National Center for Fatality Review and Prevention, Michigan Public Health Institute, 2479 Woodlake Circle, Suite 340, Okemos, MI, 48864, USA.
Division of Emergency Medicine, Department of Pediatrics, Children's National Medical Center, George Washington University School of Medicine and Health Sciences, Washington, DC, USA.
J Behav Med. 2019 Aug;42(4):584-590. doi: 10.1007/s10865-019-00037-0. Epub 2019 Aug 1.
Suicide is a leading cause of death among children in the United States; firearms cause 37% of these deaths. Research is needed to better understand firearm accessibility among youth at risk for suicide. We reviewed data from the National Fatality Review Case Reporting System (NFR-CRS). Firearm suicide deaths of children ages 10-18 occurring 2004 through 2015 with completed suicide-specific section were included. Children who had talked about, threatened or attempted suicide were identified as "Greater Risk" (GR). Odds ratios (OR) and 95% confidence intervals (95%CI) were calculated. Of the 2106 firearm suicide deaths, 1388 (66%) had a completed NFR-CRS suicide section. Of these, 36% (494/1388) met the criteria for GR. Firearms were less likely to be stored in a locked location for GR children [adjusted OR 0.62, (95%CI 0.49-0.98)]. Strategies to limit firearm access, particularly for GR youth, should be a focus of suicide prevention efforts.
自杀是美国儿童死亡的主要原因之一；其中 37%是由枪支造成的。需要研究更好地了解有自杀风险的青少年的枪支可及性。我们回顾了国家死亡审查案例报告系统 (NFR-CRS) 的数据。纳入了 2004 年至 2015 年期间发生的、年龄在 10 至 18 岁之间且有完整自杀特定部分的儿童枪支自杀死亡案例。被认定为“高风险” (GR) 的儿童是指曾经谈论、威胁或试图自杀过的儿童。计算了比值比 (OR) 和 95%置信区间 (95%CI)。在 2106 例枪支自杀死亡中，有 1388 例 (66%) 完成了 NFR-CRS 自杀部分。其中，36% (494/1388) 符合 GR 标准。对于 GR 儿童，枪支更不可能存放在锁定的位置 [调整后的 OR 为 0.62，(95%CI 0.49-0.98)]。限制枪支获取的策略，特别是针对 GR 青少年的策略，应成为预防自杀工作的重点。
