubMedPubMedCentral
go back to reference Carter, P. M., Walton, M. A., Newton, M. F., et al. (2013). Firearm possession among adolescents presenting to an urban emergency department for assault. Pediatrics, 132, 213–221.CrossRefPubMedPubMedCentral Carter, P. M., Walton, M. A., Newton, M. F., et al. (2013). Firearm possession among adolescents presenting to an urban emergency department for assault. Pediatrics, 132, 213–221.CrossRefPubMedPubMedCentral
go back to reference Cunningham, R. M., Resko, S. M., Harrison, S. R., et al. (2010). Screening adolescents in the emergency department for weapon carriage. Academic Emergency Medicine, 17, 168–176.CrossRefPubMedPubMedCentral Cunningham, R. M., Resko, S. M., Harrison, S. R., et al. (2010). Screening adolescents in the emergency department for weapon carriage. Academic Emergency Medicine, 17, 168–176.CrossRefPubMedPubMedCentral
go back to reference Cunningham, R. M., Whiteside, L. K., Chermack, S. T., et al. (2013). Dating Violence: outcomes following a brief motivational interviewing intervention among at-risk adolescents in an urban emergency department. Academic Emergency Medicine, 20, 562–569.CrossRefPubMedPubMedCentral Cunningham, R. M., Whiteside, L. K., Chermack, S. T., et al. (2013). Dating Violence: outcomes following a brief motivational interviewing intervention among at-risk adolescents in an urban emergency department. Academic Emergency Medicine, 20, 562–569.CrossRefPubMedPubMedCentral
go back to reference Diamond, G., Levy, S., Bevans, K. B., et al. (2010). Development, validation, and utility of internet-based, behavioral health screen for adolescents. Pediatrics, 126, e163–e170.CrossRefPubMed Diamond, G., Levy, S., Bevans, K. B., et al. (2010). Development, validation, and utility of internet-based, behavioral health screen for adolescents. Pediatrics, 126, e163–e170.CrossRefPubMed
go back to reference Dowd, M. D., Sege, R. D., Gardner, H. G., et al. (2012). Firearm-related injuries affecting the pediatric population. Pediatrics, 130, e1416–e1423.CrossRefPubMed Dowd, M. D., Sege, R. D., Gardner, H. G., et al. (2012). Firearm-related injuries affecting the pediatric population. Pediatrics, 130, e1416–e1423.CrossRefPubMed
go back to reference Fein, J. A., Pailler, M. E., Barg, F. K., et al. (2010). Feasibility and effects of a Web-based adolescent psychiatric assessment administered by clinical staff in the pediatric emergency department. Archives of Pediatrics and Adolescent Medicine, 164, 1112–1117.CrossRefPubMed Fein, J. A., Pailler, M. E., Barg, F. K., et al. (2010). Feasibility and effects of a Web-based adolescent psychiatric assessment administered by clinical staff in the pediatric emergency department. Archives of Pediatrics and Adolescent Medicine, 164, 1112–1117.CrossRefPubMed
go back to reference Fowler, K. A., Dahlberg, L. L., Haileyesus, T., Gutierrez, C., & Bacon, S. (2017). Childhood firearm injuries in the United States. Pediatrics, 19, e20163486.CrossRef Fowler, K. A., Dahlberg, L. L., Haileyesus, T., Gutierrez, C., & Bacon, S. (2017). Childhood firearm injuries in the United States. Pediatrics, 19, e20163486.CrossRef
go back to reference Hohl, B. C., Wiley, S., & Wiebe, D. J. (2017). Association of drug and alcohol use wit adolescent firearm homicide and individual, family, and neighborhood levels. JAMA Internal Medicine, 177, 317–324.CrossRefPubMedPubMedCentral Hohl, B. C., Wiley, S., & Wiebe, D. J. (2017). Association of drug and alcohol use wit adolescent firearm homicide and individual, family, and neighborhood levels. JAMA Internal Medicine, 177, 317–324.CrossRefPubMedPubMedCentral
go back to reference 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 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
go back to reference Kodish, T., Herres, J., Shearer, A., et al. (2016). Bullying, depression, and suicide risk in a pediatric primary care sample. Crisis, 37, 241–246.CrossRefPubMed Kodish, T., Herres, J., Shearer, A., et al. (2016). Bullying, depression, and suicide risk in a pediatric primary care sample. Crisis, 37, 241–246.CrossRefPubMed
