Pediatric Healthcare Providers are the Cornerstone of Firearm Injury Prevention

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Pediatric Nonadherence
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Abstract

Firearm violence is the leading cause of death in children and adolescents in the United States, impacting children of all socioeconomic status, race, and ethnicity, though with significant burden in minority populations. Pediatricians have a unique role in prevention of firearm injury and mortality through intervention, education, and advocacy. Specifically, pediatricians can screen to identify those at risk, counsel patients and families to prevent firearm injuries, work within local communities to improve targeted intervention strategies, and participate in national advocacy groups. By taking a personal responsibility and a public health approach, pediatric health care providers play a pivotal in decreasing the burden of firearm injury, mortality, and adherence to gun safety.

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References

  1. Cunningham RM, Goldstick J, Carter PM. The major causes of death in children. Reply. N Engl J Med. 2019;380(14):1385. https://doi.org/10.1056/NEJMc1901264.

    Article  PubMed  PubMed Central  Google Scholar 

  2. Richardson EG, Hemenway D. Homicide, suicide, and unintentional firearm fatality: comparing the United States with other high-income countries, 2003. J Trauma. 2011;70(1):238–43. https://doi.org/10.1097/TA.0b013e3181dbaddf.

    Article  PubMed  Google Scholar 

  3. Fowler KA, Dahlberg LL, Haileyesus T, Gutierrez C, Bacon S. Childhood firearm injuries in the United States. Pediatrics. 2017;140(1):3486. https://doi.org/10.1542/peds.2016-3486.

    Article  Google Scholar 

  4. Roberts B, James D, Haft J, Balakrishnan N, Prince J, Sathya C. Wounding patterns in pediatric firearm fatalities. Injury. 2023;54(1):154–9. https://doi.org/10.1016/j.injury.2022.11.072.

    Article  PubMed  Google Scholar 

  5. Azrael D, Cohen J, Salhi C, Miller M. Firearm storage in gun-owning households with children: results of a 2015 national survey. J Urban Health. 2018;95(3):295–304. https://doi.org/10.1007/s11524-018-0261-7.

    Article  PubMed  PubMed Central  Google Scholar 

  6. Salhi C, Azrael D, Miller M. Parent and adolescent reports of adolescent access to household firearms in the United States. JAMA Netw Open. 2021;4(3):e210989. https://doi.org/10.1001/jamanetworkopen.2021.0989.

    Article  PubMed  PubMed Central  Google Scholar 

  7. Iantorno SE, Swendiman RA, Bucher BT, Russell KW. Surge in pediatric firearm injuries presenting to US Children’s Hospitals during the COVID-19 pandemic. JAMA Pediatr. 2023;177(2):204–6. https://doi.org/10.1001/jamapediatrics.2022.4881.

    Article  PubMed  Google Scholar 

  8. Sakran JV, Nance M, Riall T, Asmar S, Chehab M, Joseph B. Pediatric firearm injuries and fatalities: do racial disparities exist? Ann Surg. 2020;272(4):556–61. https://doi.org/10.1097/sla.0000000000004390.

    Article  PubMed  Google Scholar 

  9. Turner HA, Mitchell KJ, Jones LM, Hamby S, Wade R Jr, Beseler CL. Gun violence exposure and posttraumatic symptoms among children and youth. J Trauma Stress. 2019;32(6):881–9. https://doi.org/10.1002/jts.22466.

    Article  PubMed  Google Scholar 

  10. Lowe SR, Galea S. The mental health consequences of mass shootings. Trauma Violence Abuse. 2017;18(1):62–82. https://doi.org/10.1177/1524838015591572.

    Article  PubMed  Google Scholar 

  11. Pulcini CD, Goyal MK, Hall M, et al. Mental health utilization and expenditures for children pre-post firearm injury. Am J Prev Med. 2021;61(1):133–5. https://doi.org/10.1016/j.amepre.2021.01.024.

    Article  PubMed  PubMed Central  Google Scholar 

  12. Riehm KE, Mojtabai R, Adams LB, et al. Adolescents’ concerns about school violence or shootings and association with depressive, anxiety, and panic symptoms. JAMA Netw Open. 2021;4(11):e2132131. https://doi.org/10.1001/jamanetworkopen.2021.32131.

