电缆锁分布对枪支安全性的影响:一项随机对照试验:在出现心理健康评估后,电缆锁分布对枪支安全性的影响
Bijan Ketabchi1, Michael A Gittelman2,3, Yin Zhang2,4
1Division of Emergency Medicine, Dept of Pediatrics, Children's Hospital of Philadelphia, Perelman School of Medicine at theUniversity of Pennsylvania, 3501 Civic Center Blvd Colket Translational Research Building, 3rd Floor, Philadelphia, PA, USA. ketabchib@chop.edu.
Injury epidemiology
|November 12, 2024
概括
儿科急救部门可以通过对致命手段的咨询来提高家庭安全,但提供枪锁并没有增加枪支安全率. 高基准保证和锁定偏好影响了结果.
科学领域:
- 儿科急救医学 儿科急救医学
- 公共卫生 公共卫生
- 伤害预防 预防伤害
背景情况:
- 儿童自杀相关的急诊室访问正在增加.
- 儿科急诊室 (PED) 提供者可以通过致命手段咨询 (LMC) 来减轻自杀风险.
- 与LMC一起分发安全设备可以提高家庭安全实践.
研究的目的:
- 为了评估是否提供有线式枪锁与LMC增加枪支安全由照顾的儿童出现在PED心理健康评估的护理人员.
- 评估补充安全装置对家庭安全实践的影响.
主要方法:
- 一项随机对照试验,涉及200名儿童护理人员,这些儿童呈现PED.
- 参与者接受了单独的LMC (控制) 或LMC加两个电缆式枪锁 (干预).
- 调查评估了在基线和遭遇后一个月的枪支和药物储存实践.
主要成果:
- 在随访时,在LMC单独和LMC加枪锁组之间,在所有枪支都安全的家庭比例上没有显著差异 (97.1%对98.5%).
- 在不同组中,取消枪支,取消药物和购买额外的安全设备的比例相似.
- 虽然70%的干预组使用了锁,但许多人更喜欢不同的固定装置.
结论:
- 基于PED的LMC是有效的,并且在有高风险儿童的家庭中增强家庭安全方面受到好评.
- 与LMC单独相比,提供电缆式枪锁并没有显著提高枪支安全率.
- 高基准枪支安全率和用户对替代锁类型的偏好可能解释了提供锁的额外好处的缺乏.
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