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    Many at-risk youth have access to firearms in their homes, increasing suicide risk. Pediatricians should discuss firearm safety and lethal means counseling with families to prevent youth suicide.

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    Area of Science:

    • Pediatric Health
    • Suicidology
    • Public Health

    Background:

    • Firearm access is a critical factor in youth suicide, with approximately 2,900 young lives lost annually in the U.S. due to firearm use.
    • Understanding firearm access among at-risk youth is crucial for developing effective lethal means safety counseling strategies.

    Purpose of the Study:

    • To characterize the prevalence of firearm access among youth identified as being at risk for suicide within pediatric medical settings.
    • To inform clinical practice regarding lethal means safety counseling for at-risk youth and their families.

    Main Methods:

    • A secondary analysis of data from 1065 youth (aged 10-17) screened for suicide risk and firearm access at urban pediatric medical centers.
    • Suicide risk was identified using the Ask Suicide-Screening Questions (ASQ) tool.
    • Firearm access was evaluated through a structured questionnaire.

    Main Results:

    • 10.3% of participants (110 youth) screened positive for suicide risk.
    • Among those at risk, 28% reported firearms kept in or around their home.
    • Furthermore, 8% had direct access to a firearm, and 5% reported unsecured ammunition storage.

    Conclusions:

    • A significant proportion of pediatric patients at risk for suicide have firearms accessible in their environment.
    • Clinicians play a vital role in assessing firearm access and providing developmentally appropriate lethal means safety counseling to at-risk youth and their caregivers.
    • These findings underscore the importance of integrating firearm safety discussions into routine pediatric care for suicide prevention.