go back to reference Loh, K., Walton, M. A., Harrison, S. R., et al. (2010). Prevalence and correlates of handgun access among adolescents seeking care in an urban emergency department. Accident Analysis and Prevention, 42, 347–353.CrossRefPubMedPubMedCentral Loh, K., Walton, M. A., Harrison, S. R., et al. (2010). Prevalence and correlates of handgun access among adolescents seeking care in an urban emergency department. Accident Analysis and Prevention, 42, 347–353.CrossRefPubMedPubMedCentral
go back to reference Lowry, R., Powell, K. E., Kann, L., Collins, J. L., & Kolbe, L. J. (1998). Weapon-carrying, physical fighting, and fight-related injury among US adolescents. American Journal of Preventive Medicine, 14, 122–129.CrossRefPubMed Lowry, R., Powell, K. E., Kann, L., Collins, J. L., & Kolbe, L. J. (1998). Weapon-carrying, physical fighting, and fight-related injury among US adolescents. American Journal of Preventive Medicine, 14, 122–129.CrossRefPubMed
go back to reference Purtle, J., Dicker, R., Cooper, C., et al. (2013). Hospital-based violence intervention programs save lives and money. The Journal of Trauma and Acute Care Surgery, 75, 331–333.CrossRefPubMed Purtle, J., Dicker, R., Cooper, C., et al. (2013). Hospital-based violence intervention programs save lives and money. The Journal of Trauma and Acute Care Surgery, 75, 331–333.CrossRefPubMed
go back to reference Shah, S., Hoffman, R. E., Wake, L., & Marine, W. M. (2000). Adolescent suicide and household access to firearms in Colorado: results of a case-control study. Journal of Adolescent Health, 26, 157–163.CrossRefPubMed Shah, S., Hoffman, R. E., Wake, L., & Marine, W. M. (2000). Adolescent suicide and household access to firearms in Colorado: results of a case-control study. Journal of Adolescent Health, 26, 157–163.CrossRefPubMed
go back to reference Walton, M. A., Chermack, S. T., Shope, J. T., et al. (2010). Effects of a brief intervention for reducing violence and alcohol misuse among adolescents: a randomized controlled trial. JAMA, 304, 527–535.CrossRefPubMedPubMedCentral Walton, M. A., Chermack, S. T., Shope, J. T., et al. (2010). Effects of a brief intervention for reducing violence and alcohol misuse among adolescents: a randomized controlled trial. JAMA, 304, 527–535.CrossRefPubMedPubMedCentral
go back to reference Walton, M. A., Cunningham, R. M., Goldstein, A. L., et al. (2009). Rates and correlates of violent behaviors among adolescents treated in an urban emergency department. Journal of Adolescent Health, 45, 77–83.CrossRefPubMed Walton, M. A., Cunningham, R. M., Goldstein, A. L., et al. (2009). Rates and correlates of violent behaviors among adolescents treated in an urban emergency department. Journal of Adolescent Health, 45, 77–83.CrossRefPubMed
go back to reference Zatzick, D., Russo, J., Lord, S. P., et al. (2014). Collaborative care intervention targeting violence risk behaviors, substance use, and post-traumatic stress and depressive symptoms in injured adolescents. JAMA Pediatrics, 168, 532–539.CrossRefPubMed Zatzick, D., Russo, J., Lord, S. P., et al. (2014). Collaborative care intervention targeting violence risk behaviors, substance use, and post-traumatic stress and depressive symptoms in injured adolescents. JAMA Pediatrics, 168, 532–539.CrossRefPubMed
go back to reference Zimring, F. E. (2004). The discrete character of high-lethality youth violence. Annals of the New York Academy of Sciences, 1036, 290–299.CrossRefPubMed Zimring, F. E. (2004). The discrete character of high-lethality youth violence. Annals of the New York Academy of Sciences, 1036, 290–299.CrossRefPubMed
Metagegevens
Titel
Characteristics and behavioral risk factors of firearm-exposed youth in an urban emergency department
Auteurs
Ruth Abaya
Tita Atte
Joanna Herres
Guy Diamond
Joel A. Fein
Publicatiedatum
01-08-2019
Uitgeverij
Springer US
Gepubliceerd in
Journal of Behavioral Medicine / Uitgave 4/2019
Print ISSN: 0160-7715
Elektronisch ISSN: 1573-3521
DOI
https://doi.org/10.1007/s10865-019-00054-z

Andere artikelen Uitgave 4/2019

Journal of Behavioral Medicine 4/2019 Naar de uitgave