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Children's Emergency Department Provider Experiences With Lethal Means Restriction Counseling and Firearm Access
Arielle Shibi Rosen1, Kirsten Bechtel2
1Yale School of Medicine.
Pediatric Emergency Care
|February 27, 2025
Summary
Children's Emergency Department providers often lack training and resources for lethal means restriction counseling (LMRC), despite recognizing its importance for behavioral health patients. Enhancing provider comfort and consistency in LMRC is crucial for improving discharge safety.
Area of Science:
- Pediatric Emergency Medicine
- Public Health
- Mental Health Services
Background:
- Lethal means restriction counseling (LMRC) is vital for harm reduction in pediatric behavioral health emergencies.
- LMRC is inconsistently provided by Children's Emergency Department (ED) providers.
Purpose of the Study:
- To explore Children's ED provider perspectives on firearm access and LMRC.
- To identify strategies for increasing discharge safety for pediatric patients with behavioral health emergencies.
Main Methods:
- Semistructured interviews were conducted with 29 Children's ED providers.
- Interview data were transcribed, coded, and analyzed thematically.
Main Results:
- Provider experiences with firearms vary, influencing practice.
- Most providers acknowledge LMRC's importance but delegate it to other specialists.
- There's an underestimation of firearm access risks for pediatric behavioral health patients.
- Training and resources are needed to facilitate LMRC and secure firearm storage.
Conclusions:
- Children's ED providers are open to interventions to improve LMRC.
- Understanding provider perspectives is key to developing comprehensive LMRC initiatives.
- Addressing gaps in LMRC and promoting firearm secure storage can enhance pediatric safety.
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