Department of Psychiatry (RS Beidas, S Jager-Hyman, EM Becker-Haimes, CB Wolk, GK Brown, CA Gregor, and A Lieberman),.
Department of Psychiatry (RS Beidas, S Jager-Hyman, EM Becker-Haimes, CB Wolk, GK Brown, CA Gregor, and A Lieberman).
Acad Pediatr. 2019 Aug;19(6):670-676. doi: 10.1016/j.acap.2018.11.007. Epub 2018 Nov 30.
Promoting safe firearm storage in pediatric primary care is one way to address youth suicide by firearm. The study objective was to determine the perspectives of primary care physicians (PCPs) and leaders of primary care practices regarding the acceptability and use of screening, counseling, and firearm locks-all components of an adapted evidence-based intervention known as the Firearm Safety Check.
In 2016, an online survey was conducted in two large US health systems. PCPs (n = 204) and leaders (n = 57) from 83 clinics were invited to participate. Respondents included 71 clinics (86%), 103 PCPs (50%), and 40 leaders (70%). Main outcomes included acceptability (6-point Likert scale, with higher scores indicating better acceptability) and use of the 3 intervention components (4-point Likert scale, with higher scores indicating greater use), as measured by an adapted validated instrument.
Analyses were conducted in 2017. PCP acceptability of screening (mean = 4.28; standard deviation [SD] = 1.12) and counseling (mean = 4.56; SD = 0.89) were high, but acceptability for firearm lock provision was more neutral (mean = 3.78; SD = 1.16). Most PCPs endorsed sometimes screening (85%) and counseling (80%). Few PCPs offered firearm locks to caregivers (15%). Leaders reported consistent information.
The acceptability of screening for firearms and safe storage counseling was high; both components were used commonly but not routinely. The acceptability of providing firearm locks was neutral, and use was rarely endorsed. This study provides important insights about areas of focus for future implementation efforts from policy and research perspectives.
在儿科初级保健中推广安全的枪支存储是解决青少年枪支自杀问题的一种方法。本研究的目的是确定初级保健医生（PCP）和初级保健实践领导人对筛查、咨询和枪支锁定的接受程度和使用情况，所有这些都是一种经过改编的基于证据的干预措施的组成部分，称为枪支安全检查。
2016 年，在美国两个大型医疗系统中进行了一项在线调查。邀请了 83 家诊所的 204 名 PCP 和 57 名领导人参与。共有 71 家诊所（86%）、103 名 PCP（50%）和 40 名领导人（70%）参与了调查。主要结果包括接受度（6 分李克特量表，得分越高表示接受度越高）和使用 3 种干预措施（4 分李克特量表，得分越高表示使用程度越高），采用经过改编的验证工具进行测量。
分析于 2017 年进行。PCP 对筛查（平均值=4.28；标准差[SD]=1.12）和咨询（平均值=4.56；SD=0.89）的接受程度较高，但对提供枪支锁的接受程度则较为中立（平均值=3.78；SD=1.16）。大多数 PCP 有时会进行筛查（85%）和咨询（80%）。很少有 PCP 向照顾者提供枪支锁（15%）。领导者报告了一致的信息。
对枪支筛查和安全储存咨询的接受度较高；这两个组成部分都被广泛使用，但并非常规使用。提供枪支锁的接受程度为中立，使用情况很少被认可。这项研究从政策和研究角度为未来的实施工作提供了重要的关注领域。
