Division of Health Services Management & Policy, College of Public Health, The Ohio State University, Columbus, Ohio.
Division of General Internal Medicine, Wexner Medical Center, The Ohio State University, Columbus, Ohio.
Ann Fam Med. 2020 May;18(3):265-268. doi: 10.1370/afm.2522.
Firearm suicide receives relatively little public attention in the United States, however, the United States is in the midst of a firearm suicide crisis. Most suicides are completed using a firearm. The age-adjusted firearm suicide rate increased 22.6% from 2005 to 2017, and globally the US firearm suicide rate is 8 times higher than the average firearm suicide rate of 22 other developed countries. The debate over how to solve the firearm suicide epidemic tends to focus on reducing the firearm supply or increasing access to behavioral health treatment. Ineffectual federal firearm control policies and inadequate behavioral health treatment access has heightened the need for primary care physicians to play a more meaningful role in firearm suicide prevention. We offer suggestions for how individual physicians and the collective medical community can take action to reduce mortality arising from firearm suicide and firearm deaths.
在美国,枪支自杀受到的公众关注相对较少,但美国正处于枪支自杀危机之中。大多数自杀都是用枪支完成的。2005 年至 2017 年,年龄调整后的枪支自杀率上升了 22.6%,而全球范围内,美国的枪支自杀率是其他 22 个发达国家平均枪支自杀率的 8 倍。关于如何解决枪支自杀泛滥的争论往往集中在减少枪支供应或增加获得行为健康治疗的机会上。无效的联邦枪支控制政策和获得行为健康治疗的机会不足,使得初级保健医生在预防枪支自杀方面发挥更有意义的作用变得更加紧迫。我们为个别医生和整个医学界如何采取行动提出建议,以减少枪支自杀和枪支死亡造成的死亡率。