Rocky Mountain MIRECC, VA Eastern Colorado Healthcare System, Denver, Colorado; Division of General Internal Medicine, School of Medicine, University of Colorado, Aurora, Colorado.
Kaiser Permanente Washington Health Research Institute, Seattle, Washington.
J Adolesc Health. 2017 Nov;61(5):583-590. doi: 10.1016/j.jadohealth.2017.05.017. Epub 2017 Aug 16.
Safe firearm storage practices are associated with a lower risk of self-inflicted injury and death. Whether such practices and relevant beliefs differ between households of adolescents with and without mental illness is unknown.
We used survey and administrative data to perform a two-stage cross-sectional study of parents/guardians of adolescents who were 11-17 years, enrolled in a managed care plan in 2004 and living in a household with a firearm. Multivariable Poisson models compared the prevalence of three firearm storage practices between households of adolescents with (depression or bipolar disorder) and without mental illness (no psychiatric or substance use disorder), including whether all firearms were locked, any firearms were loaded, and all firearms were locked and unloaded. We used chi-square tests to compare responses to Likert items assessing beliefs relevant to storage practices between households.
Adolescents with mental illness were present in 141 (50.5%) of 279 study households. Their mean age was 14.5 years, and 54.8% were male. The mean age of parent/guardian respondents was 47.0 years, and 17.9% were male. Respondents from nearly 70% of households reported that all household firearms were stored locked and unloaded. In unadjusted and adjusted analyses, there were no significant differences in the prevalence of three firearm storage practices or in beliefs relevant to those practices between households of adolescents with and without mental illness.
These findings add to a growing body of evidence suggesting that firearm storage practices do not differ based on household mental health risk factors for self-harm.
安全的枪支存储方式与降低自我伤害和死亡的风险有关。目前尚不清楚，有精神疾病和无精神疾病的青少年家庭在枪支存储方式和相关观念上是否存在差异。
我们采用调查和行政数据，对参加 2004 年管理式医疗计划且家中有枪支的 11-17 岁青少年的父母/监护人进行了两阶段横断面研究。多变量泊松模型比较了患有（抑郁症或双相情感障碍）和无精神疾病（无精神或物质使用障碍）的青少年家庭中三种枪支存储方式的流行率，包括所有枪支是否上锁、是否有枪支上膛以及所有枪支是否上锁且卸下弹药。我们采用卡方检验比较了对与存储方式相关的观念进行评估的李克特量表的回答。
279 个研究家庭中，有 141 个（50.5%）家庭中有青少年患有精神疾病。这些青少年的平均年龄为 14.5 岁，54.8%为男性。家长/监护人受访者的平均年龄为 47.0 岁，17.9%为男性。近 70%的家庭报告说，家中所有枪支都上锁且卸下弹药。在未调整和调整后的分析中，患有和不患有精神疾病的青少年家庭在三种枪支存储方式的流行率或与这些方式相关的观念方面没有显著差异。
这些发现增加了越来越多的证据，表明枪支存储方式的差异与自我伤害的家庭精神健康风险因素无关。
