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Evidence-Based Safe Firearm Storage Counseling in the Pediatric Intensive Care Unit.

Anireddy R Reddy1,2,3,4, Sneha Kadiyala5, Sanya Tinaikar5

  • 1Department of Anesthesiology and Critical Care Medicine, Children's Hospital of Philadelphia, The University of Pennsylvania Perelman School of Medicine, Philadelphia, Pennsylvania.

Hospital Pediatrics
|July 8, 2026
PubMed
Summary
This summary is machine-generated.

Pediatric intensive care unit (PICU) clinicians can effectively counsel caregivers on safe firearm storage. This intervention is acceptable to caregivers and increases their intent to secure firearms, potentially reducing child injury risks.

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Area of Science:

  • Pediatric critical care
  • Injury prevention
  • Public health

Background:

  • Firearm-related injuries are a leading cause of death for children in the U.S.
  • Pediatric intensive care units (PICUs) represent a missed opportunity for firearm injury prevention.
  • Safe storage counseling and gun lock distribution are evidence-based interventions.

Purpose of the Study:

  • To assess caregiver perceptions of safe storage counseling and gun lock distribution in a PICU.
  • To evaluate the acceptability and potential impact of this intervention.
  • To test the hypothesis that caregivers would find the practice acceptable and increase their intent to secure firearms.

Main Methods:

  • A workflow for universal safe storage counseling and gun lock distribution was developed with multidisciplinary input.
  • Counseling and lock distribution were provided to caregivers of patients with planned discharge or transfer.
  • Postcounseling surveys assessed caregiver perceptions and intentions.

Main Results:

  • 350 (86%) caregivers completed the survey; 97% found the PICU an acceptable location for counseling.
  • 87% of caregivers had not previously received such counseling from a healthcare clinician.
  • A majority reported increased likelihood to ask about safe storage (78%) and intended to share information (87%).

Conclusions:

  • Universal safe storage counseling and gun lock distribution in the PICU is highly acceptable to caregivers.
  • The intervention shows potential for significant impact on firearm safety practices.
  • Implementing this practice in PICUs offers a valuable opportunity for injury prevention.