Firearms Risk Management in Psychiatric Care

Sherman, Marion E.; Burns, Kathryn A.; Ignelzi, James; Raia, James; Lofton, Veronica; Toland, Doris; Stinson, Bob; Tilley, John; Coon, Timothy

doi:10.1176/appi.ps.52.8.1057

Cited by 29 publications

(14 citation statements)

References 12 publications

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“…A multidisciplinary approach to dealing with patients admitted to psychiatric hospitals with plans to commit suicide by firearms has been shown to be successful. 73 By discharge all study patients no longer had access to a firearm.…”

Section: Discussion: Firearm Safety and Suicide Preventionmentioning

confidence: 99%

Firearm Laws: A Primer for Psychiatrists

Price

Norris

2010

Harvard Review of Psychiatry

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Persons with mental illness or substance abuse have been perceived by the public to pose an increased risk of violence to themselves and others. As a result, federal and state laws have restricted the right of certain categories of persons with mental illness or substance abuse to possess, register, license, retain, or carry a firearm. Clinicians should be familiar with the specific firearm statutes of their own states, which describe the disqualifying mental health/substance abuse history and the role and responsibility of the psychiatrist in the process. State statutes vary widely in terms of the definitions of, and reporting requirements relating to, prohibited persons with mental illness or substance abuse. States also vary in the duration of the prohibition and in the timing of the appeals process. Some of the statutes have specific provisions for the removal of a firearm when a prohibited person is identified. States may maintain a mental health database that is used to determine firearm eligibility and may forward information to the National Instant Criminal Background Check System. The National Instant Criminal Background Check System Improvement Amendments Act of 2007 will likely increase the number of persons identified as belonging to the prohibited class.

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Section: Discussion: Firearm Safety and Suicide Preventionmentioning

confidence: 99%

Firearm Laws: A Primer for Psychiatrists

Price

Norris

2010

Harvard Review of Psychiatry

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“…In one randomized, controlled trial, a screening, brief intervention, and referral to treatment (SBIRT) intervention involving specially trained pediatricians led to increased safe firearm storage in households with children (63). Other observational and intervention studies have had positive results, including decreased firearm access among suicidal teens and adults (64,65) and increased safe firearm storage in households with children (66 -69). After brief counseling by a psychiatrist, for example, almost one third of suicidal adolescents' families removed a firearm from the home (68).…”

Section: Benefitsmentioning

confidence: 99%

Yes, You Can: Physicians, Patients, and Firearms

Wintemute¹,

Betz²,

Ranney³

2016

Ann Intern Med

136

113

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“…One study showed counseling at-risk patients about firearms is effective (Kruesi et al, 1999). Furthermore, implementing a firearm safety plan that transiently limits access is likewise associated with decreased suicide rates (Sherman et al, 2001). One pediatric study showed that counseling parents in a single firearm safety session did not lead to changes in household gun ownership or statistically significant overall changes in storage patterns (Grossman et al, 2005).…”

Section: Firearms and Public Healthmentioning

confidence: 99%

Legislation Prohibiting Physicians from Asking Patients about Guns

Falls¹

2011

The Journal of Psychiatry & Law

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Several states have recently considered legislation that effectively prohibits physicians from asking patients about firearm ownership. In 2011, Florida passed the Privacy of Firearm Owners Act, which prevented the state's medical personnel from asking patients about gun ownership, documenting information concerning firearms in a patient's medical record, and denying care for patients who refuse to answer questions about gun ownership. This article considers the legislation's constitutionality and its implications for public health, clinical standards of care, and medical ethics.

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Firearms Risk Management in Psychiatric Care

Abstract: Multidisciplinary and focused assessment, treatment, and discharge planning can be effective in neutralizing the risk of firearms use among psychiatric patients.

Cited by 29 publications

References 12 publications

Firearm Laws: A Primer for Psychiatrists

Firearm Laws: A Primer for Psychiatrists

Yes, You Can: Physicians, Patients, and Firearms

Legislation Prohibiting Physicians from Asking Patients about Guns

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