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Firearm anticipatory guidance training in psychiatric residency programs
James H Price1, Amy J Thompson, Jagdish Khubchandani
1University of Toledo, Department of Health and Recreation Professions, 2801 W. Bancroft, Mailstop 119, Toledo, OH 43606, USA. jprice@utnet.utoledo.edu
Summary
Psychiatric residency programs rarely train residents in firearm injury prevention, despite psychiatrists
Area of Science:
- Psychiatry
- Public Health
- Firearm Injury Prevention
Background:
- Suicide and homicide rates are significantly linked to firearm access.
- A majority of individuals attempting suicide have a diagnosed mental illness.
Purpose of the Study:
- To assess the current state of firearm injury prevention training within psychiatric residency programs.
- To understand the perceived benefits and barriers to implementing such training.
Main Methods:
- A mail survey was distributed to directors of 179 psychiatric residency programs.
- Data collected included training prevalence, content, perceived benefits, and barriers.
Main Results:
- A 64% response rate was achieved, with 79% of programs not having seriously considered firearm injury prevention training.
- Over half of programs routinely screen patients for firearm ownership.
- Most directors perceived more benefits than barriers to offering training and supported APA curriculum guidelines.
Conclusions:
- Psychiatric professionals are crucial in preventing firearm-related suicides and homicides.
- Current residency training inadequately prepares psychiatrists for this role.
- APA leadership is needed to develop curriculum and reduce firearm violence.
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