Department of Pediatric Emergency Medicine, The Children's Hospital of Philadelphia, 3501 Civic Center Blvd CTRB 9th Floor, Philadelphia, PA, 19106, USA.
College of Nursing and Health Professions, Drexel University, 3020 Market St. Suite 510, Philadelphia, PA, 19104, USA.
J Behav Med. 2019 Aug;42(4):603-612. doi: 10.1007/s10865-019-00054-z. Epub 2019 Aug 1.
Assessing firearm access among adolescents with behavioral health risk factors is important for the primary prevention of suicide and interpersonal violence. We describe self-reported firearm access and the associated behavioral risk factors and demographic characteristics in a cross-sectional study conducted in the emergency department of an urban pediatric hospital from June 2013 to June 2014. A total of 2258 adolescents received a behavioral health survey to assess access to firearms inside and outside the home, mental health symptoms, and risk behaviors. One of 6 patients in our sample (15%) endorsed access to a firearm. Male gender, lifetime alcohol use, lifetime marijuana use, and lifetime other drug use were associated with access. Participants reporting access were more likely to report clinical levels of lifetime suicidality and depression. The odds of current suicidality were highest in those with 24-h access (OR 2.77 CI 1.73-4.46), compared to those who did not endorse access.
评估具有行为健康风险因素的青少年获得枪支的情况，对于预防自杀和人际暴力的发生至关重要。我们描述了在 2013 年 6 月至 2014 年 6 月期间，在一家城市儿科医院的急诊部门进行的一项横断面研究中，自我报告的枪支获取情况以及相关的行为风险因素和人口统计学特征。共有 2258 名青少年接受了一项行为健康调查，以评估他们在家内外获得枪支的情况、心理健康症状和风险行为。我们样本中的六分之一（15%）患者表示可以接触到枪支。男性性别、终生饮酒、终生使用大麻和终生使用其他药物与获得枪支有关。报告接触枪支的参与者更有可能报告存在终生自杀意念和抑郁的临床水平。与没有接触枪支的人相比，有 24 小时接触枪支的人当前自杀的可能性最高（OR 2.77 CI 1.73-4.46）。