    Article  PubMed  PubMed Central  Google Scholar 

  13. Dowd MD, Sege RD. Firearm-related injuries affecting the pediatric population. Pediatrics. 2012;130(5):1416–23. https://doi.org/10.1542/peds.2012-2481.

    Article  Google Scholar 

  14. Petty JK, Henry MCW, Nance ML, Ford HR. Firearm injuries and children: position statement of the American Pediatric Surgical Association. J Pediatr Surg. 2019;54(7):1269–76. https://doi.org/10.1016/j.jpedsurg.2019.03.001.

    Article  PubMed  Google Scholar 

  15. Ranney ML, Betz ME, Dark C. #ThisIsOurLane - firearm safety as health care’s highway. N Engl J Med. 2019;380(5):405–7. https://doi.org/10.1056/NEJMp1815462.

    Article  PubMed  Google Scholar 

  16. Ojo A, Guntuku SC, Zheng M, Beidas RS, Ranney ML. How health care workers wield influence through Twitter hashtags: retrospective cross-sectional study of the gun violence and COVID-19 public health crises. JMIR Public Health Surveill. 2021;7(1):e24562. https://doi.org/10.2196/24562.

    Article  PubMed  PubMed Central  Google Scholar 

  17. Krug EG, Mercy JA, Dahlberg LL, Zwi AB. The world report on violence and health: violence: a global public health problem. Lancet. 2002;360(9339):1083–8. https://doi.org/10.1016/s0140-6736(02)11133-0.

    Article  PubMed  Google Scholar 

  18. Hughes BD, Cummins CB, Shan Y, Mehta HB, Radhakrishnan RS, Bowen-Jallow KA. Pediatric firearm injuries: racial disparities and predictors of healthcare outcomes. J Pediatr Surg. 2020;55(8):1596–603. https://doi.org/10.1016/j.jpedsurg.2020.02.021.

    Article  PubMed  PubMed Central  Google Scholar 

  19. Naik-Mathuria BJ, Cain CM, Alore EA, Chen L, Pompeii LA. Defining the full spectrum of pediatric firearm injury and death in the United States: it’s even worse than we think. Ann Surg. 2023;278(1):10–6. https://doi.org/10.1097/sla.0000000000005833.

    Article  PubMed  Google Scholar 

  20. Nordin A, Coleman A, Shi J, Wheeler K, **ang H, Kenney B. In harm’s way: unintentional firearm injuries in young children. J Pediatr Surg. 2018;53(5):1020–3. https://doi.org/10.1016/j.jpedsurg.2018.02.036.

    Article  PubMed  Google Scholar 

  21. Ranney M, Karb R, Ehrlich P, Bromwich K, Cunningham R, Beidas RS. What are the long-term consequences of youth exposure to firearm injury, and how do we prevent them? A sco** review. J Behav Med. 2019;42(4):724–40. https://doi.org/10.1007/s10865-019-00035-2.

    Article  PubMed  PubMed Central  Google Scholar 

  22. Coyne-Beasley T, Schoenbach VJ, Johnson RM. “Love our kids, lock your guns”: a community-based firearm safety counseling and gun lock distribution program. Arch Pediatr Adolesc Med. 2001;155(6):659–64. https://doi.org/10.1001/archpedi.155.6.659.

    Article  CAS  PubMed  Google Scholar 

  23. Schmidt CJ, Rupp L, Pizarro JM, Lee DB, Branas CC, Zimmerman MA. Risk and protective factors related to youth firearm violence: a sco** review and directions for future research. J Behav Med. 2019;42(4):706–23. https://doi.org/10.1007/s10865-019-00076-7.

    Article  PubMed  PubMed Central  Google Scholar 

  24. Beam DR, Szabo A, Olson J, Hoffman L, Beyer KM. Vacant lot to community garden conversion and crime in Milwaukee: a difference-in-differences analysis. Inj Prev. 2021;27(5):403–8.

