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Firearm screening in pediatric patients.

Aarani Kandeepan1, Jessica Lee2, Dayanand Bagdure3

  • 1Department of Pediatrics, University of Maryland, Baltimore, MD, United States.

Frontiers in Pediatrics
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Summary
This summary is machine-generated.

Pediatricians rarely discuss firearm safety with families, despite its importance. Most parents are open to these conversations, highlighting a missed opportunity for injury prevention.

Keywords:
firearmfirearm injuryfirearm safetyfirearm screeningpediatrics

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Area of Science:

  • Pediatric Emergency Medicine
  • Public Health
  • Injury Prevention

Background:

  • Firearm-related injuries are a leading cause of death for children in the US.
  • Pediatricians recognize firearm safety's importance but seldom screen or counsel patients.
  • Existing guidance from organizations like the American Academy of Pediatrics is underutilized.

Purpose of the Study:

  • To assess the current practices of screening pediatric patients for firearm presence and storage.
  • To determine if pediatric patients receive counseling on firearm safety from medical professionals.
  • To evaluate parental willingness to discuss firearm safety with healthcare providers.

Main Methods:

  • A 13-item survey was administered to parents in pediatric emergency, inpatient, and intensive care units.
  • The survey collected data on demographics, firearm ownership, storage practices, and prior counseling.
  • It also assessed willingness to discuss firearm safety and parental inquiries about firearms in other homes.

Main Results:

  • 85.5% of surveyed households did not have firearms; 14% did.
  • 75% of parents with firearms in the home had never received firearm safety counseling from a medical provider.
  • 100% of parents had never been asked by other parents about firearms in their home for playdates.

Conclusions:

  • There is a significant gap in pediatric firearm safety screening and counseling in both inpatient and outpatient settings.
  • Parents are generally willing to discuss firearm safety with healthcare providers.
  • Proactive screening and counseling on firearm safety represent a crucial, yet underutilized, public health intervention.