    Article  PubMed  Google Scholar 

  25. Guitart D, Pickering C, Byrne J. Past results and future directions in urban community gardens research. Urban For Urban Green. 2012;11(4):364–73.

    Article  Google Scholar 

  26. American Academy of Pediatrics, editor. Bright futures. 4th ed. Elk Grove Village: American Academy of Pediatrics; 2017.

    Google Scholar 

  27. Rowhani-Rahbar A, Simonetti JA, Rivara FP. Effectiveness of interventions to promote safe firearm storage. Epidemiol Rev. 2016;38(1):111–24. https://doi.org/10.1093/epirev/mxv006.

    Article  PubMed  Google Scholar 

  28. Wintemute GJ, Betz ME, Ranney ML. Yes, you can: physicians, patients, and firearms. Ann Intern Med. 2016;165(3):205–13. https://doi.org/10.7326/m15-2905.

    Article  PubMed  Google Scholar 

  29. Roberts B, Masiakos PT, Vacek J, Sathya C. Firearm injury and mortality prevention in pediatric health-care settings. Pediatr Rev. 2022;43(4):212–21. https://doi.org/10.1542/pir.2020-001305.

    Article  PubMed  Google Scholar 

  30. Sathya C, Kapoor S. Universal screening for firearm injury risk could reduce healthcare’s hesistancy in talking to patients about firearm safety. Ann Surg Open. 2022;3(1):e121. https://doi.org/10.1097/as9.0000000000000121.

    Article  PubMed  PubMed Central  Google Scholar 

  31. Levy SJ, Williams JF. Substance use screening, brief intervention, and referral to treatment. Pediatrics. 2016;138(1):1211. https://doi.org/10.1542/peds.2016-1211.

    Article  Google Scholar 

  32. Lyons MS, Lindsell CJ, Ruffner AH, et al. Randomized comparison of universal and targeted HIV screening in the emergency department. J Acquir Immune Defic Syndr. 2013;64(3):315–23. https://doi.org/10.1097/QAI.0b013e3182a21611.

    Article  PubMed  PubMed Central  Google Scholar 

  33. Baxley F, Miller M. Parental misperceptions about children and firearms. Arch Pediatr Adolesc Med. 2006;160(5):542–7. https://doi.org/10.1001/archpedi.160.5.542.

    Article  PubMed  Google Scholar 

  34. King A, Simonetti J, Bennett E, et al. Firearm storage practices in households with children: a survey of community-based firearm safety event participants. Prev Med. 2020;131:105952. https://doi.org/10.1016/j.ypmed.2019.105952.

    Article  PubMed  Google Scholar 

  35. Barkin SL, Finch SA, Ip EH, et al. Is office-based counseling about media use, timeouts, and firearm storage effective? Results from a cluster-randomized, controlled trial. Pediatrics. 2008;122(1):e15–25. https://doi.org/10.1542/peds.2007-2611.

    Article  PubMed  Google Scholar 

  36. Carbone PS, Clemens CJ, Ball TM. Effectiveness of gun-safety counseling and a gun lock giveaway in a Hispanic community. Arch Pediatr Adolesc Med. 2005;159(11):1049–54. https://doi.org/10.1001/archpedi.159.11.1049.

    Article  PubMed  Google Scholar 

  37. Pediatrics AA. Screening for suicide risk in clinical practice. https://www.aap.org/en/patient-care/blueprint-for-youth-suicide-prevention/strategies-for-clinical-settings-for-youth-suicide-prevention/screening-for-suicide-risk-in-clinical-practice/.

  38. McCarty CA, Russo J, Grossman DC, et al. Adolescents with suicidal ideation: health care use and functioning. Acad Pediatr. 2011;11(5):422–6. https://doi.org/10.1016/j.acap.2011.01.004.

    Article  PubMed  PubMed Central  Google Scholar 

  39. Davis M, Johnson C, Pettit AR, et al. Adapting safety check as a universal suicide prevention strategy in pediatric primary care. Acad Pediatr. 2021;21(7):1161–70. https://doi.org/10.1016/j.acap.2021.04.012.

    Article  PubMed  PubMed Central  Google Scholar 

  40. Yip PS, Caine E, Yousuf S, Chang SS, Wu KC, Chen YY. Means restriction for suicide prevention. Lancet. 2012;379(9834):2393–9. https://doi.org/10.1016/s0140-6736(12)60521-2.

    Article  PubMed  PubMed Central  Google Scholar 

  41. Mueller KL, Naganathan S, Griffey RT. Counseling on access to lethal means-emergency department (CALM-ED): a quality improvement program for firearm injury prevention. West J Emerg Med. 2020;21(5):1123–30. https://doi.org/10.5811/westjem.2020.5.46952.

    Article  PubMed  PubMed Central  Google Scholar 

  42. Miller M, Salhi C, Barber C, et al. Changes in firearm and medication storage practices in homes of youths at risk for suicide: results of the SAFETY study, a clustered, emergency department-based, multisite, stepped-wedge trial. Ann Emerg Med. 2020;76(2):194–205. https://doi.org/10.1016/j.annemergmed.2020.02.007.

    Article  PubMed  Google Scholar 

  43. Barkin S, Duan N, Fink A, Brook RH, Gelberg L. The smoking gun: do clinicians follow guidelines on firearm safety counseling? Arch Pediatr Adolesc Med. 1998;152(8):749–56. https://doi.org/10.1001/archpedi.152.8.749.

    Article  CAS  PubMed  Google Scholar 

  44. Hoops K, Crifasi C. Pediatric resident firearm-related anticipatory guidance: why are we still not talking about guns? Prev Med. 2019;124:29–32. https://doi.org/10.1016/j.ypmed.2019.04.020.

    Article  PubMed  PubMed Central  Google Scholar 

  45. Olson LM, Christoffel KK, O’Connor KG. Pediatricians’ involvement in gun injury prevention. Inj Prev. 2007;13(2):99–104. https://doi.org/10.1136/ip.2006.012401.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  46. Garbutt JM, Bobenhouse N, Dodd S, Sterkel R, Strunk RC. What are parents willing to discuss with their pediatrician about firearm safety? A parental survey. J Pediatr. 2016;179:166–71. https://doi.org/10.1016/j.jpeds.2016.08.019.

    Article  PubMed  PubMed Central  Google Scholar 

  47. Sege RD, Hatmaker-Flanigan E, De Vos E, Levin-Goodman R, Spivak H. Anticipatory guidance and violence prevention: results from family and pediatrician focus groups. Pediatrics. 2006;117(2):455–63. https://doi.org/10.1542/peds.2005-0377.

    Article  PubMed  Google Scholar 

  48. Crifasi CK, Doucette ML, McGinty EE, Webster DW, Barry CL. Storage practices of US gun owners in 2016. Am J Public Health. 2018;108(4):532–7. https://doi.org/10.2105/ajph.2017.304262.

    Article  PubMed  PubMed Central  Google Scholar 

  49. Johnson-Young EA, McDonald D, Burrell T, et al. Understanding pediatric residents’ communication decisions regarding anticipatory guidance about firearms. J Health Commun. 2020;25(3):243–50. https://doi.org/10.1080/10810730.2020.1745961.

    Article  PubMed  Google Scholar 

  50. Roszko PJ, Ameli J, Carter PM, Cunningham RM, Ranney ML. Clinician attitudes, screening practices, and interventions to reduce firearm-related injury. Epidemiol Rev. 2016;38(1):87–110. https://doi.org/10.1093/epirev/mxv005.

    Article  PubMed  PubMed Central  Google Scholar 

  51. Grossman DC, Cummings P, Koepsell TD, et al. Firearm safety counseling in primary care pediatrics: a randomized, controlled trial. Pediatrics. 2000;106(1):22–6. https://doi.org/10.1542/peds.106.1.22.

    Article  CAS  PubMed  Google Scholar 

  52. Puttagunta R, Coverdale TR, Coverdale J. What is taught on firearm safety in undergraduate, graduate, and continuing medical education? A review of educational programs. Acad Psychiatry. 2016;40(5):821–4. https://doi.org/10.1007/s40596-016-0490-6.

    Article  CAS  PubMed  Google Scholar 

  53. McKay S, Bagg M, Patnaik A, et al. Addressing firearm safety counseling: integration of a multidisciplinary workshop in a pediatric residency program. J Grad Med Educ. 2020;12(5):591–7. https://doi.org/10.4300/jgme-d-19-00947.1.

    Article  PubMed  PubMed Central  Google Scholar 

  54. Clary C, Lambarth L, Kaushik R. Locked and (un)-loaded discussions: a pediatric resident safe firearm storage counseling curriculum. MedEdPORTAL. 2020;16:11028. https://doi.org/10.15766/mep_2374-8265.11028.

    Article  PubMed  PubMed Central  Google Scholar 

  55. Naureckas Li C, Sacks CA, Cummings BM, Samuels-Kalow M, Masiakos PT, Flaherty MR. Improving pediatric residents’ screening for access to firearms in high-risk patients presenting to the emergency department. Acad Pediatr. 2021;21(4):710–5. https://doi.org/10.1016/j.acap.2021.01.002.

    Article  PubMed  Google Scholar 

  56. Gastineau KAB, Stegall CL, Lowrey LK, Giourgas BK, Andrews AL. Improving the frequency and documentation of gun safety counseling in a resident primary care clinic. Acad Pediatr. 2021;21(1):117–23. https://doi.org/10.1016/j.acap.2020.07.013.

    Article  PubMed  Google Scholar 

  57. Betz ME, Wintemute GJ. Physician counseling on firearm safety: a new kind of cultural competence. JAMA. 2015;314(5):449–50. https://doi.org/10.1001/jama.2015.7055.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  58. Purtle J, Dicker R, Cooper C, et al. Hospital-based violence intervention programs save lives and money. J Trauma Acute Care Surg. 2013;75(2):331–3. https://doi.org/10.1097/TA.0b013e318294f518.

    Article  PubMed  Google Scholar 

  59. Johnson SB, Bradshaw CP, Wright JL, Haynie DL, Simons-Morton BG, Cheng TL. Characterizing the teachable moment: is an emergency department visit a teachable moment for intervention among assault-injured youth and their parents? Pediatr Emerg Care. 2007;23(8):553–9. https://doi.org/10.1097/PEC.0b013e31812c6687.

    Article  PubMed  Google Scholar 

  60. Nofi CP, Roberts BK, Cornell E, et al. Hospital-based violence intervention programs to reduce firearm injuries in children: a sco** review. J Pediatr Surg. 2023;58(11):2212–21.

    Article  PubMed  Google Scholar 

  61. Brooke BS, Efron DT, Chang DC, Haut ER, Cornwell EE. Patterns and outcomes among penetrating trauma recidivists: it only gets worse. J Trauma. 2006;61(1):16–9; discussion 20. https://doi.org/10.1097/01.ta.0000224143.15498.bb.

    Article  PubMed  Google Scholar 

  62. Smith R, Dobbins S, Evans A, Balhotra K, Dicker RA. Hospital-based violence intervention: risk reduction resources that are essential for success. J Trauma Acute Care Surg. 2013;74(4):976–80; discussion 980-2. https://doi.org/10.1097/TA.0b013e31828586c9.

    Article  PubMed  Google Scholar 

  63. Strong BL, Shipper AG, Downton KD, Lane WG. The effects of health care–based violence intervention programs on injury recidivism and costs: a systematic review. J Trauma Acute Care Surg. 2016;81(5):961–70.

    Article  PubMed  Google Scholar 

  64. Stokes SC, McFadden NR, Salcedo ES, Beres AL. Firearm injuries in children: a missed opportunity for firearm safety education. Inj Prev. 2021;27(6):554–9. https://doi.org/10.1136/injuryprev-2020-044051.

    Article  PubMed  Google Scholar 

  65. Goldstick JE, Carter PM, Walton MA, et al. Development of the SaFETy score: a clinical screening tool for predicting future firearm violence risk. Ann Intern Med. 2017;166(10):707–14. https://doi.org/10.7326/m16-1927.

    Article  PubMed  PubMed Central  Google Scholar 

  66. Butkus R, Doherty R, Bornstein SS, et al. Reducing firearm injuries and deaths in the United States: a position paper from the American College of Physicians. Ann Intern Med. 2018;169(10):704–7. https://doi.org/10.7326/m18-1530.

    Article  PubMed  Google Scholar 

  67. Miller M, Zhang W, Azrael D. Firearm purchasing during the COVID-19 pandemic: results from the 2021 national firearms survey. Ann Intern Med. 2022;175(2):219–25. https://doi.org/10.7326/m21-3423.

    Article  PubMed  Google Scholar 

  68. Weinberger SE, Hoyt DB, Lawrence HC, et al. Firearm-related injury and death in the United States: a call to action from 8 health professional organizations and the American Bar Association. Ann Intern Med. 2015;162(7):513–6. https://doi.org/10.7326/m15-0337.

    Article  PubMed  Google Scholar 

  69. Talley CL, Campbell BT, Jenkins DH, et al. Recommendations from the American College of Surgeons Committee on Trauma’s Firearm Strategy Team (FAST) Workgroup: Chicago consensus I. J Am Coll Surg. 2019;228(2):198–206. https://doi.org/10.1016/j.jamcollsurg.2018.11.002.

    Article  PubMed  Google Scholar 

  70. Surgeons AC. Firearm injury prevention activities. https://www.facs.org/quality-programs/trauma/advocacy-and-injury-prevention/firearm-injury-prevention-activities/.

  71. Pediatrics AA. Gun violence prevention. https://www.aap.org/en/advocacy/gun-violence-prevention/.

  72. Barber C, Cook PJ, Parker ST. The emerging infrastructure of US firearms injury data. Prev Med. 2022;165(Pt A):107129. https://doi.org/10.1016/j.ypmed.2022.107129.

    Article  PubMed  Google Scholar 

  73. Cunningham RM, Carter PM, Zimmerman M. The Firearm Safety Among Children and Teens (FACTS) Consortium: defining the current state of the science on pediatric firearm injury prevention. J Behav Med. 2019;42(4):702–5. https://doi.org/10.1007/s10865-019-00077-6.

    Article  PubMed  PubMed Central  Google Scholar 

  74. Funded Surveillance. 2023. https://www.cdc.gov/violenceprevention/firearms/funded-surveillance.html.

  75. What is the Cardiff Violence Prevention Model? 2023. https://www.cdc.gov/violenceprevention/about/fundedprograms/cardiffmodel/whatis.html.

  76. Morrall A. The science of gun policy: a critical synthesis of research evidence on the effects of gun policies in the United States. Rand Health Q. 2018;8(1):5.

    PubMed  PubMed Central  Google Scholar 

  77. Madhavan S, Taylor JS, Chandler JM, Staudenmayer KL, Chao SD. Firearm legislation stringency and firearm-related fatalities among children in the US. J Am Coll Surg. 2019;229(2):150–7. https://doi.org/10.1016/j.jamcollsurg.2019.02.055.

    Article  PubMed  Google Scholar 

  78. Kivisto AJ, Phalen PL. Effects of Risk-Based Firearm Seizure Laws in Connecticut and Indiana on Suicide Rates, 1981-2015. Psychiatr Serv. 2018;69(8):855–62. https://doi.org/10.1176/appi.ps.201700250.

    Article  PubMed  Google Scholar 

  79. Stevens J, Pickett K, Reppucci ML, Nolan M, Moulton SL. National trends in pediatric firearm and automobile fatalities. J Pediatr Surg. 2023;58(1):130–5. https://doi.org/10.1016/j.jpedsurg.2022.09.028.

    Article  PubMed  Google Scholar 

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Roberts, B., Nofi, C., Cornell, E., Sathya, C. (2024). Pediatric Healthcare Providers are the Cornerstone of Firearm Injury Prevention. In: Fornari, V., Dancyger, I., Silver, P. (eds) Pediatric Nonadherence. Springer, Cham. https://doi.org/10.1007/978-3-031-58141-0_10

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